Prolonged Arterial Spasm in an Ear Replantation Without Venous Anastomosis

Kayıkçıoğlu, Aycan; Özlüoğlu, Levent N.; Kızılay, Ahmet

doi:10.1055/s-2007-1006409

Cited by 16 publications

(23 citation statements)

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“…However, we have experienced this phenomenon on several occasions when more than 1 hour was required to achieve reperfusion in a super microsurgery field. Kayikçiogle et al 5 also reported a similar case which required a period of almost 3 hours to achieve reperfusion; and they supposed that prolonged arterial spasm was the cause. In addition, it has been described that after performing successful arterial anastomosis, sufficient time to overcome arterial spasm may be required before adequate perfusion is observed.…”

Section: Discussionmentioning

confidence: 97%

Microsurgical replantation of a partial helix of the ear

Kim¹,

Kim²,

Hwang³

et al. 2009

Microsurgery

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Microsurgical ear replantation is a significant challenge because vessel sizes are diminutive. Furthermore, as ear vessels are larger in the medial portion than in the lateral portion, microsurgical replantation of a replant including only the helix is extremely difficult. The authors replanted a partial helix of the ear using a single arterial anastomosis. As no suitable veins could be identified, medicinal leech therapy and systemic heparinization were used to achieve venous drainage. The replanted helix survived completely and the cosmetic result was excellent. Microsurgical replantation should be considered the treatment of choice in helix amputation cases, even though amount of replant is small. (c) 2009 Wiley-Liss, Inc. Microsurgery 2009.

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Section: Discussionmentioning

confidence: 97%

Microsurgical replantation of a partial helix of the ear

Kim¹,

Kim²,

Hwang³

et al. 2009

Microsurgery

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“…Subsequent reports have described the use of micro- Table 2). [17][18][19] Therefore, reconstruction of a totally or subtotally amputated ear should be attempted first using microvascular techniques if suitable arteries and veins exist at the recipient site and in the amputated part. In our series, three patients with total ear amputation underwent microvascular arterial and venous anastomoses and obtained excellent results, including color match and contour.…”

Section: Discussionmentioning

confidence: 99%

Microsurgical Replantation and Salvage Procedures in Traumatic Ear Amputation

Lin

Chiang

Hsieh

et al. 2010

Journal of Trauma: Injury, Infection &Amp; Critical Care

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Microvascular replantation is the best method for reattaching an amputated ear, giving excellent esthetic results. If only arterial anastomosis is performed, a chemical leech is an option for decompressing the venous congestion. In those patients without a suitable vessel for microanastomosis, nonmicrosurgical methods are suggested, such as a temporoparietal fascia flap, retroauricular pocket procedure, or staged-costal cartilage reconstruction, depending on the ear defect.

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“…[8][9][10][11][12][13][14] In one of the reported cases 8 postoperative heparinization was not used. Despite this, the transfusion of 3 units of blood was necessary.…”

Section: Discussionmentioning

confidence: 99%