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施塔尔耳矫正术：手术方法综述

Stahl's ear correction: A review of surgical approaches.

作者信息

Nassar Aref, Naba Joy, Eid Dollen, Zeid Samer Abou, Demian Joe

机构信息

Plastic Surgery Department, Hotel Dieu de France, Saint Joseph University, Beirut, Lebanon.

Dermatology Department, Hotel Dieu de France, Saint Joseph University, Beirut, Lebanon.

出版信息

JPRAS Open. 2025 Jul 11;45:364-378. doi: 10.1016/j.jpra.2025.07.001. eCollection 2025 Sep.

DOI:10.1016/j.jpra.2025.07.001
PMID:40761426
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12319332/
Abstract

BACKGROUND

Stahl's ear is a congenital deformity involving an additional third crus and a pointed upper helix, leading to aesthetic and functional concerns. Surgical correction is often necessary for severe cases or when nonsurgical methods are ineffective. However, there is limited comprehensive guidance on surgical technique selection.

OBJECTIVES

This review evaluates the full spectrum of surgical techniques for Stahl's ear correction, aiming to provide a comparative framework for surgical decision-making.

METHODS

A systematic search of PubMed, MEDLINE, and Embase databases identified 18 studies published through October 2024. Data on surgical techniques, outcomes, and complications were extracted and synthesized.

RESULTS

The review analyzes surgical techniques for Stahl's ear correction, evaluating their advantages, limitations, and clinical applications. Surgical methods were categorized into cartilage-sparing and cartilage-cutting techniques, with combined approaches also discussed. A comprehensive comparison of techniques is provided, consolidating scattered data into a practical guide for tailoring treatment to patient-specific anatomy.

CONCLUSIONS

Surgical correction of Stahl's ear requires a patient-centered approach, balancing deformity severity and cartilage characteristics. This study presents the first comprehensive review of surgical techniques for correcting Stahl's ear deformity, providing a detailed analysis of their advantages, limitations, and clinical indications. Further research is needed to evaluate long-term outcomes and refine evidence-based guidelines.

摘要

背景

斯塔尔氏耳是一种先天性畸形，表现为额外的第三耳轮脚和尖锐的上耳轮，引发美学和功能方面的问题。对于严重病例或非手术方法无效时，通常需要进行手术矫正。然而，在手术技术选择方面的全面指导有限。

目的

本综述评估用于矫正斯塔尔氏耳的各种手术技术，旨在为手术决策提供一个比较框架。

方法

对PubMed、MEDLINE和Embase数据库进行系统检索，确定截至2024年10月发表的18项研究。提取并综合有关手术技术、结果和并发症的数据。

结果

该综述分析了矫正斯塔尔氏耳的手术技术，评估其优点、局限性和临床应用。手术方法分为保留软骨技术和切除软骨技术，同时也讨论了联合方法。提供了技术的全面比较，将分散的数据整合为一份根据患者特定解剖结构量身定制治疗的实用指南。

结论

斯塔尔氏耳的手术矫正需要以患者为中心的方法，平衡畸形严重程度和软骨特征。本研究首次全面综述了矫正斯塔尔氏耳畸形的手术技术，详细分析了其优点、局限性和临床适应症。需要进一步研究以评估长期结果并完善循证指南。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e134/12319332/55437b5563e1/gr10.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e134/12319332/42660372376a/gr8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e134/12319332/155f09cb6a74/gr9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e134/12319332/55437b5563e1/gr10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e134/12319332/57b833b557d9/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e134/12319332/cb5a2d93b2c2/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e134/12319332/b9690c2be16d/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e134/12319332/ea227cf4c921/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e134/12319332/afa7448ac4e5/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e134/12319332/cb1b3708d885/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e134/12319332/4f31b98eaaae/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e134/12319332/42660372376a/gr8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e134/12319332/155f09cb6a74/gr9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e134/12319332/55437b5563e1/gr10.jpg

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本文引用的文献

1
Nonsurgical Correction of Stahl's Ear in Neonates: A Case Study.新生儿斯塔尔氏耳的非手术矫正：病例研究
Plast Reconstr Surg Glob Open. 2022 Oct 11;10(10):e4566. doi: 10.1097/GOX.0000000000004566. eCollection 2022 Oct.
2
The Double-reverse Wedge Excision Technique: A Novel Approach to Reconstruction of Stahl's Ear Deformity.双反向楔形切除技术：一种重建斯塔尔氏耳畸形的新方法。
Plast Reconstr Surg Glob Open. 2019 Jul 24;7(7):e2313. doi: 10.1097/GOX.0000000000002313. eCollection 2019 Jul.
3
A Novel Three-Step Method for Correction of Type 1 Stahl Ear.
J Craniofac Surg. 2017 Nov;28(8):2135-2138. doi: 10.1097/SCS.0000000000003941.
4
Innovative method to correct Stahl ear that involves full thickness scoring incisions and an onlay graft of cymba conchal cartilage.一种矫正斯塔尔氏耳的创新方法，该方法涉及全层划痕切口和耳甲艇软骨的覆盖移植。
Br J Oral Maxillofac Surg. 2017 Jan;55(1):81-83. doi: 10.1016/j.bjoms.2016.04.023. Epub 2016 May 10.
5
Stahl ear correction using the third crus cartilage flap.使用第三脚软骨瓣矫正斯塔尔耳
Facial Plast Surg. 2013 Dec;29(6):520-4. doi: 10.1055/s-0033-1360595. Epub 2013 Dec 10.
6
Aetiology, pathogenesis, and specific management of Stahl's ear: role of the transverse muscle insertion.斯塔尔氏耳的病因、发病机制及特殊治疗：横行肌附着的作用
Br J Oral Maxillofac Surg. 2013 Dec;51(8):e230-3. doi: 10.1016/j.bjoms.2013.01.018. Epub 2013 Mar 5.
7
Stahl's ear correction: synergistic use of cartilage abrading, strategic Mustarde suture placement, and anterior anticonvexity suture.施塔尔耳矫正术：软骨磨削、Mustarde缝线的策略性放置以及前凸缝合的协同应用
J Craniofac Surg. 2012 May;23(3):901-5. doi: 10.1097/SCS.0b013e31824e256c.
8
A new method to correct Stahl's ear.一种新的 Stahl 耳矫正方法。
J Plast Reconstr Aesthet Surg. 2011 Jan;64(1):48-52. doi: 10.1016/j.bjps.2010.03.056. Epub 2010 May 13.
9
Non-surgical correction of congenital deformities of the auricle: a systematic review of the literature.先天性耳廓畸形的非手术矫正：文献系统综述
J Plast Reconstr Aesthet Surg. 2009 Jun;62(6):727-36. doi: 10.1016/j.bjps.2009.01.020. Epub 2009 Mar 27.
10
Posterior Z-plasty and J-Y antihelixplasty for correction of Stahl's ear deformity.应用后 Z 成形术和 J-Y 反回旋形耳成形术矫正 Stahl 耳畸形
J Plast Reconstr Aesthet Surg. 2009 Nov;62(11):1418-23. doi: 10.1016/j.bjps.2008.04.052. Epub 2008 Aug 8.