The DOI matches its Crossref record; 11 of the 11 references it cites were found in a registry or an index.
The Helical Arcade: Anatomic Basis for Survival in Near-Total Ear Avulsion
Abstract
Survival of the ear based on a single vascular pedicle has been previously documented. The anatomic basis for this survival remains incompletely described. In the 3 clinical cases of inferior-to-superior near-total ear avulsion presented herein, the authors have observed that the ear can survive based on a narrow pedicle along the helical root. In an anatomic study to further investigate the relevant vascular anatomy, the common carotid artery system of 6 fresh human cadaver specimens was injected with latex. The superficial temporal artery and its branches located at the helical root were examined. This anatomic study showed that the upper auricular branch of the superficial temporal artery continues into the ear as the helical artery supplies an arterial arcade, which we have termed the helical arcade. This arcade seems to allow for communication between the anterior and posterior arterial systems of the ear and allows the helical artery to provide sufficient arterial supply to the entire ear.
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An incomplete ear avulsion can survive with direct re-attachment as long as an attachment via the helical root is maintained.
“According to Erdmann et al., an IEA can survive with DR as long as an attachment via the helical root is maintained.[2]”
From Auricular avulsion injuries (2022) · cites this paper as [2]
Citations
Cites
Brent, B. (1999) · Plastic & Reconstructive Surgery · doi:10.1097/00006534-199908000-00001 · Cited by 390
Arterial Supply of the Anterior Ear
Park, C., Lineaweaver, W. C., Rumly, T. O., Buncke, H. J., & Park, C. (1992) · Plastic & Reconstructive Surgery · doi:10.1097/00006534-199207000-00005 · Cited by 135
Auricular Arteriovenous Malformation: Evaluation, Management, and Outcome
Wu, J. K., Bisdorff, A., Gelbert, F., et al. (2005) · Plastic & Reconstructive Surgery · doi:10.1097/01.prs.0000154207.87313.de · Cited by 132
Reconstruction of the ala of the nose using a composite free flap from the pinna
Parkhouse, N., & Evans, D. (1985) · British Journal of Plastic Surgery · doi:10.1016/0007-1226(85)90233-4 · Cited by 73
Ear Replantation without Microsurgery
Pribaz, J. J., Crespo, L. D., Orgill, D. P., et al. (1997) · Plastic & Reconstructive Surgery · doi:10.1097/00006534-199706000-00009 · Cited by 60
Anatomy and embryology of the external ear and their clinical correlation
Park, C., & Roh, T. S. (2002) · Clinics in Plastic Surgery · doi:10.1016/s0094-1298(01)00008-6 · Cited by 52
Microvascular ear replantation
Kind, G. M. (2002) · Clinics in Plastic Surgery · doi:10.1016/s0094-1298(01)00009-8 · Cited by 40
An Improved Burying Method for Salvaging an Amputated Auricular Cartilage
Park, C. H., Lee, C. H., & Shin, K. S. (1995) · Plastic & Reconstructive Surgery · doi:10.1097/00006534-199507000-00033 · Cited by 31
Allison, G. R. (1978) · Clinics in Plastic Surgery · doi:10.1016/s0094-1298(20)32145-3 · Cited by 31
Salvage of Ear Replantation Using the Temporoparietal Fascia Flap
Chun, J. K., Sterry, T. P., Margoles, S. L., et al. (2000) · Annals of Plastic Surgery · doi:10.1097/00000637-200044040-00015 · Cited by 23
Reverse-flow Postauricular Arterial Flap for Auricular Reconstruction
Park, C., & Chung, S. (1989) · Annals of Plastic Surgery · doi:10.1097/00000637-198910000-00019 · Cited by 19
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Auricular avulsion injuries and reattachment techniques: A systematic review
Gailey, A. D., Farquhar, D., Clark, J. M., & Shockley, W. W. (2020) · Laryngoscope Investigative Otolaryngology · doi:10.1002/lio2.372 · Cited by 32
Al-Ali, M. A., & Abu-Zidan, F. M. (2022) · Turkish Journal of Emergency Medicine · doi:10.4103/2452-2473.342811 · Cited by 12
Metadata
- Authors
- Erdmann, D., Bruno, A. D., Follmar, K. E., Stokes, T. H., Gonyon, D. L., & Marcus, J. R.
- Affiliations
- Duke University (US)
- Corresponding author
- Erdmann, Detlev
- Venue
- Journal of Craniofacial Surgery
- Published
- 2009-01
- Volume
- 20
- Issue
- 1
- Pages
- 245-248
- ISSN
- 1049-2275 (ISSN-L)
- OpenAlex
- W2061820718
- Cited by
- 24
- References
- 11
- Citations by year
- 2025: 6 · 2024: 1 · 2023: 4 · 2022: 4 · 2021: 1 · 2020: 2 · 2018: 1 · 2016: 1 · 2014: 1 · 2013: 2 · 2012: 1
- FWCI
- 0.33
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Craniofacial 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 › Surgery › Facial Trauma and Fracture Management
- Keywords
- superficial temporal artery, common carotid artery, cadaveric dissection
- MeSH terms
- Amputation, Traumatic, Cadaver, Child, Preschool, Dissection, Ear Canal, Ear, External, Female, Follow-Up Studies, Humans, Male, Middle Aged, Replantation, Temporal Arteries, Tissue Survival, Skin Transplantation, Carotid Artery, Common, Lacerations, Young Adult
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