American Society of Hirudotherapy

Single vessel microvascular replantation of a partially amputated auricle in a paediatric patient

Case report published in Plast Surg Oakville (2025)

Last Updated: June 18, 2026Reviewed by: ASH Editorial Board
Research article — evidence reviewArticle reference
Evidence: Research reportClinical TrialsFranchi et al. · Plastic surgery (Oakville, Ont.), 2025

Abstract

Auricular amputations are rare injuries, particularly in children, and most published literature reports complete ear amputations rather than partial defects. We present a case of a paediatric patient who sustained a partial amputation of the right ear from a dog bite. This was treated with single vessel microvascular arteriovenous replantation without venous repair. The ear survived with excellent cosmetic outcome at 8 months. This case highlights the feasibility of single vessel replantation in paediatric partial ear injuries and adds to the limited published experience of such cases. Les amputations de l’oreille sont rares, particulièrement chez les enfants, et la plupart des publications rendent compte d’amputations complètes plutôt que partielles. Les auteurs présentent le cas d’un patient d’âge pédiatrique qui a subi une amputation partielle de l’oreille droite causée par une morsure de chien. Cette amputation a été traitée par la replantation artérioveineuse microvasculaire d’un seul vaisseau sans réparation veineuse. L’oreille a survécu, et les résultats esthétiques étaient excellents au bout de huit mois. Ce cas fait ressortir la faisabilité de la replantation d’un seul vaisseau après une lésion partielle de l’oreille en pédiatrie et s’ajoute aux publications limitées sur le sujet.

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

Publication typeJournal Article

Summary

Pediatric partial-auricle amputation successfully replanted via single-vessel microvascular anastomosis.

Why This Matters for Hirudotherapy

This article presents a pediatric case of partial ear amputation from a dog bite, treated with single-vessel microvascular arteriovenous replantation without venous repair, achieving a successful cosmetic outcome at 8 months. The abstract describes the surgical technique and its feasibility in pediatric partial ear injuries, adding to the limited published experience with such cases. No leeches, hirudotherapy, or leech-derived products are mentioned at any point in the abstract. Consequently, this article has no direct relevance to ASH's domain; any connection to hirudotherapy cannot be established from the abstract alone.

Citation

Single vessel microvascular replantation of a partially amputated auricle in a paediatric patient.

Franchi et al. · Plastic surgery (Oakville, Ont.), 2025

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

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