Replantation of an amputated nasal tip with open venous drainage.

Replantation of small parts often results in failure. The impractical size and the frequent absence of veins suitable for anastomosis, together with venous congestion and thrombosis, are the main problems. A case is described of an amputated nasal tip and successful replantation by means of microsurgical arterial repair and open venous drainage due to absence of suitable veins in the specimen. In cases in which there is no possibility of repairing the venous system, open venous drainage may be an easy and feasible method to prevent venous congestion and replant failure.