Reconstruction of the auricular rupture: A case report of treatment of ear trauma
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Apr 25, 2025
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Abstract
Auricular rupture is one of the most common ear defects caused by trauma on facial and head regions. Traffic accidents, accidents at home, fights, and human bites are common causes of ear injuries based on several epidemiological studies. In this study, we report a case of ear trauma auricular rupture, with appropriate treatment and the things to watch out for during treatment. A 19-year-old man came to the Emergency Department due to a traffic accident. The results of the vital signs examination were within normal limits, found an injury to the left auris; the wound penetrated the left auris from the Helix to the antihelix with a wound length of approximately 4 cm. Bleeding was controlled with a compression splint using gauze and ligature. The patient underwent elective surgery, which was successful and without complications. Ear trauma involves cartilage is a challenge to treat reconstruction for surgeons. The main treatment for auricular rupture is closure of the open cartilage, skin and prevent complications.
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How to Cite
Daniswara, D., Widuri, A. and Fakhriani , R. (2025) “Reconstruction of the auricular rupture: A case report of treatment of ear trauma”, Science Midwifery, 13(1), pp. 312-317. doi: 10.35335/midwifery.v13i1.1909.
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Lavasani, L., Leventhal, D., Constantinides, M., & Krein, H. (2010). Management of acute soft tissue injury to the auricle. Facial Plastic Surgery, 26(06), 445–450.
Luo, X., Yang, J., Yang, Q., & Wang, X. (2012). Classification and reconstruction of posttraumatic ear deformity. Journal of Craniofacial Surgery, 23(3), 654–657.
Maloney, K. (2015). Partial avulsion of the right ear treated with a pocket technique: a case report and review of the literature. Journal of Maxillofacial and Oral Surgery, 14, 288–292.
Menon, A., & Alagesan, G. (2018). Traumatic partial avulsion of pinna reconstruction with Limberg flap. World Journal of Plastic Surgery, 7(2), 231.
NAMASIVAYA NAVIN, R. B., PRABAKARAN, S., RAJASEKARAN, S., ASWIN VAISHALI, P. N., & KARTHIKA, R. (2022). A Harrowing Experience of Pinna Lacerations. Journal of Clinical & Diagnostic Research, 16(8).
Ottat, M. R. (2010). Partial reconstruction of the external ear after a trauma: simple and efficient techniques. Brazilian Journal of Otorhinolaryngology, 76, 7–13.
Prawesthi, E., & Syafitri, D. (2019). Temporary Auricular Prosthesis Acrylic Resin With Eyeglasses Retention To Improve Aestetics In Patient With Ear Loss Case (Case Report). Sanitas, 10(1), 1–13.
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Saimanohar, S., Gadag, R., Subramaniam, V., & Ravindra, P. (2012). A study of pinna injuries and their management. Int J Health Rehabil Sci, 1(2), 81–86.
Setiawan, M. R., Rohmani, A., Kurniati, I. D., Ratnaningrum, K., & Basuki, R. (2017). Buku Ajar: Ilmu Bedah. Unimus Press.
Sharma, R., Sharma, P., & Sindhi, M. (2014). Resuturing of avulsed pinna: A case report. Int J Dent Med Res, 1(3), 63.
Steffen, A., Klaiber, S., Katzbach, R., Nitsch, S., Frenzel, H., & Weerda, H. (2007). Epidemiology of auricular trauma. Handchirurgie, Mikrochirurgie, Plastische Chirurgie: Organ Der Deutschsprachigen Arbeitsgemeinschaft Fur Handchirurgie: Organ Der Deutschsprachigen Arbeitsgemeinschaft Fur Mikrochirurgie Der Peripheren Nerven Und Gefasse: Organ Der V..., 39(2), 98–102.
Storck, K., Staudenmaier, R., Buchberger, M., Strenger, T., Kreutzer, K., Von Bomhard, A., & Stark, T. (2014). Total reconstruction of the auricle: our experiences on indications and recent techniques. BioMed Research International, 2014(1), 373286.
Vantaku, V. V., Jhansi, P. K., Madan, M. M., & Manikyamba, D. (2023). Clinical profile of hemophilia children admitted in a tertiary care hospital in South India: a cross sectional study. Int J Contemp Pediatr, 10(11), 1652–1657.
Wong, K., Wong, A., & Rousso, J. J. (2021). Reconstructive options for auricular trauma. Facial Plastic Surgery, 37(04), 510–515.
Yamada, A., & Ueda, K. (2012). Total auricular reconstruction after traumatic total amputation of the auricle. Journal of Craniofacial Surgery, 23(3), e241–e246.
Ananda, C. R. (2024). Analisis Anatomi Dan Fisiologi Sistem Indera Pendengaran. 3, 41–49.
Carballo, C. B., Nakagawa, Y., Sekiya, I., & Rodeo, S. A. (2017). Basic science of articular cartilage. Clinics in Sports Medicine, 36(3), 413–425.
