Evaluation of changes in auricular size after simple wedge excision in treatment of Stahl’s ear deformity

Stahl’s ear deformity is characterized by disturbed normal anatomy of the ear. There is a third crus with distortion of the superior crus and a flat helix. Correction of Stahl’s ear can be done non-surgically in the neonatal period but in elder patients the surgical correction is the only option. The present study aimed to use a simple excision method to treat this deformity and evaluate changes in auricular size following the excision.

Ten auricles from July 2022 to October 2023 were included. Preoperative consultation and analysis of the deformity were done. Simple full thickness excision of the deformed cartilage with primary closure of the remaining defect and comparison of the size of the auricle to the preoperative measurements were done followed by assessment of the patient post-operative satisfaction.

There was no significant decrease in the ear height. No problems with the wounds were found. All patients were satisfied with the results except for the first patient who had some contour irregularity and needed to be re-operated on.

Full thickness excision of the deformed cartilage is a simple method that eliminates the components of the deformity effectively. This method can be implemented when possible with pleasing aesthetic results and no significant changes in auricular size. Early discovery of the auricular deformities and correcting them may save the patient from a surgery later. An effective surgical technique is the one that eliminates the components of the defect and leaves the patient satisfied.

Level IV, therapeutic study.