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Replantation of the ear without microvascular anastomosis: a case report

Year 2008, Volume: 18 Issue: 3, 182 - 184, 25.06.2008

Abstract

A 42-year-old man presented with a left-sided supralobular total ear amputation resulting from an occupational accident. Initial dissection of the amputated ear revealed no suitable vessel for anastomosis. The fenestrated cartilage with its posterior skin excised was attached as a composite graft. Four days postoperatively, it was observed that 90% of the graft was viable. Three weeks later, subtotal separation of the ear 80% was performed combined with skin grafting for surfacing the postauricular defect. At one-year follow-up, there was partial cartilage resorption with pigmentation and minimal hyperemia of the overlying skin.

References

  • Kind GM, Buncke GM, Placik OJ, Jansen DA, D’Amore T, Buncke HJ Jr. Total ear replantation. Plast Reconstr Surg 1997;99:1858-67.
  • Pederson WC. Replantation. Plast Reconstr Surg 2001; 107:823-41.
  • Pribaz JJ. Microsurgical replantation of the amputated nose. Plast Reconstr Surg 2000;105:2138-9.
  • Concannon MJ, Puckett CL. Microsurgical replanta- tion of an ear in a child without venous repair. Plast Reconstr Surg 1998;102:2088-93.
  • Sadove RC. Successful replantation of a totally ampu- tated ear. Ann Plast Surg 1990;24:366-70.
  • Baudet J. Successful replantation of a large severed ear fragment. Plast Reconstr Surg 1973;51:82.
  • Destro MW, Speranzini MB. Total reconstruction of the auricle after traumatic amputation. Plast Reconstr Surg 1994;94:859-64.
  • Park C, Lee CH, Shin KS. An improved burying meth- od for salvaging an amputated auricular cartilage. Plast Reconstr Surg 1995;96:207-10.
  • Mladick RA, Horton CE, Adamson JE, Cohen BI. The pocket principle: a new technique for the reattachment of a severed ear part. Plast Reconstr Surg 1971;48:219-23.
  • Mladick RA, Carraway JH. Ear reattachment by the modified pocket principle. Case report. Plast Reconstr Surg 1973;51:584-7.
  • Pribaz JJ, Crespo LD, Orgill DP, Pousti TJ, Bartlett RA. Ear replantation without microsurgery. Plast Reconstr Surg 1997;99:1868-72.
  • Aydin A, Nazik H, Kuvat SV, Gurler N, Ongen B, Tuncer S, et al. External decontamination of wild leeches with hypochloric acid. BMC Infect Dis 2004;4:28.
  • Chun JK, Sterry TP, Margoles SL, Silver L. Salvage of ear replantation using the temporoparietal fascia flap. Ann Plast Surg 2000;44:435-9.
  • Schiavon M, Cagnoni G. Salvage of an amputated ear temporarily lodged in a forearm. Plast Reconstr Surg 1995;96:1698-701.

Mikrocerrahi uygulanmayan kulak replantasyonu: Olgu sunumu

Year 2008, Volume: 18 Issue: 3, 182 - 184, 25.06.2008

Abstract

Kırk iki yaşındaki erkek hasta, iş kazası sonucu sol supralobuler total kulak kopması ile başvurdu. Kopan kulak parçasında mikrocerrahi ile anastomoza uygun damar bulunamadı. Posterior derisi eksize edilen ve çok sayıda pencere açılan kıkırdak, kompozit greft olarak yerine yerleştirildi. Ameliyat sonrası dördüncü gün pansuman açıldığında kompozit greftin %90 oranında yaşadığı görüldü. Üç hafta sonra kulak zeminden %80 oranında ayrıldı ve postauriküler defekte deri grefti yerleştirildi. Bir yıllık izlem sonun- da kıkırdakta kısmi rezorpsiyon ve deride minimal hiperemi ve pigmentasyon görüldü

