Primary reattachment of near-complete ear amputation: a successful outcome
Retrospective study published in Ear Nose Throat J (2020)
Abstract
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.
Abstract sourced from PubMed (NCBI) for the cited record. See the original publication for the authoritative version.
Zusammenfassung
5 patients with near-complete ear amputation treated by non-microsurgical primary reattachment with intact skin pedicles. All recovered with completely healed pinnas.
Warum dies für die Hirudotherapie relevant ist
Diese retrospektive Studie untersuchte fünf Patienten mit nahezu vollständigen Ohramputationen, die mittels primärer Replantation ohne Mikrochirurgie behandelt wurden, und berichtete, dass alle Patienten mit vollständig verheilter Ohrmuschel und zufriedenstellendem Gesamterscheinungsbild genasen. Während sich die Studie auf chirurgische Ergebnisse der Ohrenreplantation konzentriert, erwähnt das Abstract keinesfalls Blutegeltherapie, Hirudotherapie oder das Management venöser Stauung. Daher ist ihre Relevanz für das Fachgebiet von ASH auf den weiteren Kontext der Gewebereplantation und rekonstruktiven Chirurgie beschränkt. In dem in dieser Studie beschriebenen Behandlungsprotokoll wurden weder Blutegel noch biologische Hilfsmittel eingesetzt oder diskutiert.
Zitation
Primary reattachment of near-complete ear amputation: a successful outcome.
D'Arcangelo M et al. · Ear, nose, & throat journal, 2020
Verwandter klinischer Kontext
Erfahren Sie, wie diese Forschung mit der klinischen Praxis verknüpft ist
Zur ASH-Bibliothek hinzugefügt: May 27, 2026 · Letzte Aktualisierung der Website: 18. Juni 2026