Bozan Nazim, Sakin Yunus Feyyat, Bozkus Ferhat, Ciftci Mehmet Ali
Department of Otorhinolaryngology, Yuzuncu Yil University Faculty of Medicine, Van, Turkey.
Department of Otorhinolaryngology, Diyarbakir Training and Reseaarch Hospital, Diyarbakir.
J Pak Med Assoc. 2016 Sep;66(9):1185-1187.
Traumatic ear amputations are relatively rare. Whenever possible, ear re-implantation should be attempted; however the choice of the surgical procedure must be judicious. In the current report, a case of complete non-microsurgical salvage of a partially amputated ear treated by the pocket technique described by Mladick was presented. The surgical technique is described in detail by serial photographs, along with the postoperative management and outcome of the patients. The revascularisation of the severed part was successful. Morphological result was very good when the ear was freed from the pocket. We recommend the Mladick's procedure for reimplantation of fragments less than 1/2 of the auricle with favourable tissue condition.
创伤性耳断离相对少见。只要有可能,就应尝试进行耳再植;然而手术方式的选择必须审慎。在本报告中,介绍了一例采用Mladick描述的袋状技术对部分断离耳进行完全非显微外科挽救的病例。通过系列照片详细描述了手术技术,以及患者的术后管理和结果。断离部分的血管再通成功。当耳朵从袋中取出时,形态学结果非常好。对于耳廓断离部分小于1/2且组织状况良好的再植,我们推荐Mladick手术。