The Double-reverse Wedge Excision Technique: A Novel Approach to Reconstruction of Stahl’s Ear Deformity

Summary:. Stahl’s ear deformity presents with an abnormal third crus of the antihelix and varying degrees of severity. This paper aims to describe a novel technique for reconstruction of Stahl’s ear involving a double-reverse wedge excision of the third crus cartilage and skin, as well as use of Mus...

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Main Authors: Catherine J. Sinnott, MD, Christina Boutros, BS, Thomas A. Davenport, MD, FACS, Rachel A. Ruotolo, MD, FACS
Format: Article
Language:English
Published: Wolters Kluwer 2019-07-01
Series:Plastic and Reconstructive Surgery, Global Open
Online Access:http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000002313
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spelling doaj-9d27f7456526434a8838761f4c5334612020-11-25T03:01:14ZengWolters KluwerPlastic and Reconstructive Surgery, Global Open2169-75742019-07-0177e231310.1097/GOX.0000000000002313201907000-00031The Double-reverse Wedge Excision Technique: A Novel Approach to Reconstruction of Stahl’s Ear DeformityCatherine J. Sinnott, MD0Christina Boutros, BS1Thomas A. Davenport, MD, FACS2Rachel A. Ruotolo, MD, FACS3From the Long Island Plastic Surgical Group, Garden City, N.Y.From the Long Island Plastic Surgical Group, Garden City, N.Y.From the Long Island Plastic Surgical Group, Garden City, N.Y.From the Long Island Plastic Surgical Group, Garden City, N.Y.Summary:. Stahl’s ear deformity presents with an abnormal third crus of the antihelix and varying degrees of severity. This paper aims to describe a novel technique for reconstruction of Stahl’s ear involving a double-reverse wedge excision of the third crus cartilage and skin, as well as use of Mustardé sutures to recreate the superior crus and Furnas sutures to complete the auricular setback. This novel technique for correction of Stahl’s ear deformity produces a more stable aesthetic result versus classic otoplasty with desired auricular setback, minimal reduction in the size of the ear, and limited scarring on the anterior auricular surface. Reconstruction of Stahl’s ear deformity can be accomplished using this double-reverse wedge excision technique of the third crus cartilage and skin with Mustardé and Furnas sutures to recreate the superior crus and complete auricular setback, effectively restoring anatomic harmony to the ear.http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000002313
collection DOAJ
language English
format Article
sources DOAJ
author Catherine J. Sinnott, MD
Christina Boutros, BS
Thomas A. Davenport, MD, FACS
Rachel A. Ruotolo, MD, FACS
spellingShingle Catherine J. Sinnott, MD
Christina Boutros, BS
Thomas A. Davenport, MD, FACS
Rachel A. Ruotolo, MD, FACS
The Double-reverse Wedge Excision Technique: A Novel Approach to Reconstruction of Stahl’s Ear Deformity
Plastic and Reconstructive Surgery, Global Open
author_facet Catherine J. Sinnott, MD
Christina Boutros, BS
Thomas A. Davenport, MD, FACS
Rachel A. Ruotolo, MD, FACS
author_sort Catherine J. Sinnott, MD
title The Double-reverse Wedge Excision Technique: A Novel Approach to Reconstruction of Stahl’s Ear Deformity
title_short The Double-reverse Wedge Excision Technique: A Novel Approach to Reconstruction of Stahl’s Ear Deformity
title_full The Double-reverse Wedge Excision Technique: A Novel Approach to Reconstruction of Stahl’s Ear Deformity
title_fullStr The Double-reverse Wedge Excision Technique: A Novel Approach to Reconstruction of Stahl’s Ear Deformity
title_full_unstemmed The Double-reverse Wedge Excision Technique: A Novel Approach to Reconstruction of Stahl’s Ear Deformity
title_sort double-reverse wedge excision technique: a novel approach to reconstruction of stahl’s ear deformity
publisher Wolters Kluwer
series Plastic and Reconstructive Surgery, Global Open
issn 2169-7574
publishDate 2019-07-01
description Summary:. Stahl’s ear deformity presents with an abnormal third crus of the antihelix and varying degrees of severity. This paper aims to describe a novel technique for reconstruction of Stahl’s ear involving a double-reverse wedge excision of the third crus cartilage and skin, as well as use of Mustardé sutures to recreate the superior crus and Furnas sutures to complete the auricular setback. This novel technique for correction of Stahl’s ear deformity produces a more stable aesthetic result versus classic otoplasty with desired auricular setback, minimal reduction in the size of the ear, and limited scarring on the anterior auricular surface. Reconstruction of Stahl’s ear deformity can be accomplished using this double-reverse wedge excision technique of the third crus cartilage and skin with Mustardé and Furnas sutures to recreate the superior crus and complete auricular setback, effectively restoring anatomic harmony to the ear.
url http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000002313
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