Microvascular salvage of a thrombosed total ear replant
Case report published in Microsurgery (2013)
Abstract
Microvascular replantation, when possible, is the treatment of choice for total ear amputations. Both arterial and venous reconstruction should be attempted. The present case report describes a successful total ear replantation in a 45-year-old woman whose ear was amputated due to a horse accident. Venous thrombosis subsequently occurred and was managed with anticoagulation and leech therapy. Eighty hours after the replantation, arterial thrombosis took place. The posterior auricular artery thrombosed anastomosis was resected and reconstructed with an interposition vein graft. This report illustrates the feasibility of the successful microvascular salvage of a thrombosed total ear replant. It suggests the need for close clinical monitoring of the replanted ear and prompt microvascular reexploration in an event of the loss of arterial flow.
Abstract sourced from PubMed (NCBI) for the cited record. See the original publication for the authoritative version.
Resumen
Successful total ear replantation in a 45-year-old woman after horse accident. Venous thrombosis was managed with anticoagulation and leech therapy; subsequent arterial thrombosis required reanastomosis with interposition vein graft.
Por qué esto importa para la hirudoterapia
This case report describes successful total ear replantation in a 45-year-old woman following horse-related trauma, complicated by venous thrombosis and subsequent arterial thrombosis. Venous thrombosis was managed with anticoagulation and leech therapy. Eighty hours after replantation, arterial thrombosis occurred, requiring resection and reconstruction of the posterior auricular artery thrombosed anastomosis with an interposition vein graft. For ASH's domain, this case documents leech therapy used as part of the management of venous thrombosis following ear replantation. The honest caveat is that this is a single case report, and the abstract does not provide details on leech therapy duration, protocol, or outcomes specific to leeching. The report describes a sequential series of events and cannot establish leech efficacy or causation between the interventions and outcomes.
Citación
Microvascular salvage of a thrombosed total ear replant.
Senchenkov A, Jacobson SR · Microsurgery, 2013
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Añadido a la biblioteca ASH: May 26, 2026 · Última actualización del sitio: June 18, 2026