When is complex ear laceration contraindicated?

Updated: Aug 25, 2020
  • Author: Gretchen S Lent, MD; Chief Editor: Erik D Schraga, MD  more...
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Specific injuries of the ear require urgent referral to a plastic surgeon or ear specialist. Such injuries include the following:

  • Large overlying skin avulsion (approximately 5 mm or greater)

  • Severe crush injuries

  • Complete or near-complete avulsions [7] or amputations [9, 10]

  • Large cartilage defects (approximately 5 mm or greater)

  • Wounds that require the removal of more than approximately 5 mm of tissue

  • Significant involvement of the auditory canal

  • Obvious tissue devitalization

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