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Ear Replantation as Super-Microsurgery: Technical Tips.

ShinHyuk Kang1, KyoBin Choo2, JungSoo Yoon2

  • 1Department of Plastic and Reconstructive Surgery, Chung-Ang University School of Medicine.

The Journal of Craniofacial Surgery
|March 26, 2025
PubMed
Summary

Microvascular ear replantation offers superior cosmetic outcomes for total or partial ear avulsions. This complex super-microsurgery technique, though rarely reported, is detailed with surgical tips for microsurgeons.

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Area of Science:

  • Microsurgery
  • Plastic and Reconstructive Surgery
  • Otolaryngology

Background:

  • Ear replantation is challenging due to small vessel size.
  • Microvascular replantation offers superior esthetic results compared to other methods.
  • Successful ear replantation cases are infrequently published.

Purpose of the Study:

  • To present a clinical series of ear replantations.
  • To share technical tips for successful ear replantation.
  • To provide intraoperative video clips demonstrating super-microsurgical techniques.

Main Methods:

  • Super-microsurgical techniques for ear replantation.
  • Clinical case series presentation.
  • Intraoperative video documentation.

Main Results:

  • Successful restoration of partially and totally amputated ears.
  • Demonstration of advanced microsurgical skills.
  • Identification of key technical tips for successful outcomes.

Conclusions:

  • Microvascular ear replantation is a viable option for restoring amputated ears.
  • Super-microsurgery advancements enable complex ear reconstructions.
  • Sharing technical insights can aid microsurgeons in performing ear replantations.