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Near-Total Ear Avulsion Repaired With Primary Closure and Hyperbaric Oxygen: A Case Series and Review of the Literature.

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Title: Near-Total Ear Avulsion Repaired With Primary Closure and Hyperbaric Oxygen: A Case Series and Review of the Literature.
Authors: Favede, Cecelia, Bradshaw, Charles, Sethia, Rishabh, Kramer, Scott, Jatana, Kris, Elmaraghy, Charles, Grischkan, Jonathan
Source: Annals of Otology, Rhinology & Laryngology. Oct2023, Vol. 132 Issue 10, p1265-1270. 6p.
Subjects: Ear surgery, Cartilage, Avulsion fractures, Reimplantation (Surgery), External ear, Scientific observation, Hyperbaric oxygenation, Plastic surgery, Postoperative care, Traumatic amputation
Abstract: Introduction: Near-total ear avulsion is a rare and challenging problem to repair with many techniques described; primary repair is an attractive option but is not always successful. Healing may be augmented with postoperative hyperbaric oxygen therapy (HBOT), but this technique is under-reported, and an ideal regimen is not known. The study objective is to discuss the role of HBOT in the management of ear avulsion by reviewing 2 unique cases. Methods: Case report and review of the literature. A Pubmed search using the terms ear avulsion and postoperative hyperbaric oxygen was performed. Results: Two pediatric patients presented with near-total avulsion of the auricle after suffering a dog bite. Various management options were discussed including observation, primary repair, post-auricular cartilage banking, graft reconstruction with periauricular tissue or rib cartilage, or microsurgical replantation. The decision was made to perform primary reattachment, followed by adjuvant hyperbaric oxygen therapy (HBOT). The patients achieved favorable esthetic results and continue to maintain the function of the reattached ear. Photo documentation was obtained throughout the process. Discussion: There is no consensus on the management of near-total ear avulsion. Primary repair is ideal from a cosmetic and ease-of-operation standpoint but does not always yield viable tissue. The use of postoperative HBOT is an attractive option that may boost success rates, but the ideal HBOT regimen is unknown. These cases represent a successful application of this innovative technique in a pediatric patient. [ABSTRACT FROM AUTHOR]
Copyright of Annals of Otology, Rhinology & Laryngology is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Near-Total Ear Avulsion Repaired With Primary Closure and Hyperbaric Oxygen: A Case Series and Review of the Literature.
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  Data: <searchLink fieldCode="AR" term="%22Favede%2C+Cecelia%22">Favede, Cecelia</searchLink><br /><searchLink fieldCode="AR" term="%22Bradshaw%2C+Charles%22">Bradshaw, Charles</searchLink><br /><searchLink fieldCode="AR" term="%22Sethia%2C+Rishabh%22">Sethia, Rishabh</searchLink><br /><searchLink fieldCode="AR" term="%22Kramer%2C+Scott%22">Kramer, Scott</searchLink><br /><searchLink fieldCode="AR" term="%22Jatana%2C+Kris%22">Jatana, Kris</searchLink><br /><searchLink fieldCode="AR" term="%22Elmaraghy%2C+Charles%22">Elmaraghy, Charles</searchLink><br /><searchLink fieldCode="AR" term="%22Grischkan%2C+Jonathan%22">Grischkan, Jonathan</searchLink>
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  Data: <searchLink fieldCode="JN" term="%22Annals+of+Otology%2C+Rhinology+%26+Laryngology%22">Annals of Otology, Rhinology & Laryngology</searchLink>. Oct2023, Vol. 132 Issue 10, p1265-1270. 6p.
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  Data: <searchLink fieldCode="DE" term="%22Ear+surgery%22">Ear surgery</searchLink><br /><searchLink fieldCode="DE" term="%22Cartilage%22">Cartilage</searchLink><br /><searchLink fieldCode="DE" term="%22Avulsion+fractures%22">Avulsion fractures</searchLink><br /><searchLink fieldCode="DE" term="%22Reimplantation+%28Surgery%29%22">Reimplantation (Surgery)</searchLink><br /><searchLink fieldCode="DE" term="%22External+ear%22">External ear</searchLink><br /><searchLink fieldCode="DE" term="%22Scientific+observation%22">Scientific observation</searchLink><br /><searchLink fieldCode="DE" term="%22Hyperbaric+oxygenation%22">Hyperbaric oxygenation</searchLink><br /><searchLink fieldCode="DE" term="%22Plastic+surgery%22">Plastic surgery</searchLink><br /><searchLink fieldCode="DE" term="%22Postoperative+care%22">Postoperative care</searchLink><br /><searchLink fieldCode="DE" term="%22Traumatic+amputation%22">Traumatic amputation</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Introduction: Near-total ear avulsion is a rare and challenging problem to repair with many techniques described; primary repair is an attractive option but is not always successful. Healing may be augmented with postoperative hyperbaric oxygen therapy (HBOT), but this technique is under-reported, and an ideal regimen is not known. The study objective is to discuss the role of HBOT in the management of ear avulsion by reviewing 2 unique cases. Methods: Case report and review of the literature. A Pubmed search using the terms ear avulsion and postoperative hyperbaric oxygen was performed. Results: Two pediatric patients presented with near-total avulsion of the auricle after suffering a dog bite. Various management options were discussed including observation, primary repair, post-auricular cartilage banking, graft reconstruction with periauricular tissue or rib cartilage, or microsurgical replantation. The decision was made to perform primary reattachment, followed by adjuvant hyperbaric oxygen therapy (HBOT). The patients achieved favorable esthetic results and continue to maintain the function of the reattached ear. Photo documentation was obtained throughout the process. Discussion: There is no consensus on the management of near-total ear avulsion. Primary repair is ideal from a cosmetic and ease-of-operation standpoint but does not always yield viable tissue. The use of postoperative HBOT is an attractive option that may boost success rates, but the ideal HBOT regimen is unknown. These cases represent a successful application of this innovative technique in a pediatric patient. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of Annals of Otology, Rhinology & Laryngology is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.1177/00034894221142934
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        Text: English
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        PageCount: 6
        StartPage: 1265
    Subjects:
      – SubjectFull: Ear surgery
        Type: general
      – SubjectFull: Cartilage
        Type: general
      – SubjectFull: Avulsion fractures
        Type: general
      – SubjectFull: Reimplantation (Surgery)
        Type: general
      – SubjectFull: External ear
        Type: general
      – SubjectFull: Scientific observation
        Type: general
      – SubjectFull: Hyperbaric oxygenation
        Type: general
      – SubjectFull: Plastic surgery
        Type: general
      – SubjectFull: Postoperative care
        Type: general
      – SubjectFull: Traumatic amputation
        Type: general
    Titles:
      – TitleFull: Near-Total Ear Avulsion Repaired With Primary Closure and Hyperbaric Oxygen: A Case Series and Review of the Literature.
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            NameFull: Favede, Cecelia
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            – D: 01
              M: 10
              Text: Oct2023
              Type: published
              Y: 2023
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              Value: 132
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