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Reimplantation of an amputated pinna.

Partial or total amputations of the external ear are difficult management problems. Successful reimplantations of total amputations by primary suture technique are few, and this approach has not been encouraged until recently. Aggressive medical therapy with antibiotics, anticoagulation, and vasodilatation in conjunction with surgical techniques of primary suture reattachment, flow-through incisions, and increasing contact area are directed toward a physiologic approach to free-graft survival. Application of these techniques has resulted in a successful reimplantation in a less than ideally suited total amputation.