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Cited by 29Reconstructive Facial Surgery TechniquesReconstructive Surgery and Microvascular TechniquesLeech Biology and Applications

The DOI matches its Crossref record; 20 of the 20 references it cites were found in a registry or an index.

Microsurgical Ear Replantation Without Venous Repair: Failure of Development of Venous Channels Despite Patency of Arterial Anastomosis for 14 Days

Aky??rek, Mustafa, ??afak, Tun??, Ke??ik, Abdullah·2001·Annals of Plastic Surgery
DOI 10.1097/00000637-200104000-00016
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Abstract

The authors describe a case of microvascular ear replantation with repair of the artery only and medicinal leech therapy that survived for 14 days but ultimately failed as a result of the absence of development of venous channels between the replant and the recipient bed. A 35-year-old man presented with complete avulsion of 80% of the right external ear. The auricle was revascularized successfully via transposition of the superficial temporal artery (STA) and end-to-end anastomosis between the STA and an identified arterial branch on the posterior surface of the ear, using the technique of longitudinal wedge resection. No suitable veins could be found, therefore medicinal leech therapy was used for venous drainage as well as for systemic heparinization. Although the replant remained viable, frequency of leeching did not decrease over 2 weeks. On postoperative day 14, despite obvious viability of the replanted ear, leeching was stopped, considering the ongoing blood loss. Unfortunately, the auricle was found to be necrosed totally the following day. In retrospect, the authors think that inadequate debridement of nonvital tissues may have led to the failure of development of venous channels between the replant and the recipient bed, as manifested by the frequent requirement of leeching to relieve venous congestion long after revascularization. They conclude that the importance of thorough debridement cannot be overemphasized in microsurgical ear replantation with no vein anastomosis, as demonstrated in their patient. From the point of view of creation of venous drainage channels, deepithelialization of the posterior ear skin may be beneficial.

Overview

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Crossref · 10.1097/00000637-200104000-00016

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20 of 20 references verified0 citation errors · 0 not checkable

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Citations

Cites

Research works printed but not linked: 1

  1. Pribaz, 1998, Microsurgical replantation of an ear in a child without venous repair, 102, 2094

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Metadata

Authors
Aky??rek, M., ??afak, T., & Ke??ik, A.
Venue
Annals of Plastic Surgery
Publisher
Ovid Technologies (Wolters Kluwer Health)
Published
2001-04
Volume
46
Issue
4
Pages
439-443
ISSN
0148-7043 (ISSN-L)
DOI
10.1097/00000637-200104000-00016
OpenAlex
W2309793891
Cited by
29
References
20
Citations by year
2026: 1 · 2023: 4 · 2022: 3 · 2020: 2 · 2018: 1 · 2017: 1 · 2015: 1 · 2014: 1 · 2013: 2 · 2012: 1
FWCI
0.99
Type
journal article
Language
en
Open access
closed
Locations
  • Annals of Plastic Surgery (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Surgery › Reconstructive Facial Surgery Techniques
  • Health Sciences › Medicine › Surgery › Reconstructive Surgery and Microvascular Techniques
  • Life Sciences › Agricultural and Biological Sciences › Animal Science and Zoology › Leech Biology and Applications
Keywords
venous drainage, leech therapy, debridement, de-epithelialization, venous congestion, heparin anticoagulation
MeSH terms
Adult, Anastomosis, Surgical, Animals, Debridement, Ear, External, Humans, Leeches, Male, Microcirculation, Microsurgery, Regional Blood Flow, Replantation, Temporal Arteries, Vascular Patency, Veins, Treatment Failure

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