American Society of Hirudotherapy

Reattachment of a partially amputated ear without microsurgery

Case report published in JPMA. The Journal of the Pakistan Medical Association (2016)

Last Updated: June 18, 2026Reviewed by: ASH Editorial Board
Research article — evidence reviewArticle reference
Evidence: Case reportClinical TrialsBozan N et al. · JPMA. The Journal of the Pakistan Medical Association, 2016

Abstract

Traumatic ear amputations are relatively rare. Whenever possible, ear re-implantation should be attempted; however the choice of the surgical procedure must be judicious. In the current report, a case of complete non-microsurgical salvage of a partially amputated ear treated by the pocket technique described by Mladick was presented. The surgical technique is described in detail by serial photographs, along with the postoperative management and outcome of the patients. The revascularisation of the severed part was successful. Morphological result was very good when the ear was freed from the pocket. We recommend the Mladick's procedure for reimplantation of fragments less than 1/2 of the auricle with favourable tissue condition.

Abstract sourced from PubMed (NCBI) for the cited record. See the original publication for the authoritative version.

Publication typeCase ReportsJournal Article
Indexed MeSH termsAmputation, TraumaticEar AuricleEar, ExternalHumansMicrosurgeryReplantation

Summary

Traumatic ear amputations are relatively rare.

Why This Matters for Hirudotherapy

This case report describes complete non-microsurgical salvage of a partially amputated ear using the pocket technique described by Mladick, with detailed serial photographs of the surgical technique, postoperative management, and outcome. Revascularisation of the severed part was successful, and the morphological result was described as very good when the ear was freed from the pocket. The abstract makes no mention of leech therapy, hirudotherapy, or leech-derived anticoagulants as part of the surgical or postoperative management. No defensible connection to hirudotherapy, the leech secretome, or ASH's domain exists from this abstract.

Citation

Reattachment of a partially amputated ear without microsurgery

Bozan N et al. · JPMA. The Journal of the Pakistan Medical Association, 2016

Added to ASH library: May 27, 2026 · Site last updated: June 18, 2026

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