Arch Plast Surg.  2017 Nov;44(6):554-558. 10.5999/aps.2017.00451.

Salvage of Unilateral Complete Ear Amputation with Continuous Local Hyperbaric Oxygen, Platelet-Rich Plasma and Polydeoxyribonucleotide without Micro-Revascularization

• Lee SK
• Lim YM
• Lew DH
• Song SY

• KMID: 2403959
• DOI: http://doi.org/10.5999/aps.2017.00451

Abstract

In many cases of complete ear amputation, microvascular surgery is required for tissue perfusion and organ survival. However, microvascular reconstruction is not always feasible in the absence of suitable vessels. Here, we present the case of a 76-year-old man who underwent complete amputation of the left ear after a collapse at home because of cardiogenic syncope. He was treated with primary replantation and underwent a postoperative salvage course including continuous local hyperbaric oxygen therapy (HBOT), platelet-rich plasma (PRP) injections, and polydeoxyribonucleotide (PDRN) injections. The ear was almost completely salvaged, with a tiny eschar at the mid-scapha on both the anterior and posterior aspects. This case demonstrates the efficacy of local HBOT with PRP and PDRN injections.

Keyword

Replantation; Salvage therapy; Hyperbaric oxygenation; Platelet rich plasma; Polydeoxyribonucleotide

MeSH Terms

Aged
Amputation*
Ear*
Humans
Hyperbaric Oxygenation
Oxygen*
Perfusion
Platelet-Rich Plasma*
Replantation
Salvage Therapy
Syncope
Tissue Survival
Oxygen