Retrospective Study of Management of Near Total Avulsion of Auricles and Review of the Literature | ||
| The Egyptian Journal of Plastic and Reconstructive Surgery | ||
| Article 7, Volume 45, Issue 4, October 2021, Pages 259-264 PDF (8.33 M) | ||
| Document Type: Review Article | ||
| DOI: 10.21608/ejprs.2021.201639 | ||
| Authors | ||
| Karam A Allam1; Mohamed E. A. Mohamed2; Mostafa Haredy* 1; Ahmed G Abdelmegeed1 | ||
| 1The Departments of Plastic Surgery, Faculty of Medicine, Sohag University, Egypt | ||
| 2The Departments of Otolaryngology - Head & Neck Surgery, Faculty of Medicine, Sohag University, Egypt | ||
| Abstract | ||
| Objective: Management of the near-total auricular avulsion injury is a difficult challenge. There are several techniques for the proper treatment of such injuries with variable results. We present a series of seven cases of traumatic auricular near total avulsion with a narrow flap base. This is accompanied with a review of literature of similar conditions. Patients and Methods: This work presents a retrospective study of patients with traumatic auricular amputation, who were admitted to the emergency department at Sohag University Hospital, in the period from March 2015 to November 2019, with traumatic auricular avulsion. Patients' files were reviewed for demographic data, trauma details, operative notes, and post-operative results. Only patients with neartotal auricular avulsion. Results: Seven patients (6 males and one female) were included with complete records and fulfilled criteria. The mean age at the time of trauma was 25.8 years. Early postoperative venous congestion of the reattached ear was reported in two patients. All cases were successfully reattached without tissue loss of the repositioned tissue or significant shrinkage postoperatively. The literature presented twelve articles reporting 17 patients, where venous congestion was the most common complication after the repair (35.3%). Conclusions: The entire ear can survive based on a small, inferiorly based pedicle with favorable results and without severe complications. | ||
| Keywords | ||
| Ear; Auricle; Reattachment; Amputation; Pedicle | ||
| References | ||
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