Plastic Surgery Hospital, Peking union medical college and Chinese Academy of Medical Science, Beijing, People's Republic of China.
J Plast Reconstr Aesthet Surg. 2011 Jan;64(1):48-52. doi: 10.1016/j.bjps.2010.03.056. Epub 2010 May 13.
Stahl's ear is a rare congenital auricular malformation in which an abnormal 'third crus' traverses the upper pole of the scapha. A number of different treatment options have been published to correct Stahl's ear deformity; however, none of them corrects all the variations perfectly. In this article, we describe our new method to correct this deformity.
To correct Stahl's ear and acquire a natural-looking appearance, a technique of cartilage scoring and a folding cartilage flap was used. The entire layer of the cartilage was cut through and the anterior skin covering the cartilage was dissected to the external border of the desired superior crus and antehelix to form a fan-shape flap. After scoring of the posterior surface of the cartilage, the cartilage flap was folded and sutured to the cartilage below to build the superior crus.
Seventeen patients ranging in age from 9 to 46 years were operated upon using this technique. The ears that were created were of normal size and shape. All patients and their families were satisfied with the final result. There were no complications.
We have developed a new method to correct Stahl's ear deformity. Outcomes of this technique on 17 patients suggest that our method is simple, effective and successful.
Stahl 耳是一种罕见的先天性耳廓畸形，其中异常的“第三跖骨”穿过舟状突的上极。已经发表了许多不同的治疗选择来纠正 Stahl 耳畸形；然而，没有一种方法能完美地纠正所有的变异。在本文中，我们描述了我们纠正这种畸形的新方法。
为了纠正 Stahl 耳并获得自然的外观，我们采用了软骨划线和折叠软骨瓣的技术。软骨的整个层被切开，覆盖软骨的前皮肤被解剖到所需的上跖骨和前耳轮的外部边界，形成扇形瓣。软骨背面划线后，将软骨瓣折叠并缝合到下面的软骨上，以形成上跖骨。
17 名年龄在 9 至 46 岁之间的患者采用该技术进行了手术。所创造的耳朵大小和形状正常。所有患者及其家属对最终结果均满意。无并发症发生。
我们已经开发出一种新的方法来纠正 Stahl 耳畸形。对 17 名患者的该技术结果表明，我们的方法简单、有效且成功。
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