Fortuna, F., & Jovie, I. F. (2022). Rekonstruksi Ruptur Kartilago Aurikula. Scientific Journal, 1(3), 249–254.
Gailey, A. D., Farquhar, D., Clark, J. M., & Shockley, W. W. (2020). Auricular avulsion injuries and reattachment techniques: A systematic review. Laryngoscope Investigative Otolaryngology, 5(3), 381–389.
Ibrahim, A. (2014). Single stage reconstruction of type IIA defect of the ear lobule: The limberg flap technique revisited. Journal of Surgical Technique and Case Report, 6(1), 5–8.
Lahdji, A., & Primasari, A. (2017). Buku Ajar Sistem Telinga, Hidung dan Tenggorokkan. Unimus Press.
Lavasani, L., Leventhal, D., Constantinides, M., & Krein, H. (2010). Management of acute soft tissue injury to the auricle. Facial Plastic Surgery, 26(06), 445–450.
Luo, X., Yang, J., Yang, Q., & Wang, X. (2012). Classification and reconstruction of posttraumatic ear deformity. Journal of Craniofacial Surgery, 23(3), 654–657.
Maloney, K. (2015). Partial avulsion of the right ear treated with a pocket technique: a case report and review of the literature. Journal of Maxillofacial and Oral Surgery, 14, 288–292.
Menon, A., & Alagesan, G. (2018). Traumatic partial avulsion of pinna reconstruction with Limberg flap. World Journal of Plastic Surgery, 7(2), 231.
NAMASIVAYA NAVIN, R. B., PRABAKARAN, S., RAJASEKARAN, S., ASWIN VAISHALI, P. N., & KARTHIKA, R. (2022). A Harrowing Experience of Pinna Lacerations. Journal of Clinical & Diagnostic Research, 16(8).
Ottat, M. R. (2010). Partial reconstruction of the external ear after a trauma: simple and efficient techniques. Brazilian Journal of Otorhinolaryngology, 76, 7–13.
Prawesthi, E., & Syafitri, D. (2019). Temporary Auricular Prosthesis Acrylic Resin With Eyeglasses Retention To Improve Aestetics In Patient With Ear Loss Case (Case Report). Sanitas, 10(1), 1–13.
Putra, L. T. (2023). Hubungan Nilai Respon Imun (Rasio Neutrofil–Limfosit) Terhadap Penyembuhan Luka Pada Fraktur Terbuka Tibia Derajat IIIA di RS Wahidin Sudirohusodo Makassar Sulawesi Selatan Indonesia. Universitas Hasanuddin.
Putri, N. C. J. (2021). PENGARUH AROMATERAPI JAHE MERAH TERHADAP TINGKAT NYERI LASERASI PERINEUM DI KLINIK BERSALIN PATEN TAHUN 2020. Skripsi, Universitas Muhammadiyah Magelang.
Rothe, K., Tsokos, M., & Handrick, W. (2015). Animal and human bite wounds. Deutsches Ärzteblatt International, 112(25), 433.
Saimanohar, S., Gadag, R., Subramaniam, V., & Ravindra, P. (2012). A study of pinna injuries and their management. Int J Health Rehabil Sci, 1(2), 81–86.
Setiawan, M. R., Rohmani, A., Kurniati, I. D., Ratnaningrum, K., & Basuki, R. (2017). Buku Ajar: Ilmu Bedah. Unimus Press.
Sharma, R., Sharma, P., & Sindhi, M. (2014). Resuturing of avulsed pinna: A case report. Int J Dent Med Res, 1(3), 63.
Steffen, A., Klaiber, S., Katzbach, R., Nitsch, S., Frenzel, H., & Weerda, H. (2007). Epidemiology of auricular trauma. Handchirurgie, Mikrochirurgie, Plastische Chirurgie: Organ Der Deutschsprachigen Arbeitsgemeinschaft Fur Handchirurgie: Organ Der Deutschsprachigen Arbeitsgemeinschaft Fur Mikrochirurgie Der Peripheren Nerven Und Gefasse: Organ Der V..., 39(2), 98–102.
Storck, K., Staudenmaier, R., Buchberger, M., Strenger, T., Kreutzer, K., Von Bomhard, A., & Stark, T. (2014). Total reconstruction of the auricle: our experiences on indications and recent techniques. BioMed Research International, 2014(1), 373286.
Vantaku, V. V., Jhansi, P. K., Madan, M. M., & Manikyamba, D. (2023). Clinical profile of hemophilia children admitted in a tertiary care hospital in South India: a cross sectional study. Int J Contemp Pediatr, 10(11), 1652–1657.
Wong, K., Wong, A., & Rousso, J. J. (2021). Reconstructive options for auricular trauma. Facial Plastic Surgery, 37(04), 510–515.
Yamada, A., & Ueda, K. (2012). Total auricular reconstruction after traumatic total amputation of the auricle. Journal of Craniofacial Surgery, 23(3), e241–e246.