Stahl's ear is a rare congenital anomaly difficult to correct surgically. T
his report presents the experience of the Division of Plastic Surgery, Univ
ersity of Sao Paulo Medical School for managing this anomaly. From January
1994 to September 1999, 15 patients underwent surgery (17 ears). Ages range
d from 7 to 22 (mean 15 years). Six patients were female. Four subjects wer
e of Oriental descent, four were Negroes, and seven were Caucasians. Deform
ities included two bilateral, four on the left ear, and nine on the right o
ne. Different methods were utilized for correction depending on the elastic
ity of the cartilage. In the presence of an elastic cartilage, sutures only
are employed, otherwise the cartilage is repositioned, as described by Sug
ino et al. No standard characteristics were noted regarding gender or race,
however, there were more unilateral cases and more on the right ear. The r
esults were adequately satisfactory, with the two methods enabling us to re
commend these surgical techniques for correction of Stahl's ear.