AI Article Synopsis
- The study focuses on the surgical outcomes of patients with near-complete ear amputations treated at Al Ain Hospital between 2016-2019.
- The main causes of these injuries were motor vehicle accidents and cutting injuries, with the majority having a skin pedicle width of 8.5 mm.
- All five patients successfully underwent primary reattachment of the ear without microsurgery, resulting in good recovery and satisfactory aesthetic results, despite one case of minor necrosis.
Article Abstract
Objectives: Traumatic amputation of the ear constitutes a great aesthetic deformity that can have a tremendous negative impact. Reports describing the survival of near-complete ear amputation using non-microsurgical replantation are scarce. We aimed to study the surgical outcome of patients with near-complete ear amputations supplied by small pedicle bridges that were treated with primary reattachment.
Methods: We retrospectively studied patients with near-complete ear amputation who were admitted at Al Ain Hospital from January 2016 to December 2019.
Results: Five patients were studied. The most common mechanism of injury was motor vehicle injury, followed by cutting injury. The skin pedicle was inferior in 3 (60%) patients of patients. The median width of the skin pedicles was 8.5 mm. The median interval between the injury and the surgical management was 4 hours. All patients underwent primary reattachment of the ear without microsurgery. One patient developed a small area of necrosis of the ear lobe. All patients recovered with a completely healed pinna and satisfactory overall appearance.
Conclusions: Primary reattachment without microsurgery of the near-complete ear amputation can be safely performed in the presence of an intact skin pedicle. It can achieve an aesthetically satisfactory outcome without severe complications.
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| http://dx.doi.org/10.1177/0145561320982170 | DOI Listing |
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