Abstract
<i>In Reply</i>.—The purpose of my article on fixed-tissue micrographic surgery for melanoma of the ear was to show how the total microscopic control of excision could make it possible to safely spare more normal tissue than is possible with conventional surgery. The photographs of the five cases of melanomas in different parts of the ear clearly showed this benefit, but visual comparison of similar cases in Dr Byers' series is impossible because there were no photographs in his 1980 article. He did state that amputation was performed in 30 cases (partial in 21 patients and total in nine patients), wedge resection was used in 36 patients, and no treatment with follow-up was the care given to 36 patients. Therefore, in the group of 66 patients who were treated there were 30 amputations (45%). I presume that for the first four treated patients in my article a partial amputation would have been
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