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Ear Replantation After Human Bite Avulsion Injury

Horta, Ricardo MD; Costa-Ferreira, António MD; Costa, Joana MD; Silva, Pedro MD; Amarante, José Manuel MD, PhD; Silva, Álvaro MD; Filipe, Rita MD

Journal of Craniofacial Surgery: July 2011 - Volume 22 - Issue 4 - p 1457-1459
doi: 10.1097/SCS.0b013e31821d1879
Technical Strategies

Traumatic auricular amputation due to human bite is not a common event, but it constitutes a difficult challenge for the reconstructive surgeon. Microsurgery can be performed in some cases, but replantation of a severed ear without microsurgery can be a safe alternative.

We present a case of a 44-year-old male individual who was involved in a fight and sustained a human bite, resulting in almost a complete amputation of his right ear. The Baudet technique has been used successfully. It is a simple technique and very reliable because it allows a great surface of contact between the graft and the vascular bed, substantially increasing its odds of survival in cases presenting with high risk of infection such as human bite injury. It also produces excellent aesthetic results.

From the Department of Plastic, Reconstructive and Maxillo-Facial Surgery, and Burn Unit, Hospital de São João, Porto, Medical School, Porto, Portugal.

Received November 14, 2010.

Accepted for publication December 3, 2010.

Address correspondence and reprint requests to Ricardo Horta, MD, Avenida Menéres, No. 234, Bloco 2, 4° Frente Esquerdo, 4450-189, Matosinhos Sul, Porto, Portugal; E-mail:

The authors report no conflicts of interest.

© 2011 Mutaz B. Habal, MD