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A Novel Three-Step Method for Correction of Type 1 Stahl Ear
Mimi R Borrelli1, Edward H Davidson, Anand R Kumar
1*King's College London, The Strand, London †Department of Plastic and Reconstructive Surgery, The Johns Hopkins Hospital, Baltimore.
The Journal of Craniofacial Surgery
|September 23, 2017
Summary
A novel 3-step surgical technique effectively corrects type 1 Stahl ear, a congenital ear anomaly. This method eliminates the third crus and reconstructs the superior crus, improving cosmetic outcomes for this rare condition.
Area of Science:
- Plastic Surgery
- Congenital Malformations
- Otolaryngology
Background:
- Stahl ear is a rare congenital auricular anomaly characterized by a third crus crossing the scaphoid fossa.
- Correction of type 1 Stahl ear, specifically third crus elimination and superior crus reconstruction, requires refined techniques.
Observation:
- A case report details a 10-year-old male with bilateral type 1 Stahl ears.
- The surgical approach involved an anterior curvilinear helical fold incision and posterior V wedge excision for exposure.
Findings:
- A 3-step technique successfully eliminated the third crura and reconstructed the superior crura.
- Horizontal mattress sutures were utilized to flatten the scaphoid fossa and shape the superior crus.
- The anterior approach facilitated excellent visualization and precise suture placement, resulting in minimal anterior scarring.
Implications:
- This novel technique offers a reliable method for correcting type 1 Stahl ear.
- The described approach enhances the natural antihelical curves and minimizes visible scarring.
- The technique's simplicity and effectiveness provide a valuable option for surgical correction of this auricular anomaly.
