Gundeslioglu A Ozlem, Ince Bilsev
Department of Plastic, Reconstructive, and Aesthetic Surgery, Necmettin Erbakan University, Meram School of Medicine, Meram, Konya, Turkey.
Facial Plast Surg. 2013 Dec;29(6):520-4. doi: 10.1055/s-0033-1360595. Epub 2013 Dec 10.
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.
斯塔尔耳通常与一条横穿耳舟的第三脚的存在有关。对耳轮上脚的缺失、耳舟变宽以及未展开的长耳轮缘可能导致畸形的形成。本文介绍的方法是一种联合技术，旨在利用第三脚作为软骨瓣重建缺失的上脚，同时去除第三脚，减小耳舟尺寸，并通过皮肤和软骨切除来矫正耳轮缘畸形。使用该技术对1例双侧和3例单侧病例（共5只耳廓）进行了手术。首例单侧病例未进行耳舟减小和耳轮矫正，其他3例采用了这种方法并取得了成功。当存在第三脚、耳舟增大且耳轮长而无褶皱时，该手术可用于矫正上脚缺失情况下的斯塔尔耳变异。
