Objective: Management of the near-total auricular avulsion injury is a difficult challenge. There are several techniques for the proper treatment of such injuries with variable results. We present a series of seven cases of traumatic auricular near total avulsion with a narrow flap base. This is accompanied with a review of literature of similar conditions.Patients and Methods: This work presents a retrospective study of patients with traumatic auricular amputation, who were admitted to the emergency department at Sohag University Hospital, in the period from March 2015 to November 2019, with traumatic auricular avulsion. Patients’ files were reviewed for demographic data, trauma details, operative notes, and post-operative results. Only patients with near-total auricular avulsion. Results: Seven patients (6 males and one female) were included with complete records and fulfilled criteria. The mean age at the time of trauma was 25.8 years. Early post-operative venous congestion of the reattached ear was reported in two patients. All cases were successfully reattached without tissue loss of the repositioned tissue or significant shrinkage postoperatively. The literature presented twelve articles reporting 17 patients, where venous congestion was the most common complication after the repair (35.3%). Conclusions: The entire ear can survive based on a small, inferiorly based pedicle with favorable results and without severe complications.
