THE POCKET PRINCIPLE: A New Technique for the Reattachment of a Severed Ear Part

MLADICK, RICHARD A.; HORTON, CHARLES E.; ADAMSON, JEROME E.; COHEN, BERNARD I.

doi:10.1097/00006534-197109000-00004

Cited by 100Reconstructive Surgery and Microvascular TechniquesOrthopedic Surgery and RehabilitationGeneral Medicine and Therapeutics

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THE POCKET PRINCIPLE: A New Technique for the Reattachment of a Severed Ear Part

MLADICK, RICHARD A., HORTON, CHARLES E., ADAMSON, JEROME E., COHEN, BERNARD I.·1971·Plastic and Reconstructive Surgery

DOI 10.1097/00006534-197109000-00004

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MLADICK, RICHARD A. M.D.; HORTON, CHARLES E. M.D.; ADAMSON, JEROME E. M.D.; COHEN, BERNARD I. M.D. Author Information

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BackgroundMethod
Hyaluronic acid enhances peripheral nerve regeneration in vivo
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Background
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“re-epithelialize if removed from the subcutaneous pocket within 21 days.(3) Composite grafts of conchal or helical cartilage and overlying skin (ipsilateral or contralateral) may be an option for coverage of partial thickness defects with missing cartilage(15) (Figs.”
Background
Pilot Study to Evaluate the Efficacy of Hyperbaric Oxygen Therapy in Improving the Survival of Reattached Auricular Composite Grafts in the New Zealand White Rabbit
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“A staged approach has also been advocated, in which the ear is dermabraded, reattached, and buried in a postauricular skin pocket before later exteriorisation (8).”
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“A staged approach has also been advocated, in which the ear is dermabraded, reattached and buried in a post-auricular skin pocket before later exteriorisation.(5) Banking of the auricular cartilage under the scalp or at a more distant site for use at after reconstruction has also been described.”
Background
Ear Replantation After Human Bite Avulsion Injury
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“A second procedure to remove and re-epithelialize the buried pinna is required 4 weeks later.(8) Success rates of 75% to 90% have been reported.”
Method
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Method
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“This method was further modified by Mladick in 1971.(6) However, this staged method of repair requires multiple surgeries and carries the potential for prolonged disfigurement and psychological distress for the patient.”
Method
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Eyelid Replantation Eight Months After Traumatic Avulsion
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Darokar, R., Nagpure, P. S., Vishnoi, K., Dhalla, L., & Saha, S. (2025) · Indian Journal of Otolaryngology and Head & Neck Surgery · doi:10.1007/s12070-025-05385-9
Techniques de réparation des pertes de substance du pavillon de l’oreille
Vertu-Ciolino, D. (2025) · EMC - Techniques chirurgicales - Tête et cou · doi:10.1016/s2211-0402(25)44984-8
Auricular Reconstruction Following Traumatic Amputation: A Historical Review and Contemporary Treatment Algorithm
Fuchs, B., Lucksch, V., Kuhlmann, C., et al. (2026) · Journal of Clinical Medicine · doi:10.3390/jcm15186942
“In contrast, Sexton and later Mladick et al. advocated the use of a postauricular or mastoid pocket located adjacent to the defect [9,10].”
Influential

Authors: MLADICK, R. A., HORTON, C. E., ADAMSON, J. E., & COHEN, B. I.
Affiliations: Sentara Norfolk General Hospital (US)
Venue: Plastic and Reconstructive Surgery
Publisher: Ovid Technologies (Wolters Kluwer Health)
Published: 1971-09
Volume: 48
Issue: 3
Pages: 219-223
ISSN: 0032-1052 (ISSN-L)
DOI: 10.1097/00006534-197109000-00004
OpenAlex: W4299617000
Cited by: 100
References: 0
Citations by year: 2026: 1 · 2025: 3 · 2024: 2 · 2023: 5 · 2022: 4 · 2021: 2 · 2020: 2 · 2019: 2 · 2018: 5 · 2017: 5 · 2016: 2 · 2015: 1 · 2014: 7 · 2013: 4 · 2012: 1
FWCI: 0.00
Type: journal article
Language: en
Open access: closed
Locations: Plastic & Reconstructive Surgery (publishedVersion)
Topics: Health Sciences › Medicine › Surgery › Reconstructive Surgery and Microvascular Techniques
Health Sciences › Medicine › Surgery › Orthopedic Surgery and Rehabilitation
Health Sciences › Medicine › Internal Medicine › General Medicine and Therapeutics
Keywords: wound closure, reconstructive surgery

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THE POCKET PRINCIPLE: A New Technique for the Reattachment of a Severed Ear Part

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