Microvascular ear replantation.

Three cases of attempted ear replantation are presented. Successful revascularisation was achieved in all patients. However, in one case venous congestion and necrosis of the ear occurred at 7 days. Thorough initial debridement of skin and cartilage plus systemic heparinisation and haemodilution upon completion of the vascular anastomoses are considered important technical factors. When compared with other forms of reconstruction, ear replantation gives a superior result and is therefore advocated whenever possible.