case_images: PMC5051554_01
case_images: Preoperative picture showing the defect in the upper lip and the large laceration of the lower lip.
case_images: icrp_a_1226141_f0001_c.jpg
case_images: PMC5051554_01_icrp_a_1226141_f0001_c.jpg
case_images: F0001
case_images: The defect crossed the philtrum medially and extended laterally to the nasolabial fold (Figure 1).
case_images: The amputated part of the upper lip, measuring 4.5 x 3 cm, was kept in a hypothermic state.
case_images: icrp_a_1226141_f0002_c.jpg
case_images: PMC5051554_01_icrp_a_1226141_f0002_c.jpg
case_images: F0002
case_images: The amputate, measuring 4.5 x 3 cm, had been kept in a hypothermic state (Figure 2).
case_images: Shortly after the lip was reapproximated, venous congestion occurred. A leech was immediately applied and the lip regained normal color.
case_images: icrp_a_1226141_f0003_c.jpg
case_images: PMC5051554_01_icrp_a_1226141_f0003_c.jpg
case_images: F0003
case_images: A leech (Hirudo medicinalis) was applied to the lip in order to achieve venous drainage and it immediately regained adequate skin color and became less swollen (Figure 3).
case_images: The patient at one year follow-up. The lip still has a slight edema, which is slowly subsiding.
case_images: icrp_a_1226141_f0004_c.jpg
case_images: PMC5051554_01_icrp_a_1226141_f0004_c.jpg
case_images: F0004
case_images: At one-year follow-up, the patient had good oral continence, good lip motion, no problems with articulation, but the sensitivity for heat/cold and pin prick was still poor (Figure 4).