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Stahl ear correction using the third crus cartilage flap.
A Ozlem Gundeslioglu1, Bilsev Ince
1Department of Plastic, Reconstructive, and Aesthetic Surgery, Necmettin Erbakan University, Meram School of Medicine, Meram, Konya, Turkey.
Facial Plastic Surgery : FPS
|December 12, 2013
Summary
This study presents a surgical technique to correct Stahl ear deformity by reconstructing the superior crus and reducing scapha size. The combined approach successfully addresses variations in the ear
Area of Science:
- Plastic Surgery
- Otolaryngology
- Anatomy
Background:
- Stahl ear is a congenital deformity characterized by a prominent third crus traversing the scapha.
- Associated features include absence of the superior crus of the antihelix, a broadened scapha, and an unfolded, long helical rim.
Observation:
- A combined surgical technique was developed to address Stahl ear variations.
- The method involves using the third crus as a cartilage flap to recreate the absent superior crus.
- It also includes elimination of the third crus, scapha size reduction, and correction of helical rim deformities via excisions.
Findings:
- The technique was applied to five auricles (one bilateral, three unilateral cases).
- Initial cases without scapha reduction and helix correction were performed, followed by cases incorporating these modifications.
- Successful results were achieved in all cases, particularly with the inclusion of scapha reduction and helix correction.
Implications:
- This surgical procedure offers a viable solution for correcting Stahl ear deformities.
- It is particularly effective when the superior crus is absent, a third crus is present, the scapha is enlarged, and the helix is unfolded.
