Summary: A successful bilateral ear composite graft nonmicrosurgical reattachment is presented. In cases where suitable vessels are unavailable for microsurgical revascularization, the reconstructive challenge can be formidable for salvaging the unique anatomic and aesthetic structure of the ear. The case is presented of an 18-year-old woman who was a victim of an assault wherein both of her ears were intentionally amputated by her attacker. She underwent successful surgical reattachment followed by a postoperative regimen of hyperbaric oxygen, cooling, and meticulous wound care. The patient achieved 100% survival of her left ear graft and 95% survival of her right ear graft. Clinical photographs at 18 months are presented, along with a discussion of the possible implications for other reconstructive applications.
From the Plastic Surgery of the Carolinas, Charleston, S.C. and the Medical University of South Carolina, Charleston, S.C.
Received for publication April 3, 2014; accepted April 29, 2014.
Presented at the North Carolina Society of Plastic Surgeons Meeting, October 2013, Kiawah Island, S.C., and the Aesthetic Facial Reconstruction Meeting directed by Dr. Fred Menick, 2002, Nashville, Tenn.
Disclosure: The author has no financial interest to declare in relation to the content of this article. The Article Processing Charge was paid for by the author.
Ram Kalus, MD, Plastic Surgery of the Carolinas, PA, 578 Lone Tree Drive, Suite 102, Mount Pleasant, SC 29464, E-mail: email@example.com
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