Partial reconstruction of the auricle with the tubed postauricular flap: a case report
Case report published in J Craniofac Surg (2024)
Abstract
The authors present a case of a partial auricular deformity acquired from a human bite that was reconstructed using a 3-stage posterior auricular tubed flap. Helical rim avulsions may be ideally reconstructed with a tubed flap created from lax postauricular soft tissue. During the third stage, division and inset of the inferior pedicle of the flap were complicated by venous congestion. The use of leech therapy and topical nitroglycerin successfully improved flap circulation. Given the occurrence of venous congestion due to a sudden change in flap blood circulation, the authors propose a pedicle compression device to be used in the future that assists with flap conditioning. This physiological delay helps minimize flap ischemia by allowing choke vessels to dilate within, thus increasing flap reliability. Therefore, when the pedicle is divided, improved circulation from the previously inset superior pedicle has been established with a decreased risk of venous congestion and arterial insufficiency.
Abstract sourced from PubMed (NCBI) for the cited record. See the original publication for the authoritative version.
Resumen
Partial-auricle reconstruction using tubed postauricular flap technique.
Por qué esto importa para la hirudoterapia
Este informe de caso describe la reconstrucción auricular parcial tras una mordedura humana mediante un colgajo tubular auricular posterior en 3 tiempos. Durante el tercer tiempo, se desarrolló congestión venosa, la cual se manejó con éxito mediante terapia con sanguijuelas combinada con nitroglicerina tópica, mejorando la circulación del colgajo. Esto documenta directamente una aplicación clínica de la terapia con sanguijuelas para la congestión venosa en un colgajo quirúrgico, lo que representa un caso de uso relevante dentro del ámbito de la hirudoterapia. Sin embargo, como informe de caso único, proporciona evidencia generalizable limitada, no ofrece datos cuantitativos de desenlace que aíslen el componente de la terapia con sanguijuelas, y no puede separar la contribución de la hirudoterapia del uso concomitante de nitroglicerina tópica.
Citación
Partial reconstruction of the auricle with the tubed postauricular flap: a case report.
Shteynberg et al. · The Journal of craniofacial surgery, 2024
Contexto clínico relacionado
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Añadido a la biblioteca ASH: May 27, 2026 · Última actualización del sitio: 18 de junio de 2026