Facial plast Surg 2013; 29(06): 520-524
DOI: 10.1055/s-0033-1360595
Original Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Stahl Ear Correction Using the Third Crus Cartilage Flap

A. Ozlem Gundeslioglu1, Bilsev Ince1
  • 1Department of Plastic, Reconstructive, and Aesthetic Surgery, Necmettin Erbakan University, Meram School of Medicine, Meram, Konya, Turkey
Further Information

Publication History

Publication Date:
10 December 2013 (online)


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.