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      Mythological ears, a real deformity: A case of bilateral Stahl's ears in a South African girl

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          Abstract

          Stahl's ear is a rare congenital deformity of the pinna with a third crus resulting in an 'elf-like', 'Vulcan-like' or 'satyr-like' appearance with pointing of the ears. Early recognition of the condition allows successful early conservative treatment and may avoid the need for surgical correction at a later stage. We present the case of a 7-year-old South African girl with bilateral Stahl's ears, who presented with psychological distress as a result of being ridiculed at her school. The deformity was surgically corrected with a good cosmetic result and patient satisfaction.

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          Stahl's ear caused by an abnormal intrinsic auricular muscle.

          Stahl's ear in a 12-year-old girl was treated surgically. During the operation, we discovered that the transverse muscle had an abnormal course, and we concluded that this muscle had caused the deformity. Treatment was accomplished by cartilage incision and transposition of the muscle to its normal position. After 3 years of follow-up, the reconstructed ear has maintained a good appearance. The etiology of Stahl's ear is unknown. Although various techniques have been reported for the reconstruction of Stahl's ear, the course of the intrinsic auricular muscles have not been confirmed by surgeons during the operation. We think that this case provides insight into the etiology of Stahl's ear and provides guidance for a new surgical treatment.
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            Stahl syndrome in clinical practice

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              Aesthetic otoplasty: wedge excision of a flattened helix to create a helical curl

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                Author and article information

                Contributors
                Role: ND
                Role: ND
                Journal
                sajch
                South African Journal of Child Health
                S. Afr. j. child health
                Health & Medical Publishing Group (Cape Town )
                1994-3032
                May 2013
                : 7
                : 2
                : 68-69
                Affiliations
                [1 ] Kimberley Hospital Complex South Africa
                [2 ] Kimberley Hospital Complex South Africa
                Article
                S1999-76712013000200008
                a617220a-1b4a-434d-b1ef-16ce61fa368d

                http://creativecommons.org/licenses/by/4.0/

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                SciELO South Africa

                Self URI (journal page): http://www.scielo.org.za/scielo.php?script=sci_serial&pid=1999-7671&lng=en
                Categories
                Health Care Sciences & Services

                Health & Social care
                Health & Social care

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