Replanting the Severed Auricle: An Update

Auricular avulsion injuries

“…Applied therapies included administration of anticoagulants, aspirin, dextran-40, Vitamin E, cooling, leeches, and hyperbaric oxygen therapy (HBOT). [ 24 27 30 31 ] Our analysis has shown that the most commonly applied adjunct therapies were anticoagulants, followed by HBOT, and leeches, as shown in Tables 1 and 2 .…”

Is Simple Reimplantation a Viable Option in Pediculated Auricular Avulsions? A Systematic Review of the Literature

“…A wide range of treatments have been utilized in cases where venous congestion occurred, including leech therapy ( n = 3), low molecular weight heparin (LMWH) ( n = 2), intravenous dextran ( n = 1), hyperbaric oxygen therapy ( n = 1), scalpel incisions in the congested areas ( n = 2), pentoxifylline ( n = 1), and vitamin E ( n = 1) [ 7 , 10 , 11 , 13 , 18 , 19 ].…”

“…Alternatively, several authors have explored the use of a simpler, non-microvascular reimplantation technique for patients with pedicled auricular avulsions [ 5 , 6 , 7 , 8 , 9 , 10 , 11 , 12 , 13 , 14 , 15 , 16 , 17 , 18 , 19 , 20 ]. Their findings suggest that, in most cases, this approach yields outcomes comparable to those achieved through microvascular techniques.…”

Microsurgical ear replantation—is venous repair necessary?—A systematic review

“…). Reasons for excluding articles after full‐text review included lack of microsurgical revascularization, duplicate case reports, review articles, presentation of technical pearls only without case description, insufficient details about the case, a case of incomplete ear amputation, and a 30‐year follow‐up report by Pennington on the first patient that underwent ear replantation …”