Complete auricular avulsion and reconstruction techniques: a literature review

Abstract Background Auricular avulsion can cause severe psychological effects. There are no established protocols for surgical treatment for such injuries. Acute care involves various procedures like graft reattachment, skin flap reconstruction, Baudet approach, and microvascular repair. Objectives...

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Main Authors: Manar A. Awad, Mahmoud A. Deshisha, Yasmin Z. Salam, Hadir M. Abou Mostafa, Mohamed G. Ibrahim, Ihab M. Nada
Format: Article
Language:English
Published: SpringerOpen 2024-11-01
Series:The Egyptian Journal of Otolaryngology
Subjects:
Online Access:https://doi.org/10.1186/s43163-024-00719-w
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author Manar A. Awad
Mahmoud A. Deshisha
Yasmin Z. Salam
Hadir M. Abou Mostafa
Mohamed G. Ibrahim
Ihab M. Nada
author_facet Manar A. Awad
Mahmoud A. Deshisha
Yasmin Z. Salam
Hadir M. Abou Mostafa
Mohamed G. Ibrahim
Ihab M. Nada
author_sort Manar A. Awad
collection DOAJ
description Abstract Background Auricular avulsion can cause severe psychological effects. There are no established protocols for surgical treatment for such injuries. Acute care involves various procedures like graft reattachment, skin flap reconstruction, Baudet approach, and microvascular repair. Objectives Reviewing the literature regarding various reattachment techniques for managing complete auricular avulsion was the goal of this review. It also aimed to help the surgeon choose the best total reconstruction method considering the available materials and to assess the advantages and disadvantages of each technique. Methods We thoroughly reviewed relevant research on publications describing total auricular avulsion repaired with reattachment which were indexed in PubMed, MEDLINE, and Scopus. The study accepted and reviewed English-language papers without determining their publication date, using a database search based on key words. Conclusions According to the literature, microvascular restoration is more successful for avulsed ears, although composite grafts are better aesthetically. Early hyperbaric oxygen and surgical treatment can improve patient outcomes. Recently, 3D printing is a big step forward in auricular reconstruction, providing a patient-specific, customizable, and efficient alternative for people with auricular loss.
format Article
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institution Kabale University
issn 2090-8539
language English
publishDate 2024-11-01
publisher SpringerOpen
record_format Article
series The Egyptian Journal of Otolaryngology
spelling doaj-art-dcff3e4800614165a96b60e3e92a4c422024-11-17T12:07:30ZengSpringerOpenThe Egyptian Journal of Otolaryngology2090-85392024-11-0140111010.1186/s43163-024-00719-wComplete auricular avulsion and reconstruction techniques: a literature reviewManar A. Awad0Mahmoud A. Deshisha1Yasmin Z. Salam2Hadir M. Abou Mostafa3Mohamed G. Ibrahim4Ihab M. Nada5E.N.T. Department, Faculty of Medicine, Misr University for Science and TechnologyE.N.T. Department, Faculty of Medicine, Misr University for Science and TechnologyE.N.T. Department, Faculty of Medicine, Misr University for Science and TechnologyE.N.T. Department, Faculty of Medicine, Misr University for Science and TechnologyE.N.T. Department, Faculty of Medicine, Misr University for Science and TechnologyE.N.T. Department, Faculty of Medicine, Misr University for Science and TechnologyAbstract Background Auricular avulsion can cause severe psychological effects. There are no established protocols for surgical treatment for such injuries. Acute care involves various procedures like graft reattachment, skin flap reconstruction, Baudet approach, and microvascular repair. Objectives Reviewing the literature regarding various reattachment techniques for managing complete auricular avulsion was the goal of this review. It also aimed to help the surgeon choose the best total reconstruction method considering the available materials and to assess the advantages and disadvantages of each technique. Methods We thoroughly reviewed relevant research on publications describing total auricular avulsion repaired with reattachment which were indexed in PubMed, MEDLINE, and Scopus. The study accepted and reviewed English-language papers without determining their publication date, using a database search based on key words. Conclusions According to the literature, microvascular restoration is more successful for avulsed ears, although composite grafts are better aesthetically. Early hyperbaric oxygen and surgical treatment can improve patient outcomes. Recently, 3D printing is a big step forward in auricular reconstruction, providing a patient-specific, customizable, and efficient alternative for people with auricular loss.https://doi.org/10.1186/s43163-024-00719-wAuricular avulsionEar amputationDirect reattachmentMicrovascular repair3D printingReconstruction techniques
spellingShingle Manar A. Awad
Mahmoud A. Deshisha
Yasmin Z. Salam
Hadir M. Abou Mostafa
Mohamed G. Ibrahim
Ihab M. Nada
Complete auricular avulsion and reconstruction techniques: a literature review
The Egyptian Journal of Otolaryngology
Auricular avulsion
Ear amputation
Direct reattachment
Microvascular repair
3D printing
Reconstruction techniques
title Complete auricular avulsion and reconstruction techniques: a literature review
title_full Complete auricular avulsion and reconstruction techniques: a literature review
title_fullStr Complete auricular avulsion and reconstruction techniques: a literature review
title_full_unstemmed Complete auricular avulsion and reconstruction techniques: a literature review
title_short Complete auricular avulsion and reconstruction techniques: a literature review
title_sort complete auricular avulsion and reconstruction techniques a literature review
topic Auricular avulsion
Ear amputation
Direct reattachment
Microvascular repair
3D printing
Reconstruction techniques
url https://doi.org/10.1186/s43163-024-00719-w
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AT yasminzsalam completeauricularavulsionandreconstructiontechniquesaliteraturereview
AT hadirmaboumostafa completeauricularavulsionandreconstructiontechniquesaliteraturereview
AT mohamedgibrahim completeauricularavulsionandreconstructiontechniquesaliteraturereview
AT ihabmnada completeauricularavulsionandreconstructiontechniquesaliteraturereview