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Tytuł:
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Primary Reattachment of Near-Complete Ear Amputation: A Successful Outcome.
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Autorzy:
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D'Arcangelo M; Department of Plastic Surgery, 155104Al Ain Hospital, Al Ain, Abu Dhabi, United Arab Emirates.
Al-Ali MA; Department of Otolaryngology, 155104Al Ain Hospital, Al Ain, Abu Dhabi, United Arab Emirates.; Department of Surgery, 62776College of Medicine and Health Sciences, United Arab Emirates University, Al Ain, Abu Dhabi, United Arab Emirates.
Abu-Zidan FM; Department of Surgery, 62776College of Medicine and Health Sciences, United Arab Emirates University, Al Ain, Abu Dhabi, United Arab Emirates.
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Źródło:
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Ear, nose, & throat journal [Ear Nose Throat J] 2022 Dec; Vol. 101 (10), pp. NP436-NP440. Date of Electronic Publication: 2020 Dec 15.
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Typ publikacji:
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Journal Article
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Język:
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English
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Imprint Name(s):
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Publication: Thousand Oaks, CA : SAGE Publications
Original Publication: [New York, Insight Pub. Co.]
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MeSH Terms:
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Amputation, Traumatic*/surgery
Humans ; Retrospective Studies ; Replantation ; Ear, External/injuries ; Microsurgery ; Amputation, Surgical
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Contributed Indexing:
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Keywords: ear amputation; ear avulsion; near-complete; primary attachment; subtotal; surgery
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Entry Date(s):
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Date Created: 20201215 Date Completed: 20221115 Latest Revision: 20221207
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Update Code:
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20240105
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DOI:
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10.1177/0145561320982170
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PMID:
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33320016
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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.