The DOI matches its Crossref record; 17 of the 17 references it cites were found in a registry or an index.
Total Ear Replantation
Abstract
Since the first report of successful microsurgical ear replantation in 1980, there have been 12 other cases reported in the English literature. As the number of trained microsurgeons increases, the opportunity to treat the amputated ear with microsurgical techniques should become more common. The reported cases have involved a variety of different mechanisms of injury and methods of treatment. There have been three techniques used to revascularize the amputated ear successfully: primary vascular repair, vein grafting, and use of the superficial temporal vessels as a pedicled vascular leash. Through our own experience and a review of the literature, we have been able to identify certain clinical characteristics that help dictate which technique to use. We report four cases of successful ear replantation, review the various techniques that have been used successfully, and provide treatment recommendations for future consideration.
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Microsurgical replantation requires longer operative time and hospital stay, multiple blood transfusions, and has a significant failure rate.
“Microsurgical replantation has some disadvantages; it requires longer operative time and hospital stay, multiple blood transfusions, and has a significant failure rate.[4]”
From Auricular avulsion injuries (2022) · cites this paper as [4]
Microsurgical replantation has disadvantages including prolonged operative time, postoperative venous congestion, anemia requiring repeated transfusion, and prolonged patient hospitalization.
“Furthermore, it has other disadvantages including prolonged operative time, postoperative venous congestion, anemia requiring repeated transfusion, and prolonged patient hospitalization.”
From Auricular avulsion injuries (2022) · cites this paper as [4]
Citations
Cites
Total ear reimplantation in the rabbit utilising microminiature vascular anastomoses
Buncke, H. J., & Schulz, W. P. (1966) · British Journal of Plastic Surgery · doi:10.1016/s0007-1226(66)80003-6 · Cited by 188
Self-citationSuccessful Replantation of a Completely Avulsed Ear by Microvascular Anastomosis
Pennington, D. G., Lai, M. F., Pelly, A. D., & Pennington, D. G. (1980) · Plastic and Reconstructive Surgery · doi:10.1097/00006534-198006000-00017 · Cited by 116
THE POCKET PRINCIPLE: A New Technique for the Reattachment of a Severed Ear Part
MLADICK, R. A., HORTON, C. E., ADAMSON, J. E., & COHEN, B. I. (1971) · Plastic and Reconstructive Surgery · doi:10.1097/00006534-197109000-00004 · Cited by 100
(1971) · PubMed · Cited by 94
Surface Quantification of Injected Fluorescein as a Predictor of Flap Viability
Graham, B. H., Walton, R. L., Elings, V. B., et al. (1983) · Plastic & Reconstructive Surgery · doi:10.1097/00006534-198306000-00016 · Cited by 67
de Chalain, T., & Jones, G. (1995) · Plastic and Reconstructive Surgery · doi:10.1097/00006534-199506000-00021 · Cited by 59
Microvascular Ear Replantation with No Vein Anastomosis
Şafak, T., Özcan, G., Keçi̇k, A., et al. (1993) · Plastic & Reconstructive Surgery · doi:10.1097/00006534-199392050-00023 · Cited by 35
SUCCESSFUL REPLANTATION OF A SEVERED HALF EAR
McDowell, F. (1971) · Plastic & Reconstructive Surgery · doi:10.1097/00006534-197109000-00018 · Cited by 34
Microvascular Ear Replantation with No Vein Anastomosis
Şafak, T., Özcan, G., Keçi̇k, A., et al. (1993) · Plastic & Reconstructive Surgery · doi:10.1097/00006534-199310000-00023 · Cited by 30
SUCCESSFUL REPLANTATION OF A LARGE SEVERED EAR FRAGMENT
Baudet, J. (1973) · Plastic & Reconstructive Surgery · doi:10.1097/00006534-197301000-00015 · Cited by 30
