Microvascular salvage of a thrombosed total ear replant
Senchenkov A, Jacobson SR (2013) · Microsurgery · n=1
RCT evidence detailTrial reference
Study Profile
- Design
- single-patient case report (45-year-old woman, total ear amputation from horse accident, Mayo Clinic Rochester)
- Sample size (n)
- 1
- Intervention
- Total ear replantation with subsequent venous thrombosis managed with anticoagulation + leech therapy; arterial thrombosis at 80 hours required posterior auricular artery resection and saphenous vein interposition graft
- Comparator
- No control - single case
- Primary endpoint
- Total ear replant survival after thrombotic complications
- Primary result
- Successful microvascular salvage of thrombosed total ear replant with combination anticoagulation, leech therapy, and arterial revision with saphenous vein graft
- Follow-up duration
- Postoperative recovery + outpatient follow-up
- PMID
- 23640855
Key Findings
- Total ear replant survival after venous and arterial thrombosis
- Leech therapy combined with systemic anticoagulation
- 80-hour arterial thrombosis salvage with vein interposition graft
- Multi-stage rescue protocol
- Horse accident etiology highlights real-world trauma context
Limitations
- Single case - case-specific lessons only
- Cannot separate leech effect from systemic anticoagulation
- Aesthetic outcome not described in detail
- Limited follow-up reporting
- Cannot generalize from horse accident mechanism
Clinical Implications
Senchenkov 2013 demonstrates how leech therapy integrates with systemic anticoagulation and surgical revision in multi-modal salvage of complex ear replant thromboses. For US clinicians under K040187, the case illustrates real-world combination protocols where the device is part of a layered rescue strategy rather than sole intervention.
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