Atypical replantation and reconstruction of frozen ear A case
report

J 2020

Atypical replantation and reconstruction of frozen ear A case report

DVOŘÁK, Zdeněk and Igor STUPKA

Basic 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:

URL

Impact factor

Impact factor: 1.889

RIV identification code

RIV/00216224:14110/20:00116136

Organization unit

Faculty of Medicine

DOI

http://dx.doi.org/10.1097/MD.0000000000020068

UT WoS

000551506600030

Keywords in English

auricular replantation; ear replantation; freezing cold injury; venous congestion

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.

Citovat

DVOŘÁK, Zdeněk and Igor STUPKA. Atypical replantation and reconstruction of frozen ear A case report. Medicine. Philadelphia: Lippincott Williams & Wilkins, 2020, vol. 99, No 20, p. 1-5. ISSN 0025-7974. Available from: https://dx.doi.org/10.1097/MD.0000000000020068.

@article{1673180,
   author = {Dvořák, Zdeněk and Stupka, Igor},
   article_location = {Philadelphia},
   article_number = {20},
   doi = {http://dx.doi.org/10.1097/MD.0000000000020068},
   keywords = {auricular replantation; ear replantation; freezing cold injury; venous congestion},
   language = {eng},
   issn = {0025-7974},
   journal = {Medicine},
   title = {Atypical replantation and reconstruction of frozen ear A case report},
   url = {https://journals.lww.com/md-journal/FullText/2020/05150/Atypical_replantation_and_reconstruction_of_frozen.30.aspx},
   volume = {99},
   year = {2020}
}

TY  - JOUR
ID  - 1673180
AU  - Dvořák, Zdeněk - Stupka, Igor
PY  - 2020
TI  - Atypical replantation and reconstruction of frozen ear A case report
JF  - Medicine
VL  - 99
IS  - 20
SP  - 1-5
EP  - 1-5
PB  - Lippincott Williams & Wilkins
SN  - 00257974
KW  - auricular replantation
KW  - ear replantation
KW  - freezing cold injury
KW  - venous congestion
UR  - https://journals.lww.com/md-journal/FullText/2020/05150/Atypical_replantation_and_reconstruction_of_frozen.30.aspx
L2  - https://journals.lww.com/md-journal/FullText/2020/05150/Atypical_replantation_and_reconstruction_of_frozen.30.aspx
N2  - 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.
ER  -

DVOŘÁK, Zdeněk and Igor STUPKA. Atypical replantation and reconstruction of frozen ear A case report. \textit{Medicine}. Philadelphia: Lippincott Williams \&{} Wilkins, 2020, vol.~99, No~20, p.~1-5. ISSN~0025-7974. Available from: https://dx.doi.org/10.1097/MD.0000000000020068.

Detailed Information on Publication Record