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Ear conditions

Stahl’s ear in newborns

Stahl’s ear is a newborn ear shape in which an extra fold of cartilage runs across the upper part of the ear. It can give the top of the ear a pointed look, which is why it is sometimes called “Spock ear” or “elf ear.”

Written by EarWell Centers editorial teamUpdated Editorial policy

Infant ear with an arrow pointing to the extra cartilage fold that gives the upper ear a pointed shape, beside the same ear after molding
Left: an infant ear with an extra fold (arrow). Right: the same ear after molding. Photograph previously published by EarWell Centers; results vary.

What Stahl’s ear looks like

A typical ear has a curved ridge (the antihelix) that splits into two branches near the top. In Stahl’s ear there is an extra branch, often called a third crus, that runs toward the outer rim. The rim above it may look flattened or angled, so the upper ear appears pointed. It can affect one ear or both.

How it is assessed

The clinician examines both ears, feels how soft the cartilage is, and notes whether other features are present, such as a conchal crus or a flattened helical rim. Stahl’s ear is often one part of a mixed shape.

Is molding considered for Stahl’s ear?

It may be. Molding aims to soften the extra fold and support a more typical curve while the cartilage is still pliable. How well an ear responds depends on the shape, the baby’s age and how treatment goes, so the clinician will discuss realistic expectations. When to start.

Paired photographs of an infant ear with an extra upper cartilage fold, before and after molding
Another infant ear with Stahl’s ear features, before and after molding. Previously published by EarWell Centers; results vary.

Terms you may see

“Stahl’s ear,” “Stahl’s bar,” “third crus,” “Vulcan ear,” “Spock ear” and “elf ear” are all used for this shape. The clinician will explain which features your baby has.

More results

Questions about Stahl’s ear

What does Stahl’s ear look like in a newborn?

The upper ear has an extra fold of cartilage running toward the rim, which can make the top of the ear look pointed or angled.

How is Stahl’s ear diagnosed?

A clinician examines the ear’s folds and cartilage in person. Photos can show the concern, but an exam confirms which features are present.

Can ear molding help Stahl’s ear?

Molding may be considered while the cartilage is soft. The clinician will explain how your baby’s ear is likely to respond. Is my baby a candidate?

Is Stahl’s ear the same as a Spock ear or elf ear?

These are informal names for the same general shape. Clinicians may also use terms such as third crus or Stahl’s bar.

Will Stahl’s ear go away on its own?

Some newborn ear shapes change in the first days, but an extra cartilage fold often persists. An evaluation can help you decide what to do. Self-correction.

Questions about your baby’s ears?

Request an evaluation with EarWell Centers or call our team. We will help you understand the next step.