The DOI matches its Crossref record.
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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In the citing paper
“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]
In the citing paper
“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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Items 101–118 of 118
Radial forearm flap for ear reconstruction in a case of traumatic ear amputation
Steinhart, H., Winter, M., Constantinidis, J., et al. (2000) · European Journal of Plastic Surgery · doi:10.1007/s002380000217
Técnicas de reconstrucción del pabellón auricular
Jacquot-Laperrière, S., & Disant, F. (2008) · EMC - Cirugía Otorrinolaringológica y Cervicofacial · doi:10.1016/s1635-2505(08)70852-1
JAULAKAVACHARANA (HIRUDOTHERAPY): A UNIQUE PARA SURGICAL MEASURE
Ramesh, K., Sharma, O., Gaurav Garg, K., et al. (2015) · International Journal of Ayurveda and Pharma Research
Three Cases of Traumatized Auricular Reconstruction
Han, G.-C., & Lee, Y.-K. (2004) · Korean Journal of Otorhinolaryngology - Head and Neck Surgery
Vertu-Ciolino, D., & Disant, F. (2000) · Time to knit · doi:10.1016/s2211-0402(17)63709-7
Técnicas de reparación de las pérdidas de sustancia del pabellón auricular
Vertu-Ciolino, D., & Disant, F. (2018) · EMC - Cirugía Otorrinolaringológica y Cervicofacial · doi:10.1016/s1635-2505(18)89204-0
Tecniche di riparazione delle perdite di sostanza del padiglione auricolare
Vertu-Ciolino, D., & Disant, F. (2018) · EMC - Tecniche Chirurgiche - Chirurgia ORL e Cervico-Facciale · doi:10.1016/s1292-3036(18)91393-3
Leech therapy (Jalaukavacharana) - A gift of ayurveda for treatment of medico-surgical diseases
Saxena, V., Niraj, S., & Pradeep, K. (2020) · International Journal of Research in Pharmaceutical Sciences · doi:10.26452/ijrps.v11i3.2764
“Leeches are used to reduce the congestion by removing blood that can’t exit via the venous system (Mutimer et al., 1987) Leeches are also used in skin lap transplantations, which help inadequate blood supply to the lap andhealing process of the skin graft (Deganc”
한규철, & 이윤규 (2004)
Weerda, H. (1991) · HNO-Praxis heute · doi:10.1007/978-3-642-76192-8_1
Jobe, M. T. (2008) · Elsevier eBooks · doi:10.1016/b978-0-323-03329-9.50063-5
Book review: Medicinal leech therapy
(2007) · Microsurgery · doi:10.1002/micr.20417
George, R. S. (2022) · Blood · doi:10.1017/9781009205528.007
A Comparison of Ear Amputations Replantation Techniques.
Baldini, N. (2023) · Journal of Stomatology Oral and Maxillofacial Surgery · doi:10.1016/j.jormas.2023.101429 · Cited by 1
RetractedPAIN MANAGEMENT BY LEECH THERAPY: A REVIEW
Singh, A. P., & Shukla, D. (2024) · International Journal of Research in Ayurveda and Pharmacy · doi:10.7897/2277-4343.15389
Ear Replantation as Super-Microsurgery: Technical Tips.
Kang, S., Choo, K., Yoon, J., Lim, S., & Eo, S. (2025) · The Journal of craniofacial surgery (Print) · doi:10.1097/scs.0000000000011271
Survival Outcomes in Microvascular Ear Replantation With and Without Venous Repair
Zuhour, M., Tekecik, M., & İnce, B. (2026) · Annals of Plastic Surgery · doi:10.1097/sap.0000000000004893
Vascular Trauma in Orthopaedic Surgery
Soucacos, P. N. (2007) · Springer eBooks · doi:10.1007/978-3-540-30956-7_54
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
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