Successful microvascular replantation of a completely amputated ear
Rapaport, D. P., Breitbart, A. S., Karp, N. S., et al. (1993) · Microsurgery · doi:10.1002/micr.1920140505 · Cited by 29
Successful Replantation of a Totally Amputated Ear
Sadove, R. C. (1990) · Annals of Plastic Surgery · doi:10.1097/00000637-199004000-00012 · Cited by 26
Completely Successful Replantation of an Amputated Ear by Microvascular Anastomosis
Tanaka, Y., & Tajima, S. (1989) · Plastic & Reconstructive Surgery · doi:10.1097/00006534-198984040-00018 · Cited by 26
Microvascular ear replantation
Katsaros, J., Tan, E., & Sheen, R. (1988) · British Journal of Plastic Surgery · doi:10.1016/0007-1226(88)90006-9 · Cited by 25
Completely Successful Replantation of an Amputated Ear by Microvascular Anastomosis
Tanaka, Y., & Tajima, S. (1989) · Plastic & Reconstructive Surgery · doi:10.1097/00006534-198910000-00018 · Cited by 24
Microvascular Surgery in Avulsive Trauma to the External Ear
Nahai, F., Hayhurst, J. W., & Salibian, A. H. (1978) · Clinics in Plastic Surgery · doi:10.1016/s0094-1298(20)32146-5 · Cited by 19
Ear Replantation: A Case Report
Turpin, I. M. (1987) · Journal of Reconstructive Microsurgery · doi:10.1055/s-2007-1006961 · Cited by 13
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Research works printed but not linked: 1
- Van Beek, 1988, Ann Plast Surg, 21, 178
Cited by
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A Comparison of Ear Reattachment Methods: A Review of 25 Years since Pennington
Steffen, A., Katzbach, R., & Klaiber, S. (2006) · Plastic and Reconstructive Surgery · doi:10.1097/01.prs.0000239539.98956.b0 · Cited by 91
Microvascular ear replantation
Kind, G. M. (2002) · Clinics in Plastic Surgery · doi:10.1016/s0094-1298(01)00009-8 · Cited by 40
Self-citationAky??rek, M., ??afak, T., & Ke??ik, A. (2001) · Annals of Plastic Surgery · doi:10.1097/00000637-200104000-00016 · Cited by 29
Prise en charge des amputations traumatiques de l’oreille : revue de la littérature
Ihrai, T., Balaguer, T., Monteil, M.-C., Chignon-Sicard, B., Médard de Chardon, V., Riah, Y., & Lebreton, E. (2009) · Annales de Chirurgie Plastique Esthétique · doi:10.1016/j.anplas.2008.08.002 · Cited by 15
Al-Ali, M. A., & Abu-Zidan, F. M. (2022) · Turkish Journal of Emergency Medicine · doi:10.4103/2452-2473.342811 · Cited by 12
“[39] Ever since, many authors have replicated the approach and a variety of technological advancements have been suggested.[4,5,28,40] The most common complication associated with microvascular replantation of the auricle is venous congestion which, in many cases, can lead to complete loss of the ear segment.”
BackgroundInfluential
Metadata
- Authors
- Kind, G. M., Buncke, G. M., Placik, O. J., Jansen, D. A., DʼAmore, T., & Buncke, H. J.
- ORCID
- Buncke, Gregory M.
- Venue
- Plastic and Reconstructive Surgery
- Published
- 1997-06
- Volume
- 99
- Issue
- 7
- Pages
- 1858-1867
- ISSN
- 0032-1052 (ISSN-L)
- OpenAlex
- W2078004847
- Cited by
- 63
- References
- 17
- Citations by year
- 2026: 2 · 2025: 2 · 2024: 2 · 2023: 2 · 2022: 5 · 2021: 1 · 2018: 4 · 2017: 2 · 2016: 1 · 2015: 3 · 2014: 2 · 2013: 2 · 2012: 1
- FWCI
- 1.50
- 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
- Health Sciences › Medicine › Genetics (clinical) › Congenital Ear and Nasal Anomalies
- Keywords
- ear replantation, microsurgical revascularization, vein grafting, superficial temporal vessels, ear amputation
- MeSH terms
- Adult, Amputation, Traumatic, Anastomosis, Surgical, Clinical Protocols, Ear Diseases, Ear, External, Edema, Follow-Up Studies, Humans, Ischemia, Male, Microsurgery, Middle Aged, Replantation, Surgical Flaps, Temporal Muscle, Thrombosis, Tissue Survival, Vascular Surgical Procedures, Veins
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