Nonmicrosurgical Single-Stage Auricular Replantation of Amputated Ear

Abd-Almoktader, Magdy A.

doi:10.1097/sap.0b013e3181edafb3

Cited by 9 publications

(4 citation statements)

References 14 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The skin of the amputated part is first removed, preserving an intact perichondrium, suturing the cartilage to the stump, applying a TPF flap, followed by covering the area with a skin graft. [ 42 43 ] Steffen et al . supported renouncing methods using pocket technique and periauricular tissue flaps because of the inevitable cartilaginous distortion.…”

Section: Resultsmentioning

confidence: 99%

Auricular avulsion injuries: Literature review and management algorithm

Abu-Zidan

Al-Ali

2022

Turk J Emerg Med

View full text Add to dashboard Cite

Traumatic ear avulsion (TEA) may have tremendous psychological consequences if not managed properly. There are no clear guidelines on the surgical management of these injuries, especially in developing countries where microsurgical facilities are lacking. We aimed to review the literature on surgical management of TEA with the main focus on direct re-attachment (DR) so as to develop a surgical management algorithm that can be applied in the absence of microsurgical facilities. We performed an extensive review of the relevant English literature on papers indexed in PubMed describing TEA repaired with DR without restriction to a specific publication time window. A total of 28 cases in 18 publications were reviewed and analyzed. Our results indicate that in the acute setting with no available microvascular expertise, DR of auricular avulsion injuries can be better than other nonmicrosurgical techniques in generating good esthetic results, especially in incomplete auricular avulsion and small segment avulsion. The operative approach depends on the clinical setting. DR of the auricular avulsion injuries is an accepted approach. It produces good cosmetic outcomes while preserving the auricular area for future reconstruction in case of re-attachment failure.

show abstract

Section: Resultsmentioning

confidence: 99%

Auricular avulsion injuries: Literature review and management algorithm

Abu-Zidan

Al-Ali

2022

Turk J Emerg Med

View full text Add to dashboard Cite

show abstract

“…4,8,9 As no suitable vessels were identified on our patients’ initial examination; the microsurgical repair was not attempted. In cases where the amputated part is not suitable for replantation, other salvage approaches have been described, such as banking of the de-epithelialized auricular cartilage followed by delayed replantation, 10 local flap coverage, 11 and secondary reconstruction with rib cartilage. 12 Several features of the auricle are attributed to the high survival rate of the amputated ear.…”

Section: Discussionmentioning

confidence: 99%

“…These include a low metabolic rate of the ear cartilage and easily formed new blood vessels from the highly vascularized facial soft tissue. 11…”

Section: Discussionmentioning

confidence: 99%

Primary Reattachment of Near-Complete Ear Amputation: A Successful Outcome

2020

View full text Add to dashboard Cite

Objectives: Traumatic amputation of the ear constitutes a great aesthetic deformity that can have a tremendous negative impact. Reports describing the survival of near-complete ear amputation using non-microsurgical replantation are scarce. We aimed to study the surgical outcome of patients with near-complete ear amputations supplied by small pedicle bridges that were treated with primary reattachment. Methods: We retrospectively studied patients with near-complete ear amputation who were admitted at Al Ain Hospital from January 2016 to December 2019. Results: Five patients were studied. The most common mechanism of injury was motor vehicle injury, followed by cutting injury. The skin pedicle was inferior in 3 (60%) patients of patients. The median width of the skin pedicles was 8.5 mm. The median interval between the injury and the surgical management was 4 hours. All patients underwent primary reattachment of the ear without microsurgery. One patient developed a small area of necrosis of the ear lobe. All patients recovered with a completely healed pinna and satisfactory overall appearance. Conclusions: Primary reattachment without microsurgery of the near-complete ear amputation can be safely performed in the presence of an intact skin pedicle. It can achieve an aesthetically satisfactory outcome without severe complications.

show abstract

“…Although traumatic ear amputations and avulsions are commonly seen in emergency departments, [1] near-total avulsion is a relatively uncommon but severe injury [2]. It can result in functional and aesthetic disabilities, causing a patient's significant psychological distress [3]. The delicate skin and vasculature with complex cartilaginous contours complicate the management and restoration of acceptable aesthetic results [4].…”

Section: Introductionmentioning

confidence: 99%

Retrospective Study of Management of Near Total Avulsion of Auricles and Review of the Literature

Allam

Mohamed

Haredy

et al. 2021

The Egyptian Journal of Plastic and Reconstructive Surgery

View full text Add to dashboard Cite

Objective: Management of the near-total auricular avulsion injury is a difficult challenge. There are several techniques for the proper treatment of such injuries with variable results. We present a series of seven cases of traumatic auricular near total avulsion with a narrow flap base. This is accompanied with a review of literature of similar conditions. Patients and Methods:This work presents a retrospective study of patients with traumatic auricular amputation, who were admitted to the emergency department at Sohag University Hospital, in the period from March 2015 to November 2019, with traumatic auricular avulsion. Patients' files were reviewed for demographic data, trauma details, operative notes, and post-operative results. Only patients with neartotal auricular avulsion.Results: Seven patients (6 males and one female) were included with complete records and fulfilled criteria. The mean age at the time of trauma was 25.8 years. Early postoperative venous congestion of the reattached ear was reported in two patients. All cases were successfully reattached without tissue loss of the repositioned tissue or significant shrinkage postoperatively. The literature presented twelve articles reporting 17 patients, where venous congestion was the most common complication after the repair (35.3%). Conclusions:The entire ear can survive based on a small, inferiorly based pedicle with favorable results and without severe complications.

show abstract

Nonmicrosurgical Single-Stage Auricular Replantation of Amputated Ear

Cited by 9 publications

References 14 publications

Auricular avulsion injuries: Literature review and management algorithm

Auricular avulsion injuries: Literature review and management algorithm

Primary Reattachment of Near-Complete Ear Amputation: A Successful Outcome

Retrospective Study of Management of Near Total Avulsion of Auricles and Review of the Literature

Contact Info

Product

Resources

About