Objective: Management of the near-total auricular avulsion
injury is a difficult challenge. There are several techniques
for the proper treatment of such injuries with variable results.
We present a series of seven cases of traumatic auricular near
total avulsion with a narrow flap base. This is accompanied
with a review of literature of similar conditions.
Patients and Methods: This work presents a retrospective
study of patients with traumatic auricular amputation, who
were admitted to the emergency department at Sohag University
Hospital, in the period from March 2015 to November
2019, with traumatic auricular avulsion. Patients' files were
reviewed for demographic data, trauma details, operative
notes, and post-operative results. Only patients with neartotal
auricular avulsion.
Results: Seven patients (6 males and one female) were
included with complete records and fulfilled criteria. The
mean age at the time of trauma was 25.8 years. Early postoperative
venous congestion of the reattached ear was reported
in two patients. All cases were successfully reattached without
tissue loss of the repositioned tissue or significant shrinkage
postoperatively. The literature presented twelve articles reporting
17 patients, where venous congestion was the most
common complication after the repair (35.3%).
Conclusions: The entire ear can survive based on a small,
inferiorly based pedicle with favorable results and without
severe complications.