Archives of Plastic Surgery  2017;44(6):554-558

doi:10.5999/aps.2017.00451

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

Sang Keon LEE 1 ; Yoon Min LIM ; Dae Hyun LEW ; Seung Yong SONG

Affiliations

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Keywords

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

Country

Republic of Korea

Language

English

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.