Microvascular ear replantation
Abstract
Microvascular ear replantation is a rare event, having been reported only 25 times since the first case in 1980. It requires a lengthy operative time and hospital stay, results in multiple blood transfusions, and has a significant failure rate. Nevertheless, a successful ear replantation is a dramatic demonstration of the power of microsurgery to restore a lost part. When successful, it obviates the need for other complex reconstructive efforts and provides an unsurpassed aesthetic result. This article reviews the history of microsurgical and nonmicrosurgical ear replantation and presents recommendations for treatment.
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In Kind et al's review of 25 microsurgically repaired ears, the average operative time was approximately 6 hours.
“Kind et al reviewed 25 cases of microsurgically repaired ears and noted an average operative time of approximately 6 hours, an average hospital stay of 11.4 days, and a high likelihood of blood transfusion.57”
From Auricular avulsion injuries and reattachment techniques: A systematic review (2020) · cites this paper as [57]
In Kind et al's review, the average hospital stay was 11.4 days.
“Kind et al reviewed 25 cases of microsurgically repaired ears and noted an average operative time of approximately 6 hours, an average hospital stay of 11.4 days, and a high likelihood of blood transfusion.57”
From Auricular avulsion injuries and reattachment techniques: A systematic review (2020) · cites this paper as [57]
The average number of transfusions reported by Kind et al was 5.94 units.
“The average number of transfusions reported by Kind et al was 5.94 units”
From Auricular avulsion injuries and reattachment techniques: A systematic review (2020) · cites this paper as [57]
In Kind et al's review, there was a high likelihood of blood transfusion.
“Kind et al reviewed 25 cases of microsurgically repaired ears and noted an average operative time of approximately 6 hours, an average hospital stay of 11.4 days, and a high likelihood of blood transfusion.57”
From Auricular avulsion injuries and reattachment techniques: A systematic review (2020) · cites this paper as [57]
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A Comparison of Ear Reattachment Methods: A Review of 25 Years since Pennington
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The Helical Arcade: Anatomic Basis for Survival in Near-Total Ear Avulsion
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“[16] Nevertheless, the technique offers the best cosmetic outcome when successful revascularization is achieved.[6,16,40]”
BackgroundMethod
- Authors
- Kind, G. M.
- Affiliations
- University of California, San Francisco (US)
- Corresponding author
- Kind, Gabriel M
- Venue
- Clinics in Plastic Surgery
- Publisher
- Elsevier BV
- Published
- 2002-04
- Volume
- 29
- Issue
- 2
- Pages
- 233-248
- ISSN
- 0094-1298 (ISSN-L)
- OpenAlex
- W2056890821
- Cited by
- 40
- References
- 54
- Citations by year
- 2026: 2 · 2025: 3 · 2024: 2 · 2023: 4 · 2022: 2 · 2021: 1 · 2020: 1 · 2019: 1 · 2017: 1 · 2015: 1 · 2014: 1 · 2013: 1 · 2012: 2
- FWCI
- 1.59
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Clinics in Plastic Surgery (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 › Tissue Engineering and Regenerative Medicine
- Keywords
- microvascular replantation, ear replantation, microvascular anastomosis, composite graft, external ear reconstruction, donor site morbidity
- MeSH terms
- Adult, Ear, External, Humans, Male, Microsurgery, Postoperative Care, Replantation
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