[A MULTIFACETED APPROACH FOR TRAUMATIC AURICULAR AVULSION WITH VENOUS CONGESTION]

Area of Science:

• Reconstructive surgery
• Trauma surgery
• Vascular surgery

Background:

• Traumatic auricular avulsions present reconstructive challenges.
• Microsurgery offers optimal aesthetics but isn't always feasible due to vascular damage.
• Non-microsurgical replantation is an alternative when vascular anastomosis is impossible.

Purpose of the Study:

• To present a case of non-microsurgical auricular replantation.
• To highlight the role of multimodal therapy, including hirudotherapy, in managing venous congestion.
• To emphasize the importance of early intervention for venous stasis in replanted tissues.

Main Methods:

• A subtotal traumatic left auricle avulsion was treated with non-microsurgical composite graft replantation.
• Heparin was administered intradermally for clot prevention.
• Multimodal therapy, including medicinal leech therapy (hirudotherapy), was initiated for venous congestion.

Main Results:

• The replanted auricle showed signs of venous congestion 24 hours postoperatively.
• Multimodal therapy successfully managed venous outflow obstruction.
• Two months post-injury, excellent aesthetic results and full auricular sensation were achieved.

Conclusions:

• Non-microsurgical auricular replantation combined with multimodal therapy, including hirudotherapy, can yield successful outcomes.
• Prompt identification and management of venous stasis are crucial for salvaging replanted auricular tissue.
• A multifaceted approach is vital for optimizing results in traumatic auricular avulsions.