J Reconstr Microsurg 2001; 17(6): 417-420
DOI: 10.1055/s-2001-16354
Copyright © 2001 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA. Tel.: +1(212) 584-4662

Microsurgical Replantation of a Totally Amputated Ear Without Venous Repair

Marouane Talbi, Jean-David Stussi, Michel Meley
  • Department of Plastic and Maxillofacial Surgery, Centre Hospitalier Régional de Metz, France
Weitere Informationen

Publikationsverlauf

Publikationsdatum:
31. Dezember 2001 (online)

ABSTRACT

The authors present a case of successful replantation of a totally avulsed ear in a 37-year-old patient, using a termino-terminal arterial anastomosis on the superficial temporal artery. As no suitable vein could be identified in the amputated part, they relied on leech therapy and systemic anticoagulation for venous drainage. Despite an 18-hr ischemia, the ear survived completely.

REFERENCES

  • 1 Buncke Jr J H, Schulz W P. Total ear replantation in the rabbit utilising microminiature vascular anastomoses.  Br J Plast Surg . 1966;  19 15
  • 2 Pennington D G, Lai M F, Pelly A D. Successful replantation of a completely avulsed ear by microvascular anastomosis.  Plast Reconstr Surg . 1980;  65 820
  • 3 Kind G M, Buncke G M, Placik O J. Total ear replantation.  Plast Reconstr Surg . 1997;  99 1858
  • 4 Mladick R A, Carraway J H. Ear reattachment by the modified pocket principle.  Plast Reconstr Surg . 1973;  51 584
  • 5 Pribaz J, Crespo L D, Orgill D P. Ear replantation without microsurgery.  Plast Reconstr Surg . 1997;  99 1868
  • 6 Juri J, Irigaray A, Juri C. Ear replantation.  Plast Reconstr Surg . 1987;  80 431
  • 7 Tanaka Y, Tajima S. Completely successful replantation of an amputated ear by microvascular anastomosis.  Plast Reconstr Surg . 1989;  84 665
  • 8 Concannon M J, Puckett C L. Microsurgical replantation of an ear in a child without venous repair.  Plast Reconstr Surg . 1998;  102 2088
  • 9 Cho B H, Ahn H B. Microsurgical replantation of a partial ear, with leech therapy.  Ann Plast Surg . 1999;  43 427
  • 10 De Chalain T, Jones G. Replantation of the avulsed pinna: 100 percent survival with a single arterial anastomosis and substitution of leeches for a venous anastomosis.  Plast Reconstr Surg . 1995;  95 1275
  • 11 Kayikcioglu A, Ozluoglu L, Kizilay A. Prolonged arterial spasm in an ear replantation without venous anastomoses.  J Reconstr Microsurg . 1997;  13 313
  • 12 Nath R K, Kraemer B A, Azizzadeh A. Complete ear replantation without venous anastomosis.  Microsurgery . 1998;  18 282
  • 13 Otto A, Schoeller T, Wechselberger G, Ohler K. Successful ear replantation without venous anastomosis by using leeches.  Handchir Mikrochir Plast Chir . 1999;  31 98
  • 14 Safak T, Özcan G, Keçik A, Gürsu G. Microvascular ear replantation with no vein anastomosis.  Plast Reconstr Surg . 1992;  92 945
  • 15 Shelley O P, Villafane O, Watson S B. Successful ear replantation after prolonged ischaemia time.  Br J Plast Surg . 2000;  53 76