RÉSUMÉ
Objective To select a simple and suitable operation metho d of composite ear transplantation according to the feature of alar defection an d personal characteristics, which can lead to a perfect reconstructional result with plump ala and symmetric nostril. Methods Evaluation standa rds, practical situation, attentions in operation, advantages and disadvantages of 3 methods of composite ear transplantation were determined from the follow-u p results in 26 out of 32 alar reconstruction cases in recent 5 years. R esults No obvious difference was found out of the results of the 3 meth ods of composite ear transplantation. Conclusions All the 3 met hods of composite ear transplantation are effective. Composite ear graft is simp le, with no further scar formation on face. Refluent axil ear flap pedicled by s upraorbital artery is suitable to bigger defection but the transplantation is re stricted by vessel condition. Composite ear flap transplantation with vessels an astomoses can reach a satisfactory result but the operation is complex. It is im portant to get a satisfactory reconstructive result that a suitable method is se lected according to the features of alar defection and personal characteristics.