Samet Vasfi KUVAT, Serdar TUNÇER, Ufuk EMEKLİ, Ahmet BİÇER

Mikrocerrahi uygulanmayan kulak replantasyonu: Olgu sunumu

Kırk iki yaşındaki erkek hasta, iş kazası sonucu sol supralobuler total kulak kopması ile başvurdu. Kopan kulak parçasında mikrocerrahi ile anastomoza uygun damar bulunamadı. Posterior derisi eksize edilen ve çok sayıda pencere açılan kıkırdak, kompozit greft olarak yerine yerleştirildi. Ameliyat sonrası dördüncü gün pansuman açıldığında kompozit greftin %90 oranında yaşadığı görüldü. Üç hafta sonra kulak zeminden %80 oranında ayrıldı ve postauriküler defekte deri grefti yerleştirildi. Bir yıllık izlem sonun- da kıkırdakta kısmi rezorpsiyon ve deride minimal hiperemi ve pigmentasyon görüldü

Anahtar Kelimeler:

Amputasyon, travmatik/cerrahi, kulak, dış/yaralanma/cerrahi, replantasyon/yöntem

Replantation of the ear without microvascular anastomosis: a case report

A 42-year-old man presented with a left-sided supralobular total ear amputation resulting from an occupational accident. Initial dissection of the amputated ear revealed no suitable vessel for anastomosis. The fenestrated cartilage with its posterior skin excised was attached as a composite graft. Four days postoperatively, it was observed that 90% of the graft was viable. Three weeks later, subtotal separation of the ear 80% was performed combined with skin grafting for surfacing the postauricular defect. At one-year follow-up, there was partial cartilage resorption with pigmentation and minimal hyperemia of the overlying skin.

Keywords:

Amputation, traumatic/surgery, ear, external/ injuries/surgery, replantation/methods,

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