A new method in the treatment of ear amputation - Experimental and clinical study


Alagoez M. S., Uysal A. C., Isgoeren S., Erdogan C., Isken T., Sen C., ...Daha Fazla

ANNALS OF PLASTIC SURGERY, cilt.59, sa.3, ss.277-286, 2007 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 59 Sayı: 3
  • Basım Tarihi: 2007
  • Doi Numarası: 10.1097/sap.0b013e31802ec6b5
  • Dergi Adı: ANNALS OF PLASTIC SURGERY
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Sayfa Sayıları: ss.277-286
  • Anahtar Kelimeler: ear amputation, treatment, new method, FASCIAL-ISLAND FLAP, TEMPOROPARIETAL FASCIA, SUCCESSFUL REPLANTATION, VENOUS ANASTOMOSIS, CARTILAGE GRAFTS, SEVERED AURICLE, EXTERNAL EAR, AVULSED EAR, RECONSTRUCTION, REATTACHMENT
  • Kocaeli Üniversitesi Adresli: Evet

Özet

There have been plenty of reconstruction methods for ear amputation, and replantation preserves its importance. In situations where replantation is not feasible, various methods were proposed. We indicate an alternative technique for the ear amputation without replantation indication. The method of replacing of a vascular structure into the tunnel formed on the posterior side of the amputated ear was used instead of replacing the ear cartilage into a vascular area that was described in the literature of ear prefabrication. The dorsal fascial flaps which were prepared from the back of 10 New Zealand rabbits were placed into the amputated ear. The 2 groups, control and the experimental, were consequently the ear that was adapted as a composite graft and the ear with the flap inserted. The ears were examined macroscopically and photographed on postoperative days 3, 7, 14, and 21. On the 21st day, the nourishment pattern of the ear, the dorsal fascia, and the dorsal fascia adapted ear were investigated with digital subtraction angiography (DSA). The group that received applied dorsal fascia possessed increased vascularity.