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Case report of auricular avulsion injury, repair, and adjunctive treatment
Gerard A Fischer1, Donna Hangan2, Jessica G Li1
1Nassau University Medical Center, Department of Oral and Maxillofacial Surgery, 2201 Hempstead Turnpike, East Meadow, NY, 11554.
Introduction:
The objective of this case report is to present an 11-year-old male patient who sustained a partial avulsion injury of the left ear involving the helix, anti-helix, and scapha, along with initial management and adjunctive treatments throughout the patient's course in the hospital.
Case Report:
Traumatic ear avulsion is an uncommon injury that poses unique surgical challenges, as there is no standard of care for its management. The viability of the avulsed tissue is of paramount concern given its small vasculature and limited perfusion. Some techniques used in ear avulsion injuries include microvascular reconstruction, the pocket technique, and direct reattachment. Ear avulsion injuries require a multidisciplinary approach to achieve optimal patient outcomes.
Discussion:
This case report demonstrates the effectiveness of multiple adjunctive treatments in optimizing revascularization and viability of previously avulsed tissue, resulting in better short-term outcomes and a more favorable long-term prognosis.
