Safak T, Ozcan G, Keçik A, Gürsu G
Department of Plastic and Reconstructive Surgery, Faculty of Medicine, Hacettepe University, Ankara, Turkey.
Plast Reconstr Surg. 1993 Oct;92(5):945-8; discussion 949-50.
In replantation of a totally amputated ear, the artery only was repaired with no vein repair. Venous stasis was successfully prevented by daily skin punctures during the first 4 days postoperatively. The elastic cartilage framework with no internally circulating blood constitutes the major percentage of the auricle mass. Thus the metabolic demand of the ear is relatively small, according to its small caliber nutrient vessels. Although the successful result in this single case report means neither a consistent procedure nor uniformly safe choice of treatment, the potential use of the single-artery repair with no accompanying vein anastomosis in ear replantations, we believe, deserves to be considered.
在完全离断耳再植术中，仅修复了动脉，未进行静脉修复。术后前4天通过每日皮肤穿刺成功预防了静脉淤血。没有内部血液循环的弹性软骨支架占耳廓质量的主要部分。因此，根据其细小的营养血管，耳朵的代谢需求相对较小。尽管这个单例报告中的成功结果既不意味着一致的手术方法，也不意味着统一安全的治疗选择，但我们认为，在耳再植术中不进行伴行静脉吻合的单动脉修复的潜在应用值得考虑。
