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CASE REPORT
Year : 2017  |  Volume : 23  |  Issue : 3  |  Page : 208-210

Reimplantation of an amputated pinna: A case report and review of literature


Department of ENT and Head and Neck Surgery, Harsh ENT Hospital, Ghaziabad, Uttar Pradesh, India

Correspondence Address:
Brajpal Singh Tyagi
Harsh ENT Hospital, C43, RDC, Raj Nagar, Ghaziabad - 201 002, Uttar Pradesh
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/indianjotol.INDIANJOTOL_110_16

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Management of the partial or total amputations of the external ear has always stayed a difficult problem for otolaryngologists and plastic surgeons. For successful reimplantations of these amputations, multidisciplinary approach consisting of aggressive medical therapy with broad-spectrum intravenous antibiotics, anticoagulation, and reperfusion in conjunction with efficient surgical approach is needed. The surgeon's main objective is to obtain the best cosmetic result without damaging the auricular area to allow for subsequent future ear reconstruction in case any failure occurs after replantation. To enhance the survival of a reattached ear segment, Mladick et al. have advocated the use of the retroauricular pocket. This technique involves deepithelialization of the amputated part of the avulsed cartilage, followed by reattachment to the amputation stump and then burial into a retroauricular skin pocket. This increases the surface area of the avulsed segment in contact with surrounding nutrients, maximizing the probability of graft uptake and survival. We have used this technique successfully in our case and found acceptable results with it.


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