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Delayed, bilateral, non-microvascular ear replantation after violent amputation
E García-Murray1, O Adán-Rivas, H Salcido-Calzadilla
1Plastic Surgery Department, Hospital Angeles del Pedregal, Camino a Santa Teresa 1055, Héroes de Padierna, México City, Postal Code 10700, México. egamurray@avantel.net
Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS
|December 18, 2007
Summary
This case study details the successful non-microvascular replantation of bilateral ears after a 54-hour ischemia time. It represents a rare modern surgical success in delayed ear reconstruction following traumatic amputation.
Area of Science:
- Plastic Surgery
- Reconstructive Surgery
- Trauma Surgery
Background:
- Bilateral ear amputation is a rare and devastating injury.
- Historical reports exist, but modern literature lacks cases of successful delayed ear replantation.
Observation:
- A 27-year-old female sustained bilateral ear amputation due to abduction.
- The amputated ears were transported separately, with a total ischemia time of approximately 54 hours.
- Initial attempts at microvascular replantation failed.
Findings:
- Successful non-microvascular replantation of both ears was achieved after 54 hours of ischemia.
- This is considered the first reported case of complete bilateral, delayed, non-microvascular ear replantation in modern literature.
- The procedure resulted in a successful outcome despite the prolonged ischemia.
Implications:
- Demonstrates the potential for successful non-microvascular ear replantation in cases of prolonged ischemia.
- Highlights the importance of timely and appropriate management of traumatic ear amputations.
- Offers hope and a potential surgical option for similar complex reconstructive challenges.
