{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T04:15:45Z","timestamp":1789100145777,"version":"build-2803163510"},"reference-count":26,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2024,7,1]],"date-time":"2024-07-01T00:00:00Z","timestamp":1719792000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Facial Plastic Surgery &amp; Aesthetic Medicine"],"published-print":{"date-parts":[[2024,7,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>We aimed to report our experience in treating ear amputations with microvascular replantation, with the largest sample to date.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>\n                      Twenty-two patients with complete ear amputation underwent microvascular ear replantation at three medical centers between May 2003 and May 2020. Arterial anastomoses, venous anastomoses, or vein graft were performed depending on different situations. Re-exploration was performed in four patients due to venous congestion (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u20093) or arterial compromise (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u20091).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Eleven patients had vascular complications (venous congestion: 10, arterial compromise: 1) and four of them required re-exploration. Three ears were completely salvaged (75%) and one case failed. Eighteen (81.8%) replanted ears survived completely, with 15 repaired ears demonstrating a good contour and 3 ears showing atrophy. Three replanted ears sustained partial loss, and one sustained total loss. Three extraordinary cases with the longest ischemic time, smallest tissue size, and youngest age reported thus far all survived and had cosmetically satisfactory appearances. Statistical analysis indicated no significant correlation between replanted ear survival and potentially influential factors, including ischemic time, number of arterial and venous anastomoses, presence of vein graft, and re-exploration.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Microvascular replantation for ear amputations achieved excellent results. It may be considered the primary choice for surgeons with microsurgical skill.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/fpsam.2021.0062","type":"journal-article","created":{"date-parts":[[2021,9,13]],"date-time":"2021-09-13T18:01:40Z","timestamp":1631556100000},"page":"437-443","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":4,"title":["Microvascular Ear Replantation: A Multicenter Study of 22 Patients with Complete Ear Amputation"],"prefix":"10.1177","volume":"26","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4865-3417","authenticated-orcid":false,"given":"Yongkang","family":"Jiang","sequence":"first","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, Shanghai Ninth People's Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lianchu","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Plastic and Cosmetic Surgery, Xiangya Changde Hospital, Changde, China."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lei","family":"Huang","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, Shanghai Ninth People's Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aiguo","family":"Xie","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, Shanghai Ninth People's Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Linfeng","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Hand and Foot Surgery, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan, China."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wenhai","family":"Sun","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, Shanghai Ninth People's Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2024,7,26]]},"reference":[{"key":"e_1_3_6_2_2","doi-asserted-by":"crossref","unstructured":"Mladick RA Carraway JH. Ear reattachment by the modified pocket principle. Case report. Plast Reconstr Surg. 1973; 51:584\u2013587.","DOI":"10.1097\/00006534-197305000-00025"},{"key":"e_1_3_6_3_2","doi-asserted-by":"publisher","DOI":"10.1097\/00000637-200044040-00015"},{"key":"e_1_3_6_4_2","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-198006000-00017"},{"key":"e_1_3_6_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0094-1298(01)00009-8"},{"key":"e_1_3_6_6_2","doi-asserted-by":"publisher","DOI":"10.1055\/s-0032-1331150"},{"key":"e_1_3_6_7_2","doi-asserted-by":"publisher","DOI":"10.1002\/micr.22411"},{"key":"e_1_3_6_8_2","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000020068"},{"key":"e_1_3_6_9_2","doi-asserted-by":"publisher","DOI":"10.1054\/bjps.1999.3234"},{"key":"e_1_3_6_10_2","doi-asserted-by":"publisher","DOI":"10.7181\/acfs.2018.02173"},{"key":"e_1_3_6_11_2","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-198704000-00003"},{"key":"e_1_3_6_12_2","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-198709000-00016"},{"key":"e_1_3_6_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjps.2010.06.009"},{"key":"e_1_3_6_14_2","doi-asserted-by":"publisher","DOI":"10.1002\/micr.22100"},{"key":"e_1_3_6_15_2","first-page":"E15","article-title":"Microsurgical replantation and salvage procedures in traumatic ear amputation","volume":"69","author":"Lin PY","year":"2010","unstructured":"Lin PY, , Chiang YC, , Hsieh CH, , Jeng SF. Microsurgical replantation and salvage procedures in traumatic ear amputation. J Trauma. 2010; 69:E15\u2013E19.","journal-title":"J Trauma"},{"key":"e_1_3_6_16_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.prs.0000239539.98956.b0"},{"key":"e_1_3_6_17_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamafacial.2013.1622"},{"key":"e_1_3_6_18_2","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-199207000-00005"},{"key":"e_1_3_6_19_2","doi-asserted-by":"publisher","DOI":"10.1111\/joa.12550"},{"key":"e_1_3_6_20_2","doi-asserted-by":"publisher","DOI":"10.3109\/02844310701682931"},{"key":"e_1_3_6_21_2","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-199811000-00042"},{"key":"e_1_3_6_22_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjps.2007.09.017"},{"key":"e_1_3_6_23_2","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-199392050-00023"},{"key":"e_1_3_6_24_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.prs.0000260598.24376.e1"},{"key":"e_1_3_6_25_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0049-3848(00)00201-2"},{"key":"e_1_3_6_26_2","doi-asserted-by":"publisher","DOI":"10.1055\/s-0033-1354742"},{"key":"e_1_3_6_27_2","doi-asserted-by":"publisher","DOI":"10.3389\/fsurg.2018.00023"}],"container-title":["Facial Plastic Surgery &amp; Aesthetic Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1089\/fpsam.2021.0062","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1089\/fpsam.2021.0062","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1089\/fpsam.2021.0062","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T06:25:36Z","timestamp":1777443936000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1089\/fpsam.2021.0062"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,7,1]]},"references-count":26,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2024,7,1]]}},"alternative-id":["10.1089\/fpsam.2021.0062"],"URL":"https:\/\/doi.org\/10.1089\/fpsam.2021.0062","relation":{},"ISSN":["2689-3614","2689-3622"],"issn-type":[{"value":"2689-3614","type":"print"},{"value":"2689-3622","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,7,1]]}}}