Severe auricular trauma is a rare injury. In addition to the type of injury, the location and the extent of the involved auricular structures have an important influence on the selection of an appropriate replantation or reattachment technique. A satisfactory primary reconstruction is not always possible to obtain and the remaining defects must be reconstructed secondary. The localization of the defect, its extent, and the condition of the tissue surrounding the defect are essential criteria for further treatment planning. This article provides an overview of the treatment of acute auricular trauma and of important aspects of secondary defect repair of the pinna.
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