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Outpatient Posttraumatic Auricle Reconstruction Under Local Anesthesia.

Diego Barbieri1, Marco Familiari, Pietro Indelicato

  • 1Department of Otolaryngology-Head and Neck Surgery, Scientific Institutes of Hospitalization and Care San Raffaele Hospital, Vita-Salute University, Milan, Italy.

The Journal of Craniofacial Surgery
|September 21, 2020
PubMed
Summary

This study details an outpatient auricle reconstruction for an elderly patient with facial trauma. The successful procedure under local anesthesia highlights effective wound healing in a patient with comorbidities and on acetylsalicylic acid therapy.

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Area of Science:

  • Plastic Surgery
  • Trauma Surgery
  • Otolaryngology

Background:

  • Facial trauma can lead to significant auricle injuries.
  • Reconstruction of the auricle is crucial for both functional and aesthetic outcomes.
  • Management of trauma patients requires careful consideration of comorbidities and medications.

Purpose of the Study:

  • To describe an outpatient auricle reconstruction procedure.
  • To evaluate the feasibility of local anesthesia in patients with comorbidities and on acetylsalicylic acid (ASA) therapy.
  • To report the healing outcomes of the auricle reconstruction.

Main Methods:

  • A case study describing an outpatient auricle reconstruction.
  • Procedure performed under local anesthesia.

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  • Patient managed with regular follow-up.

    • Main Results:

    • The auricle reconstruction was successfully performed in an outpatient setting.
    • Local anesthesia was well-tolerated despite patient comorbidities and acetylsalicylic acid (ASA) therapy.
    • Excellent healing of the auricle injury was achieved post-procedure.

    Conclusions:

    • Outpatient auricle reconstruction is a viable option for managing facial trauma.
    • Local anesthesia can be safely employed in selected patients with comorbidities and on acetylsalicylic acid (ASA) therapy.
    • Effective wound healing and satisfactory outcomes can be achieved with appropriate management and follow-up.