Nonmicrosurgical single-stage auricular replantation of amputated ear.

Abstract

Traumatic auricular amputation due to human bite is an uncommon event. Nonetheless, it poses a difficult challenge for the reconstructive surgeon. Although microsurgery must be performed in some cases, most microsurgical techniques are too complex and must be performed in specialized centers only. Replantation of a severed ear without microsurgery can be a safe alternative as long as a proper technique is selected. Here, 2 successful ear replants performed without microsurgical technique are described. The ear cartilage was used with the perichondrium after degloving of the skin from the cartilage, preserving the perichondrium attached to it, and providing coverage using a temporoparietal facial flap. The skin of the ear was used for coverage as a full-thickness skin graft with very excellent postoperative results.