Document Detail

Successful replantation of the ear as a venous flap.
MedLine Citation:
PMID:  18650609     Owner:  NLM     Status:  MEDLINE    
Successful microvascular ear replantation is well described, and often involves the use of arterial inflow anastomoses with leeches and systemic anticoagulation to augment outflow. Failed replantation attempts have also been published, with most of the failures attributed to venous drainage problems. A case of successful replantation of an ear is presented using a single 0.5-mm arteriovenous anastomosis, as no suitable artery could be identified in the amputated part. Postoperatively, dextran and leech therapies were employed to promote adequate venous drainage. We report a 100% successful ear replantation using a single arterialized vein as the inflow. In situations where no adequate artery is identifiable in the amputated part, an arteriovenous anastomosis may be a suitable alternative.
Matthew J Trovato; Jayant P Agarwal
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Annals of plastic surgery     Volume:  61     ISSN:  1536-3708     ISO Abbreviation:  Ann Plast Surg     Publication Date:  2008 Aug 
Date Detail:
Created Date:  2008-07-24     Completed Date:  2008-10-02     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7805336     Medline TA:  Ann Plast Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  164-8     Citation Subset:  IM    
California Pacific Medical Center-The Buncke Clinic, San Francisco, California, USA.
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MeSH Terms
Amputation, Traumatic / surgery*
Ear* / blood supply,  injuries,  surgery
Surgical Flaps / blood supply
Veins / transplantation*

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