Journals / Selçuk Tıp Dergisi / 2009 / Cilt: 25 - Sayı: 3

Adaptation of the severed ear with temporoparietal fascia flap in a partial ear amputation

Parsiyel kulak amputasyonunda kopan parçanın temporoparietal fasya aracılığı ile adaptasyonu

Pages
158–162
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

An ear amputation can succesfully be replanted as a composite graft by using the described technique in a single stage.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Nonmicrovascular replantation of an avulsed auricula as a composite graft is an unreliable solution.
📊
Key Findings & Data:In this case report the vascularity of the composite graft is attempted to be increased by transposing fascial flap.
💡
Conclusion & Impact:An ear amputation can succesfully be replanted as a composite graft by using the described technique in a single stage.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Nonmicrovascular replantation of an avulsed auricula as a composite graft is an unreliable solution. The use of retroauricular pocket to enhance survival of the composite ear graft is a multistage procedure and aesthetic results are poor. In this case report the vascularity of the composite graft is attempted to be increased by transposing fascial flap. Fifty-four year old man had an amputation of his ear due to a human bite. The amputated ear was reattached to its original position as a composite graft. Afterwards a temporoparietal fascia flap has been transposed between the posterior skin and the cartilage of the amputated ear. Amputated ear had been revascularised completely without any distorsion at the cartilages. Acceptable aesthetic result was obtained. An ear amputation can succesfully be replanted as a composite graft by using the described technique in a single stage.

Özet

Mikrovasküler anastomoz ile replantasyonun uygun olmadığı kulak amputasyonlarında kompozit greft uygulanmasının etkinliği azdır. Ampute parçanın retroauriküler bölgeye gömülerek yaşatılmaya çalışılması ise estetik açıdan başarısız sonuçlara neden olmakta ve en az iki seans gerekmektedir. Bu vaka sunumunda ise fasyal flep transpozisyonu ile kompozit greftin yaşaya bilirliğini artırtmak yöntemi denenmiştir. Ellidört yaşındaki erkek hastada insan ısırığına bağlı olarak kulak ampütasyonu meydana gelmiştir. Ampute parça kompozit greft gibi orijinal yerine dikildi. Daha sonra ampute kulak parçasının arka cildi ile kıkırdağı arasına temporoparietal fasya transpoze edildi. Vakada ampute parça tam olarak vaskülarite kazandı. Kıkırdakta herhangi bir distorsiyon meydana gelmedi. Estetik açıdan oldukça tatmin edici görüntü elde edildi. İnsan ısırığı nedeni ile ampute olan kulak parçası tarif edilen teknikle implante edilmesi halinde tek seansda başarılı sonuç almak mümkündür.

🔖

Cite This Article

KESKİN, M., SÜTÇÜ, M., KARADAĞ, Ç., SAVACI, N. (2009). Adaptation of the severed ear with temporoparietal fascia flap in a partial ear amputation. Selçuk Tıp Dergisi, Cilt: 25 - Sayı: 3, 158–162. https://ajindex.com/articles/319520

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (11)

  1. Alagöz MS, Uysal AC, Işgören S, Erdoğan C, Işken T, Şen C ve ark. A new method in the treatment of ear amputation Experimental and clinical study. Ann Plast Surge. 2007; 59:277-86
  2. Pennington, D. G., Lai, M. F., and Pelly, A. D. Successful replantation of a completely avulsed ear by microvascular anastomosis.Plast. Reconstr. Surg. 1980; 65: 820-3
  3. Kind GM, Buncke GM, Placik OJ, Jansen DA, D’Amore T, Buncke HJ Jr. Total ear replantation. Plast Reconstr Surg. 1997;99:1858-67
  4. McDowell F. Successful replantation of a severed half ear. Plast Reconstr Surg. 1971;48:281-5
  5. Gifford GH. Replantation of severed part of ear. Plast Reconstr Surg. 1972; 49:202-3
  6. Mladick RA, Horton CE, Adamson JE, Cohen BI. The pocket principle: a new technique for the reattachment of a severed ear part. Plast Reconstr Surg. 1971;48:219-23
  7. Baudet J, Tramond P. Goumain A. A propos d’un procede original de reimplantation pavillon de reille totalement separe. Ann Chir Plast. 1972;17:67-72
  8. Destro MWB, Speranzini MB. Total reconstruction of the auricle after traumatic amputation. Plast Reconstr Surg. 1994;94:859-64
  9. Anous MM, Hallock GG. Immediate reconstruction of the auricle using amputated cartilage and the temporoparietal fascia. Ann Plast Surg 1988;21:378-81
  10. Jenkins AM, Funican T. Primary nonmicrosurgical reconstruction following ear avulsion using the temporoparieteal fascial island flap. Plast. Reconste. Surg. 1989; 83:148-152
  11. Sucur D, Ninkovic M, Markovic S, Babovic S. Reconstruction of an avulsed ear by constructing a composite free flap. Br J Plast Surg. 1991;44:153-4.