目的：探讨耳严重撕脱伤的治疗．方法：急诊手术中，细致的清创可防止术后感染，预防耳软骨膜炎发生；外固定采用打包包扎法，保证耳廓上有一定的压力，有利于静脉回流，又使蒂部不受压；术后抗炎，抗凝治疗是必要的．结果：术后５例耳成活，外形良好，１例固定不当，耳坏死．结论：对有蒂相连的耳撕脱伤，处理得当，仍有理想效果． Objective: To investigate the treatment of severe avulsion of the ear. Methods: Emergency surgery, meticulous debridement to prevent postoperative infection, prevention of perichondritis occurred; external fixation using packing bandage method to ensure that there is a certain pressure on the auricle, which is conducive to venous return, but also from pedicle uncomfortable Pressure; postoperative anti-inflammatory, anticoagulant therapy is necessary. Results: Five cases of postoperative survival of the ear, good shape, 1 case of improper fixing, ear necrosis. CONCLUSIONS: There is still an ideal effect on the avulsion of the pedicled ear, with proper handling.