Surgical Correction of Stahlʼs Ear Using the Cartilage Turnover and Rotation Method

Sugino, Hiroko; Tsuzuki, Kenichi; Bandoh, Yukihiro; Tange, Ichiro

doi:10.1097/00006534-198901000-00031

Cited by 16 publications

(6 citation statements)

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“…Sugino et al 10 excised a disk of cartilage, including the third crus. This disk is turned over, rotated, and then reinserted back as a cartilage graft (Fig 4D).…”

Section: Discussionmentioning

confidence: 99%

An Alternative Approach for Correction of Stahl???s Ear

Al‐Qattan

Hashem²

2004

Annals of Plastic Surgery

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“…Sugino et al 10 excised a disk of cartilage, including the third crus. This disk is turned over, rotated, and then reinserted back as a cartilage graft (Fig 4D).…”

Section: Discussionmentioning

confidence: 99%

An Alternative Approach for Correction of Stahl???s Ear

Al‐Qattan

Hashem²

2004

Annals of Plastic Surgery

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“…A "turnover and rotation" procedure. In this procedure, the deformed cartilage itself is used in its original contour to form a new scaphoid fossa, thus simplifying the corrective procedure and establishing a reliable operative method in which reversion to the original state is thought to be highly unlikely [12] . A wedge excision is made of the anterior skin and cartilage of the abnormal, third crus prominence.…”

Section: Introductionmentioning

confidence: 99%

Titanium Mesh for Correction of Stahl's Ear Deformity

Alzamil¹,

Fatehy

Gaballah

2019

The Medical Journal of Cairo University

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Background: Stahl's bar is a rare auricular malformation that can bring social stigma to the patient. Stahl's deformity is congenital anomaly, characterized by an accessory third crus in the ear cartilage, giving rise to an irregular helical rim and paradoxically bent scaphoid fossa along its two axes [1]. Correction of such ear deformity can be a challenging task for the surgeons. There are no standard techniques for correcting this deformity [2]. Several different techniques are described in literature which yield unpredictable results. The conventional techniques of correcting this deformity include either excision of the cartilage, repositioning of the cartilage, or scoring techniques, also correction using internal sutures [3]. We studied a new technique for correction of this deformity using titanium mesh. The technical details of the surgery are described along with a review of literature on correcting similar anomalies. Aim of Study: Our aim is to evaluate and discuss the efficacy and safety of using titanium mesh to correct Stahl's ear deformity. Subjects and Methods: A prospective randomized study conducted from June 2017 to March 2019. In all, 7 patients having the Stahl's bar deformity, two bilateral and five unilateral (9 ears) included. All patients have been presented and managed at the Department of Otolaryngology, Hearing and Speech Institute. Patients have been managed surgically to correct the deformity. Surgery was by implanting a piece of titanium mesh which has been shaped and tailored to reverse the paradoxically bent scaphoid fossa. The titanium mesh with its new curve was put inside a small sub-perichondrial pocket along the long axis of the deformed bar. Regular follow-up visits were done every month for at least 6 months. Results: The operative time ranged from, 45 to 70 minutes with a mean of 62 minutes. Surgery was easy straight forward, Blood loss was minimal. As regards the final outcome, the affected auricles regained its normal appearance with fine scaphoid fossa and helical rim intraoperatively. The ears that were operated were of normal size and shape. All patients and their families were satisfied with the final result. There were no complications.

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“…1). 1,[4][5][6][7] As the severity and components of the deformity are variable in each patient, several different treatment options have been published. [4][5][6][7][8][9][10][11][12][13][14] They mainly focus on the elimination of the third crus, which is the most common and striking part of the deformity, and the creation of a superior crus.…”

mentioning

confidence: 99%

“…1,[4][5][6][7] As the severity and components of the deformity are variable in each patient, several different treatment options have been published. [4][5][6][7][8][9][10][11][12][13][14] They mainly focus on the elimination of the third crus, which is the most common and striking part of the deformity, and the creation of a superior crus. 2,4,5,9,[12][13][14][15][16] However, if the patient presents with all the components of the deformity, these techniques may not satisfactorily correct Stahl ear.…”

mentioning

confidence: 99%

“…2,4,9,[12][13][14][15][16] Insufficient efforts to correct these components may result in an unfavorable ear appearance due to the presence of an ill-defined superior crus, a broadened scapha, and a flat helical fold with a helix that is longer than the auricle. 2,4,[12][13][14]16 The ideal technique should correct all the variations of the deformity by creating a superior crus and eliminating the third crus. The ideal technique should also reduce scapha width and helix length through the creation of a helical fold without reducing ear size.…”

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confidence: 99%

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Stahl Ear Correction Using the Third Crus Cartilage Flap

Gundeslioglu

İnce

2013

Facial plast Surg

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Stahl ear is usually associated with the existence of a third crus that traverses the scapha. The absence of the superior crus of the antihelix, a broadened scapha, and unfolded, long helical rim may contribute to the formation of the deformity. The method presented in this article is a combined technique intended to recreate the absent superior crus using the third crus as a cartilage flap along with elimination of the third crus, reducing the scapha size, and correcting helical rim deformities by skin and cartilage excisions. One bilateral and three unilateral cases were operated on with this technique (five auricles). The first unilateral cases were performed without scapha reduction and helix correction which was used in the other three cases with successful results. This procedure can be used to correct Stahl ear variations in the case of an absent superior crus when a third crus is present, the scapha is of increased size, and the helix is long without a fold.

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Surgical Correction of Stahlʼs Ear Using the Cartilage Turnover and Rotation Method

Cited by 16 publications

References 0 publications

An Alternative Approach for Correction of Stahl???s Ear

An Alternative Approach for Correction of Stahl???s Ear

Titanium Mesh for Correction of Stahl's Ear Deformity

Stahl Ear Correction Using the Third Crus Cartilage Flap

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