Otto A, Schoeller T, Wechselberger G, Ohler K
Universitätsklinik für Plastische und Wiederherstellungschirurgie, Leopold-Franzens-Universität Innsbruck.
Handchir Mikrochir Plast Chir. 1999 Mar;31(2):98-101. doi: 10.1055/s-1999-13503.
Replantation of the ear is a challenging problem for the reconstructive surgeon. Avulsion injury and intima tears of these small vessels often make back cuts and venous interposition necessary. Furthermore, identification and differentiation of the vessels are difficult. The volume of the ear is large in relation to the wound surface and the absence of axial venous outflow makes replantation prone to venous congestion. On the basis of a case report we present the problems, the specific management and final outcome of a successful ear replantation and we discuss the alternative possibilities of reconstruction.
耳部再植对于重建外科医生来说是一个具有挑战性的问题。这些小血管的撕脱伤和内膜撕裂常常使得进行回切和静脉移植成为必要。此外，血管的识别和区分也很困难。相对于创面而言，耳部体积较大，并且缺乏轴向静脉流出道使得再植容易出现静脉淤血。基于一份病例报告，我们阐述了成功进行耳部再植所面临的问题、具体处理方法及最终结果，并讨论了重建的其他可能性。
