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2018, Number 1

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Cir Plast 2018; 28 (1)

Stahl ear and its surgical management

Baldin AV, Telich TJE, Íñigo AF, Apellaniz CA
Full text How to cite this article 10.35366/CP181D

DOI

DOI: 10.35366/CP181D
URL: https://dx.doi.org/10.35366/CP181D

Language: Spanish
References: 11
Page: 23-26
PDF size: 228.53 Kb.


Key words:

Ear, Stahl, ear reconstruction.

ABSTRACT

Stahl’s ear has a low incidence even in specialized ear reconstruction centers. It is characterized by presenting an abnormal cartilaginous remnant that extends from the antihelix to the edge of the helix, thus forming third crus. We present the case of a 17-year-old man with atrial deformity characterized by hypoplasia of the root of the antihelix and presence of third crus, which communicates the antihelix to the helix. We resected the third crus and reconstructed the cartilage of the auricular pavilion, achieving an adequate reconstruction, with good aesthetic results, without altering the size in comparison with the contralateral ear. We conclude that Stahl’s deformity is a rare atrial defect, often underdiagnosed even in specialized centers. This pathology can cause important social disorders and stigmas to the patient. Surgical treatment is the preferred management of this deformity and focuses mainly on the correction of the third crus.


REFERENCES

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  4. Ferraro GA, Perrotta A, Rossano F, D’Andrea F. Stahl syndrome in clinical practice. Aesthetic Plast Surg. 2006; 30 (3): 348-349; discussion 350.

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  6. Yamashita K, Yotsuyanagi T, Gonda A et al. Abnormality of auricular muscles in congenital auricular deformities. Paris: Presented at 1st Congress of ISAR; 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-e233.

  8. Nakajima T, Yoshimura Y, Kami T. Surgical and conservative repair of Stahl’s ear. Aesthetic Plast Surg. 1984; 8 (2): 101-107.

  9. Schonauer F, La Rusca I, Molea G. Non-surgical correction of deformational auricular anomalies. J Plast Reconstr Aesthet Surg. 2009; 62 (7): 876-883.

  10. Maximiliano J, Oliveira AC, Possamai LM, Bombardelli J, Collares MV. Manejo da deformidade auricular de Stahl: um relato de caso. Rev Bras Cir Plast. 2017; 32 (1): 145-147.

  11. Kaplan HM, Hudson DA. A novel surgical method of repair for Stahl’s ear: a case report and review of current treatment modalities. Plast Reconstr Surg. 1999; 103 (2): 566-569.




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Cir Plast. 2018;28