Total Avulsed Ear Management With Radial Forearm Free Flap

Publication date: August 2018

Source: Journal of Oral and Maxillofacial Surgery, Volume 76, Issue 8

Author(s): Uzair Luqman, Zahid Qayyum, Zahid Furqan, Kaleem Ullah

Avulsive injuries to the ear are extremely challenging to treat. The literature documents numerous ways to manage such injuries. This report describes a case of total auricular cartilaginous avulsion that occurred during a motor vehicle accident. The avulsed segment had an ischemia time longer than 8 hours by the time of presentation at the authors' tertiary care facility. The avulsed segment was de-epithelialized and embedded into the volar forearm. After a healing period of 6 months, a radial forearm free flap was harvested and the ear was reconstructed. After ensuring good flap uptake and adequate primary healing, the flap was debulked and reshaped at 4 months after inset.

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