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Microsurgical Reattachment of Totally Amputated Ears
Abstract
At a time when microsurgical reattachment of amputated limbs is commonplace, successful reattachment of total ear amputations is rare. Avulsed vessels, small diameters (0.3 to 0.7 mm), and technical difficulties provide primary obstacles. Three clinical cases of ear reattachments are presented which encompass the clinical spectrum of an uncomplicated success, a salvage of an impending failure, and a late failure due to venous thrombosis. In all cases there was difficulty with identification of vessels, with differentiation of arteries from veins, and in the performance of venous anastomoses. Vein grafts were necessary in two of the three patients. Anticoagulation was essential in alleviating venous thrombosis. Medicinal leeches (Hirudo medicinalis) were used to salvage one case with venous thrombosis. Despite the technical difficulties and long operative times, successful microvascular reattachment of an amputated ear is superior to any other means of reattachment or reconstruction.
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Venous congestion is the major complication associated with microvascular repair of the auricle.
“Venous congestion is the major complication associated with microvascular repair of the auricle”
From Auricular avulsion injuries and reattachment techniques: A systematic review (2020) · cites this paper as [58]
Several authors have reported cases where venous congestion led to late failure of reattachment and complete loss of the replanted segment.
“several authors have reported cases where venous congestion led to late failure of reattachment and complete loss of the replanted segment.58, 59, 60, 61, 62”
From Auricular avulsion injuries and reattachment techniques: A systematic review (2020) · cites this paper as [58]
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Metadata
- Authors
- Mutimer, K. L., Banis, J. C., Upton, J., & Upton, J.
- Affiliations
- Boston Children's Hospital (US)
- Venue
- Plastic and Reconstructive Surgery
- Published
- 1987-04
- Volume
- 79
- Issue
- 4
- Pages
- 535-540
- ISSN
- 0032-1052 (ISSN-L)
- OpenAlex
- W2334159638
- Cited by
- 118
- References
- 0
- Citations by year
- 2026: 1 · 2025: 1 · 2024: 2 · 2023: 2 · 2022: 3 · 2021: 2 · 2020: 3 · 2018: 3 · 2017: 1 · 2016: 1 · 2015: 2 · 2014: 3 · 2013: 4 · 2012: 4
- FWCI
- 5.95
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Plastic & Reconstructive 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 thrombosis, venous anastomosis, vein grafts, anticoagulation, Hirudo medicinalis
- MeSH terms
- Adolescent, Amputation, Traumatic, Child, Preschool, Ear, External, Female, Humans, Leeches, Male, Microsurgery, Postoperative Complications, Thrombophlebitis, Vascular Surgical Procedures
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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