Related Experiment Video
Updated: Dec 17, 2025
09:07
Author Spotlight: Advancing Endoscopic Ossiculoplasty – Techniques, Innovations, and Practical Guidance for Clinical Integration
Published on: January 26, 2024
3.1K
Auricular avulsion injuries and reattachment techniques: A systematic review
Andrew D Gailey1, Douglas Farquhar2, Joseph Madison Clark2
1University of North Carolina School of Medicine Chapel Hill North Carolina USA.
Laryngoscope Investigative Otolaryngology
|June 30, 2020
Summary
Microvascular repair offers the highest success rate for auricular avulsion injuries. Composite graft reattachment is also a viable option, but preserving periauricular skin is crucial for future reconstructions.
Area of Science:
- Plastic Surgery
- Reconstructive Surgery
- Trauma Management
Background:
- Auricular avulsion injuries require prompt management.
- Various surgical techniques exist for auricular reattachment.
Purpose of the Study:
- To compare the success rates of different auricular reattachment methods.
- Identify optimal techniques for managing avulsion injuries.
Main Methods:
- Systematic PubMed search and reference review.
- Inclusion of 148 cases of auricular avulsion and reattachment.
- Independent grading of aesthetic outcomes using a 5-point scale.
Main Results:
- Microvascular repair showed a statistically significant higher success rate.
- Composite graft reattachment yielded better aesthetic outcomes, though not statistically significant.
Conclusions:
- Microvascular repair is the most successful method for auricular avulsion.
- Composite graft reattachment is a suitable alternative.
- Avoid techniques compromising future reconstructive options.
