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Stahl’s Ear Correction: Synergistic Use of Cartilage Abrading, Strategic Mustarde Suture Placement, and Anterior Anticonvexity Suture

Weinfeld, Adam Bryce MD

Journal of Craniofacial Surgery: May 2012 - Volume 23 - Issue 3 - p 901–905
doi: 10.1097/SCS.0b013e31824e256c
Technical Experience/Technical Strategy

Abstract: Stahl ear deformity is characterized by a third auricular crus with a horizontal orientation. A diminutive superior crus and prominence of the upper pole of the ear are also generally present. Many acknowledge that Stahl ear is a challenging deformity to correct. In the present report, an effective technique is introduced that uses 3 different, yet synergistic, maneuvers to oblate the third crus, enhance the superior crus, and normalize superior pole projection. The maneuvers are posterior abrading of the third crus, strategic placement of a posterior Mustarde suture, and placement of an anterior anticonvexity suture. Postoperative care involves the use of a custom scaphoid fossa splint and headband.

From the Craniofacial and Reconstructive Plastic Surgery Clinic, Dell Children’s Medical Center of Central Texas; and Advanced Facial Surgery Center, Seton Institute of Reconstructive Plastic Surgery, Austin, Texas.

Received August 10, 2011.

Accepted for publication January 20, 2012.

Address correspondence and reprint requests to Adam Bryce Weinfeld, MD, 1301 Barbara Jordan Blvd, Suite 301, Austin, TX 78723; E-mail: Abweinfeld1@seton.org

The author report no conflict of interest.

© 2012 Mutaz B. Habal, MD