References

  • Kind GM, Buncke GM, Placik OJ, Jansen DA, D’Amore T, Buncke HJ Jr. Total ear replantation. Plast Reconstr Surg 1997;99:1858-67.
  • Pederson WC. Replantation. Plast Reconstr Surg 2001; 107:823-41.
  • Pribaz JJ. Microsurgical replantation of the amputated nose. Plast Reconstr Surg 2000;105:2138-9.
  • Concannon MJ, Puckett CL. Microsurgical replanta- tion of an ear in a child without venous repair. Plast Reconstr Surg 1998;102:2088-93.
  • Sadove RC. Successful replantation of a totally ampu- tated ear. Ann Plast Surg 1990;24:366-70.
  • Baudet J. Successful replantation of a large severed ear fragment. Plast Reconstr Surg 1973;51:82.
  • Destro MW, Speranzini MB. Total reconstruction of the auricle after traumatic amputation. Plast Reconstr Surg 1994;94:859-64.
  • Park C, Lee CH, Shin KS. An improved burying meth- od for salvaging an amputated auricular cartilage. Plast Reconstr Surg 1995;96:207-10.
  • Mladick RA, Horton CE, Adamson JE, Cohen BI. The pocket principle: a new technique for the reattachment of a severed ear part. Plast Reconstr Surg 1971;48:219-23.
  • Mladick RA, Carraway JH. Ear reattachment by the modified pocket principle. Case report. Plast Reconstr Surg 1973;51:584-7.
  • Pribaz JJ, Crespo LD, Orgill DP, Pousti TJ, Bartlett RA. Ear replantation without microsurgery. Plast Reconstr Surg 1997;99:1868-72.
  • Aydin A, Nazik H, Kuvat SV, Gurler N, Ongen B, Tuncer S, et al. External decontamination of wild leeches with hypochloric acid. BMC Infect Dis 2004;4:28.
  • Chun JK, Sterry TP, Margoles SL, Silver L. Salvage of ear replantation using the temporoparietal fascia flap. Ann Plast Surg 2000;44:435-9.
  • Schiavon M, Cagnoni G. Salvage of an amputated ear temporarily lodged in a forearm. Plast Reconstr Surg 1995;96:1698-701.
There are 14 citations in total.

Details

Primary Language Turkish
Journal Section Case Report
Authors

Samet Vasfi Kuvat This is me

Serdar Tunçer This is me

Ufuk Emekli This is me

Ahmet Biçer This is me

Publication Date June 25, 2008
Published in Issue Year 2008 Volume: 18 Issue: 3

Cite

APA Kuvat, S. V., Tunçer, S., Emekli, U., Biçer, A. (2008). Mikrocerrahi uygulanmayan kulak replantasyonu: Olgu sunumu. The Turkish Journal of Ear Nose and Throat, 18(3), 182-184.
AMA Kuvat SV, Tunçer S, Emekli U, Biçer A. Mikrocerrahi uygulanmayan kulak replantasyonu: Olgu sunumu. Tr-ENT. June 2008;18(3):182-184.
Chicago Kuvat, Samet Vasfi, Serdar Tunçer, Ufuk Emekli, and Ahmet Biçer. “Mikrocerrahi Uygulanmayan Kulak Replantasyonu: Olgu Sunumu”. The Turkish Journal of Ear Nose and Throat 18, no. 3 (June 2008): 182-84.
EndNote Kuvat SV, Tunçer S, Emekli U, Biçer A (June 1, 2008) Mikrocerrahi uygulanmayan kulak replantasyonu: Olgu sunumu. The Turkish Journal of Ear Nose and Throat 18 3 182–184.
IEEE S. V. Kuvat, S. Tunçer, U. Emekli, and A. Biçer, “Mikrocerrahi uygulanmayan kulak replantasyonu: Olgu sunumu”, Tr-ENT, vol. 18, no. 3, pp. 182–184, 2008.
ISNAD Kuvat, Samet Vasfi et al. “Mikrocerrahi Uygulanmayan Kulak Replantasyonu: Olgu Sunumu”. The Turkish Journal of Ear Nose and Throat 18/3 (June 2008), 182-184.
JAMA Kuvat SV, Tunçer S, Emekli U, Biçer A. Mikrocerrahi uygulanmayan kulak replantasyonu: Olgu sunumu. Tr-ENT. 2008;18:182–184.
MLA Kuvat, Samet Vasfi et al. “Mikrocerrahi Uygulanmayan Kulak Replantasyonu: Olgu Sunumu”. The Turkish Journal of Ear Nose and Throat, vol. 18, no. 3, 2008, pp. 182-4.
Vancouver Kuvat SV, Tunçer S, Emekli U, Biçer A. Mikrocerrahi uygulanmayan kulak replantasyonu: Olgu sunumu. Tr-ENT. 2008;18(3):182-4.