Department of Otolaryngology Head and Neck Surgery, University of Minnesota, Minneapolis, Minnesota, USA.
University of North Dakota School of Medicine and Health Sciences, Grand Forks, North Dakota, USA.
Facial Plast Surg Aesthet Med. 2024 Jul-Aug;26(4):507-509. doi: 10.1089/fpsam.2023.0166. Epub 2024 Feb 1.
Traumatic auricular avulsion is a rare and deforming injury. Classically, repair has required microvascular anastomosis. In this publication, we report two separate cases of pediatric auricular avulsion from dog bites. In both cases, the ear was cleaned and surgically reattached. Adjunctive therapies included hyperbaric oxygen and nitroglycerin ointment. There was complete graft take for one patient and 90% graft take for the second, both achieving satisfactory aesthetic outcome. These unique cases highlight the benefits of surgical reattachment of the avulsed portion of the ear followed by hyperbaric oxygen therapy and nitroglycerin ointment.
外伤性耳廓撕裂伤是一种罕见且致畸的损伤。传统上，修复需要进行微血管吻合。在本出版物中，我们报告了两例儿童因狗咬伤导致的耳廓撕裂伤的病例。在这两种情况下，均对耳朵进行了清创和手术再植。辅助治疗包括高压氧和硝酸甘油软膏。一例患者的移植完全成功，另一例患者的移植成功率为 90%，两者均达到了满意的美学效果。这些独特的病例突出了手术重新连接撕裂的耳廓部分，然后进行高压氧治疗和硝酸甘油软膏治疗的好处。
