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Cirugía Plástica Ibero-Latinoamericana

On-line version ISSN 1989-2055Print version ISSN 0376-7892

Abstract

BONASTRE-JULIA, Jorge et al. Venous salvage after ear replantation. Cir. plást. iberolatinoam. [online]. 2017, vol.43, n.4, pp.363-367. ISSN 1989-2055.  http://dx.doi.org/10.4321/s0376-78922017000500005.

Ear replantation after traumatic avulsion amputation restores the amputee segment with good results. This demanding procedure presents a significant challenge due to the small vessels size and the avulsion injury that the amputated pinna frequently presents, not being possible to restore venous outflow in all patients. Postoperative venous congestion is the most common complication of ear replantation.

Regardless the various anticoagulation/antiagregation therapeutic options, there is no evidence that demonstrates the superiority of neither of them. In case of venous congestion an alternative mean of drainage is mandatory, including medicinal leech therapy and blood drainage through small incisions. In these cases, blood transfusions are a common measure in this kind of procedures, usually necessary to maintain hemoglobin levels within normal.

We present a case of ear replantation in which venous drainage could not be restored, its postoperative course and the bleeding drainage protocol used after venous congestion. In addition, we discuss the various measures that supplement venous drainage in pinna replantation.

Keywords : Replantation; Ear pinna; Ear replantation; Microsurgery.

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