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2018, Number 6

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Rev Fac Med UNAM 2018; 61 (6)

Stahl ear and its surgical management

Baldín AV, Telich TJE, Íñigo AF, Apellaniz CA
Full text How to cite this article

Language: Spanish
References: 10
Page: 26-28
PDF size: 181.24 Kb.


Key words:

Ear, Stahl, ear reconstruction.

ABSTRACT

Introduction: Stahl’s ear presents a low incidence, even in specialized ear reconstruction centers. It is characterized by an abno rmal cartilaginous remnant, extending from the antihelix to the edge of the helix, forming a third crura.
Case report: A 117-year-old man presented an ear deformity characterized by hypoplasia of the root of the antihelix and the presence of a third crura, which communicates the antihelix to the helix. A resection of third crura and cartilaginous reconstruction of the auricular pavilion was performed, achieving an adequate reconstruction, with good aesthetic results, without size alteration in comparison to the contralateral ear.
Conclusions: Stahl’s deformity is a rare ear deformity that can lead to significant social disruption and stigma. Surgical treatment is the preferential option for handling this deformity, and focuses mainly on the correction of the third crura.


REFERENCES

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  2. Porter CJ, Tan ST. Congenital auricular anomalies: topographic anatomy, embryology, classification, and treatment strategies. Plast Reconstr Surg 2005;115:1701-12.

  3. Ferraro GA, Perrotta A, Rossano F, D’Andrea F. Stahl syndrome in clinical practice. Aesthetic Plast Surg. 2006;30(3):348- 9. DOI: http://dx.doi.org/10.1007/s00266-005-0139-4.

  4. Fischl RA. The third crus of the anthelix and another minor anomaly of the external ear. Plast Reconstr Surg. 1976;58(2):192-5. PMID: 940872 DOI: http://dx.doi. org/10.1097/00006534-197608000- 00009.

  5. Yotsuyanagi T, Nihei Y, Shinmyo Y, Sawada Y. Stahl’s ear caused by an abnormal intrinsic auricular muscle. Plast Reconstr Surg. 1999;103(1):171-4. PMID: 9915179

  6. Yamashita K, Yotsuyanagi T, Gonda A, et al. Abnormality of auricular muscles in congenital auricular deformities. Presented at 1st Congress of ISAR, Paris. September 2014.

  7. Gleizal A, Bachelet JT. Aetiology, pathogenesis, and specific management of Stahl’s ear: role of the transverse muscle insertion. Br J Oral Maxillofac Surg. 2013;51(8):e230-3. DOI: http:// dx.doi.org/10.1016/j.bjoms.2013.01.018.

  8. Nakajima T, Yoshimura Y, Kami T. Surgical and conservative repair of Stahl’s ear. Aesthetic Plast Surg. 1984;8(2):101-7.

  9. Maximiliano J et al. Manejo da deformidade auricular de Stahl: um relato de caso Rev. Bras. Cir. Plást. 2017;32(1):145-147.

  10. F. Schonauer et al. Non-surgical correction of deformational auricular anomalies. Journal of Plastic, Reconstructive & Aesthetic Surgery (2009) 62, 876e883.




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Rev Fac Med UNAM . 2018;61