American Society of Hirudotherapy

Case report of auricular avulsion injury, repair, and adjunctive treatment

Case report published in Undersea & hyperbaric medicine : journal of the Undersea and Hyperbaric Medical Society, Inc (2026)

Last Updated: June 18, 2026Reviewed by: ASH Editorial Board
Research article — evidence reviewArticle reference
Evidence: Case reportClinical TrialsFischer GA et al. · Undersea & hyperbaric medicine : journal of the Undersea and Hyperbaric Medical Society, Inc, 2026

Abstract

INTRODUCTION: The objective of this case report is to present an 11-year-old male patient who sustained a partial avulsion injury of the left ear involving the helix, anti-helix, and scapha, along with initial management and adjunctive treatments throughout the patient's course in the hospital. CASE REPORT: Traumatic ear avulsion is an uncommon injury that poses unique surgical challenges, as there is no standard of care for its management. The viability of the avulsed tissue is of paramount concern given its small vasculature and limited perfusion. Some techniques used in ear avulsion injuries include microvascular reconstruction, the pocket technique, and direct reattachment. Ear avulsion injuries require a multidisciplinary approach to achieve optimal patient outcomes. DISCUSSION: This case report demonstrates the effectiveness of multiple adjunctive treatments in optimizing revascularization and viability of previously avulsed tissue, resulting in better short-term outcomes and a more favorable long-term prognosis.

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

Publication typeJournal ArticleCase Reports
Indexed MeSH termsHumansMaleChildEar, ExternalEar Auricle

Summary

The objective of this case report is to present an 11-year-old male patient who sustained a partial avulsion injury of the left ear involving the helix, anti-helix, and scapha, along with initial management and adjunctive treatments throughout the patient's course in the hospital.

Why This Matters for Hirudotherapy

This case report presents an 11-year-old male with partial avulsion of the left ear (helix, anti-helix, scapha), describing initial management and adjunctive treatments aimed at optimizing revascularization and tissue viability. The abstract references multiple adjunctive treatments but does not specifically name leech therapy among them. Caveat: the abstract does not explicitly mention leeches or hirudotherapy, so any direct relevance to ASH's domain is uncertain; this is a single case report without a control group, and without confirmation that leech therapy was used, its connection to hirudotherapy cannot be established from the abstract alone.

Citation

Case report of auricular avulsion injury, repair, and adjunctive treatment

Fischer GA et al. · Undersea & hyperbaric medicine : journal of the Undersea and Hyperbaric Medical Society, Inc, 2026

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

This website provides educational information and does not constitute medical advice, diagnosis, or treatment recommendations. Medicinal leech therapy carries clinically meaningful risks and should be performed only by qualified clinicians under institutionally approved protocols. FDA 510(k) clearance for medicinal leeches is limited to specific indications; investigational and off-label discussions are labeled accordingly. For patient-specific guidance, consult a qualified healthcare provider.