Replanting the severed auricle. An update.

An updated method of replanting a severed auricle is reported. Management consists of early, meticulous replantation with minimal debridement; cooling of the auricle; low-dose heparin sodium; dextran 40; antibiotic coverage; and multiple stab incisions to relieve venous congestion. The regimen is based on experience with nine successfully replanted auricles.