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Nonmicrosurgical reconstruction of the auricle after traumatic amputation due to human bite

机译:因人咬伤导致截肢后耳廓的非显微手术重建

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Background Traumatic auricular amputation due to human bite is not a common event. Nonetheless, it constitutes a difficult challenge for the reconstructive surgeon. Microsurgery can be performed in some cases, but most microsurgical techniques are complex and their use can only be advocated in specialized centers. Replantation of a severed ear without microsurgery can be a safe alternative as long as a proper technique is selected. Methods We present two cases, one of a partial and one of a total traumatic auricular amputation, both caused by human bites, that were successfully managed in our Department. The technique of ear reattachment as a composite graft, with partial burial of the amputated part in the retroauricular region, as first described by Baudet, was followed in both cases. Results and discussion The prementioned technique is described in detail, along with the postoperative management and outcome of the patients. In addition, a brief review of the international literature regarding ear replantation is performed. Conclusion The Baudet technique has been used successfully in two cases of traumatic ear amputation due to human bites. It is a simple technique, without the need for microsurgery, and produces excellent aesthetic results, while preserving all neighboring tissues in case of failure with subsequent need for another operation.
机译:背景技术由于人咬伤,创伤性耳截肢术并不常见。尽管如此,对于重建外科医师而言,这仍然是一个艰巨的挑战。在某些情况下可以进行显微外科手术,但是大多数显微外科手术技术很复杂,只能在专门的中心提倡使用。只要选择适当的技术,不进行显微外科手术就可以重新种植切断的耳朵。方法我们介绍了两例病例,其中一部分是人为咬伤,一部分是全部外伤性截肢,均在我科成功治疗。在这两种情况下,都采用了耳复合技术作为复合移植物,将部分切除的部分埋在耳后区域,这是鲍德特首先描述的。结果与讨论对上述技术以及患者的术后处理和结果进行了详细描述。此外,对有关耳再植的国际文献进行了简要回顾。结论Baudet技术已成功用于2例因人咬伤引起的创伤性截肢手术中。这是一种简单的技术,不需要显微外科手术,并且可以产生出色的美学效果,同时在失败的情况下保留所有邻近组织,并随后需要进行其他手术。

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