Hostname: page-component-cd9895bd7-gxg78 Total loading time: 0 Render date: 2024-12-27T15:10:47.463Z Has data issue: false hasContentIssue false

Supra-auricular and post-auricular resection of pre-auricular and post-auricular sinuses

Published online by Cambridge University Press:  21 October 2019

H Ding
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Anqing Municipal Hospital (Anqing Hospital Affiliated to Anhui Medical University), Anqing, China
H Xie*
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Anqing Municipal Hospital (Anqing Hospital Affiliated to Anhui Medical University), Anqing, China
F Qiao
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Anqing Municipal Hospital (Anqing Hospital Affiliated to Anhui Medical University), Anqing, China
T Wang
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Anqing Municipal Hospital (Anqing Hospital Affiliated to Anhui Medical University), Anqing, China
X Huang
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Anqing Municipal Hospital (Anqing Hospital Affiliated to Anhui Medical University), Anqing, China
Q Ning
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Anqing Municipal Hospital (Anqing Hospital Affiliated to Anhui Medical University), Anqing, China
*
Author for correspondence: Dr Hongwu Xie, Department of Otolaryngology – Head and Neck Surgery, Anqing Municipal Hospital (Anqing Hospital Affiliated to Anhui Medical University), 352 Renmin Road, Yingjiang District, Anqing, Anhui 246003, China E-mail: 961236841@qq.com Fax: +86 21 5764 3271

Abstract

Objective

This study aimed to classify the pre-auricular sinus before performing radical dissection, so as to achieve optimal aesthetic results.

Methods

The recent five-year clinical data of 53 patients with a congenital pre-auricular sinus and infection treated in the hospital were reviewed. According to the sinus course, pre-auricular and post-auricular types were defined, and regional dissection was performed using the modified supra-auricular or post-auricular approach.

Results

All patients achieved primary intention healing of the incision, and were followed up for six months to five years. No recurrence was found, and the incision scar was completely concealed.

Conclusion

Surgical approaches for regional dissection might be adopted based on the different types of pre-auricular sinuses, and further radical dissection might be performed to achieve optimal aesthetic results.

Type
Main Articles
Copyright
Copyright © JLO (1984) Limited, 2019 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Footnotes

Dr H Xie takes responsibility for the integrity of the content of the paper

References

1Kumar Chowdary, KV, Sateesh Chandra, N, Karthik Madesh, R. Preauricular sinus: a novel approach. Indian J Otolaryngol Head Neck Surg 2013;65:234–6Google Scholar
2Prasad, S, Grundfast, K, Milmoe, G. Management of congenital preauricular pit and sinus tract in children. Laryngoscope 1990;100:320–1Google Scholar
3Chami, RG, Apesos, J. Treatment of asymptomatic preauricular sinuses: challenging conventional wisdom. Ann Plast Surg 1989;23:406–11Google Scholar
4Leopardi, G, Chiarella, G, Conti, S, Cassandro, E. Surgical treatment of recurring preauricular sinus: supra-auricular approach. Acta Otorhinolaryngol Ital 2008;28:302–5Google Scholar
5Lam, HC, Soo, G, Wormald, PJ, Van Hasselt, CA. Excision of the preauricular sinus: a comparison of two surgical techniques. Laryngoscope 2001;111:317–1910.1097/00005537-200102000-00024Google Scholar
6Currie, AR, King, WW, Vlantis, AC, Li, AK. Pitfalls in the management of preauricular sinuses. Br J Surg 1996;83:1722–4Google Scholar
7Baatenburg de Jong, RJ. A new surgical technique for treatment of preauricular sinus. Surgery 2005;137:567–70Google Scholar
8Shim, HS, Kim, DJ, Kim, MC, Lim, JS, Han, KT. Early one-stage surgical treatment of infected preauricular sinus. Eur Arch Otorhinolaryngol 2013;270:3127–31Google Scholar