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Cited by 15Reconstructive Facial Surgery TechniquesReconstructive Surgery and Microvascular TechniquesFacial Trauma and Fracture Management

Prise en charge des amputations traumatiques de l’oreille : revue de la littérature

Ihrai, T., Balaguer, T., Monteil, M.-C., Chignon-Sicard, B., Médard de Chardon, V., Riah, Y., Lebreton, E.·2009·Annales de Chirurgie Plastique Esthétique
DOI 10.1016/j.anplas.2008.08.002
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Abstract

Traumatic ear amputation (TEA) is a complete avulsion of a part or of the total auricular tissue. TEA are rare (only 74 cases have been described in the literature) and their handling is complex. The surgeon's objective is to obtain the best cosmetic result without demolishing the auricular area in order to allow future ear reconstruction in case of replantation failure. Many techniques of ear replantation have been described in the literature during the last 30 years: microsurgical replantation, pocket techniques and reattachment techniques. Microsurgical replantation should be achieved every time it is possible. When it is not possible, the surgeon can choose between ear reattachment and a pocket technique according to two clinical features: the size of the amputated part and the involvement of the ear lobe. Ear reattachment can be achieved when the amputated part is smaller than 15 mm or when amputation involves the earlobe. Pocket techniques, which are appropriate for the replantation of the auricular cartilage, can be used when the amputated part is bigger than 15 mm and does not comprise the earlobe.

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Crossref · 10.1016/j.anplas.2008.08.002

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Authors
Ihrai, T., Balaguer, T., Monteil, M.-C., Chignon-Sicard, B., Médard de Chardon, V., Riah, Y., & Lebreton, E.
Affiliations
Centre Hospitalier Universitaire de Nice (FR)
Corresponding author
Ihrai, T.
ORCID
Venue
Annales de Chirurgie Plastique Esthétique
Publisher
Elsevier BV
Published
2009-04
Volume
54
Issue
2
Pages
146-151
ISSN
0294-1260 (ISSN-L)
DOI
10.1016/j.anplas.2008.08.002
OpenAlex
W2157167356
Cited by
15
References
19
Citations by year
2025: 1 · 2023: 2 · 2022: 2 · 2020: 1 · 2019: 2 · 2018: 1 · 2017: 1 · 2015: 1 · 2014: 1 · 2013: 1
FWCI
0.70
Type
journal article
Language
fr
Open access
closed
Licence
Locations
  • Annales de Chirurgie Plastique Esthétique (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Surgery › Reconstructive Facial Surgery Techniques
  • Health Sciences › Medicine › Surgery › Reconstructive Surgery and Microvascular Techniques
  • Health Sciences › Medicine › Surgery › Facial Trauma and Fracture Management
Keywords
ear replantation, microsurgical replantation, composite graft, ear reconstruction, earlobe, cosmetic outcome, surgical indications and contraindications
MeSH terms
Amputation, Traumatic, Ear Cartilage, Ear, External, Humans, Microsurgery, Replantation, Transplantation, Autologous, Treatment Outcome, Evidence-Based Medicine, Plastic Surgery Procedures

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