Funk G F, Bauman N M, Rinehart R J, Mankarious L A
Department of Otolaryngology-Head and Neck Surgery, University of Iowa College of Medicine, Iowa City, USA.
Arch Otolaryngol Head Neck Surg. 1996 Feb;122(2):184-6. doi: 10.1001/archotol.1996.01890140070013.
We describe the replantation of a traumatically severed auricle using microvascular anastomosis to reestablish blood flow to the ear. Microvascular reattachment of the severed auricle occurred 10 hours after the trauma. Postoperatively, adjunctive measures, including anticoagulation and the use of medicinal leeches, were used to relieve venous congestion of the replanted auricle. The replanted auricle healed completely with 100% survival, resulting in an essentially normal-appearing external ear. In the management of a traumatically severed auricle, microvascular replantation should be considered as the intervention of first choice in selected cases. If the procedure is successful, the cosmetic results are excellent; if it is not successful, a number of other reconstructive techniques remain as options.
我们描述了使用微血管吻合术对创伤性离断的耳廓进行再植，以重建耳部血流的过程。离断耳廓的微血管再附着在创伤后10小时进行。术后，采用了包括抗凝和使用医用水蛭在内的辅助措施，以缓解再植耳廓的静脉淤血。再植耳廓完全愈合，存活率达100%，从而使外耳外观基本正常。在处理创伤性离断的耳廓时，对于特定病例，微血管再植应被视为首选干预措施。如果该手术成功，美容效果极佳；如果不成功，还有许多其他重建技术可供选择。
