Detailed Information on Publication Record
2020
Atypical replantation and reconstruction of frozen ear A case report
DVOŘÁK, Zdeněk and Igor STUPKABasic information
Original name
Atypical replantation and reconstruction of frozen ear A case report
Authors
DVOŘÁK, Zdeněk (203 Czech Republic, guarantor, belonging to the institution) and Igor STUPKA (203 Czech Republic)
Edition
Medicine, Philadelphia, Lippincott Williams & Wilkins, 2020, 0025-7974
Other information
Language
English
Type of outcome
Článek v odborném periodiku
Field of Study
30218 General and internal medicine
Country of publisher
United States of America
Confidentiality degree
není předmětem státního či obchodního tajemství
References:
Impact factor
Impact factor: 1.889
RIV identification code
RIV/00216224:14110/20:00116136
Organization unit
Faculty of Medicine
UT WoS
000551506600030
Keywords in English
auricular replantation; ear replantation; freezing cold injury; venous congestion
Tags
International impact, Reviewed
Změněno: 5/8/2020 14:14, Mgr. Tereza Miškechová
Abstract
V originále
Rationale: The first successful ear replantation was performed by Pennigton in 1980 in Sydney. At least 84 ear replantations have been described in the literature over a period of 37 years since the first case. The authors have not found any previous case of frozen ear replantation in the literature. Patient concerns: We report the case of a 38-year-old man, who had an injury to the head while working with a machine. Diagnosis: The patient suffered total traumatic avulsion of the left ear. The ear was wrapped in moistened, sterile gauze and was transported on dry ice. At the time of admission to our department, the amputated ear was frozen to stiff, solid nonelastic matter. Interventions: We attempted replantation. Despite repeated arterial thrombosis during surgery, the ear was successfully replanted with arterial and venous anastomosis. Outcomes: Venous congestion occurred within 9 h of surgery and was treated using leeches. Freezing cold injury developed during reattachment. The radix and proximal parts of the helix exhibited necrosis and so were reconstructed by contralateral conchal cartilage graft, which was wrapped with a local subauricular skin flap. On completion of treatment, a satisfactory shape was achieved, although the replanted and reconstructed left auricle slightly was smaller than the contralateral auricle. Lessons learned: Our report confirms that the replantation of a frozen, amputated ear is possible, and we suggest that ear replantation should be the method of choice for the treatment of ear loss even under these conditions.