A succesful replantation of total scalp, forehead, left ear, eyebrows and upper eyelids amputation and 6-year follow-up results

Özkan, Özlenen; Bektas, Gamze; Cinpolat, Ani; Özkan, Ömer

doi:10.5505/tjtes.2013.66492

Cited by 2 publications

(2 citation statements)

References 24 publications

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“…In case of replantation of an avulsion traction amputation, thorough debridement of the avulsed vessels is of the utmost importance in order to avoid any anastomosis of damaged vessels (Ozkan et al, 2006; Ozkan et al, 2013). However, sufficient debridement of the vascular structures almost always results in large arterial and venous gaps.…”

Section: Discussionmentioning

confidence: 99%

“…Although the replantation of common amputations is now routinely performed in most microsurgical centers worldwide following the advent of microsurgery, traction avulsion injuries are still a challenging problem in reconstructive surgery. Replantation of these injuries may be more demanding technically because of both the mechanism of the trauma, which is usually of a crush nature, and also of the effects of the injury on the neurovascular structures (Ozkan et al, 2006; Ozkan et al, 2013). It may therefore be quite difficult to estimate the extent of avulsion even under an operating microscope.…”

Section: Discussionmentioning

confidence: 99%

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Replantation of forequarter amputation: Report of two cases with successful structural, motor and sensorial results

Özkan

Uysal

et al. 2021

Microsurgery

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Although there have been numerous reports of major replantation of upper extremity amputations, limited numbers of above-elbow amputation replantation have been reported. We present the technical details of two successful replantations of forequarter amputations in a nine-year-old girl and a three-year-old boy. In both cases, the forequarter was amputated due to avulsion traction injuries resulting in amputation including the entire upper limb, while the integrity of the scapula and parascapular muscles was maintained, with no injury to the glenohumeral joint. Replantation was performed, involving a shorter ischemia time with proper fixation, and vascular and neural repairs.Postoperative recovery was uneventful, and motor and sensorial acquisition were quite satisfactory during follow-up periods of 9 and 6 years, respectively. Proper fixation of the amputated part mimicking the original anatomy, radical debridement of avulsed vessels, and reconstruction of the defect using long vein grafts and neural repair while

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Replantation of forequarter amputation: Report of two cases with successful structural, motor and sensorial results

Özkan

Uysal

et al. 2021

Microsurgery

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Atypical replantation and reconstruction of frozen ear

Dvořák

Stupka

2020

Medicine

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Rationale: The first successful ear replantation was performed by Pennigton in 1980 in Sydney. At least 84 ear replantations have been described in the literature over a period of 37 years since the first case. The authors have not found any previous case of frozen ear replantation in the literature. Patient concerns: We report the case of a 38-year-old man, who had an injury to the head while working with a machine. Diagnosis: The patient suffered total traumatic avulsion of the left ear. The ear was wrapped in moistened, sterile gauze and was transported on dry ice. At the time of admission to our department, the amputated ear was frozen to stiff, solid nonelastic matter. Interventions: We attempted replantation. Despite repeated arterial thrombosis during surgery, the ear was successfully replanted with arterial and venous anastomosis. Outcomes: Venous congestion occurred within 9 h of surgery and was treated using leeches. Freezing cold injury developed during reattachment. The radix and proximal parts of the helix exhibited necrosis and so were reconstructed by contralateral conchal cartilage graft, which was wrapped with a local subauricular skin flap. On completion of treatment, a satisfactory shape was achieved, although the replanted and reconstructed left auricle slightly was smaller than the contralateral auricle. Lessons learned: Our report confirms that the replantation of a frozen, amputated ear is possible, and we suggest that ear replantation should be the method of choice for the treatment of ear loss even under these conditions.

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A succesful replantation of total scalp, forehead, left ear, eyebrows and upper eyelids amputation and 6-year follow-up results

Cited by 2 publications

References 24 publications

Replantation of forequarter amputation: Report of two cases with successful structural, motor and sensorial results

Replantation of forequarter amputation: Report of two cases with successful structural, motor and sensorial results

Atypical replantation and reconstruction of frozen ear

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