Hostname: page-component-cd9895bd7-8ctnn Total loading time: 0 Render date: 2024-12-28T14:49:36.722Z Has data issue: false hasContentIssue false
  • English
  • Français

Pressure dressing after excision of preauricular sinus: suture transfixion of silicone sheets

Published online by Cambridge University Press:  02 October 2009

K W Heo ,
M J Baek  and
S K Park
K W Heo*
Affiliation:
Department of Otorhinolaryngology-Head and Neck Surgery, College of Medicine, Inje University, Busan Paik Hospital, Busan, South Korea
M J Baek
Affiliation:
Department of Otorhinolaryngology-Head and Neck Surgery, College of Medicine, Inje University, Busan Paik Hospital, Busan, South Korea
S K Park
Affiliation:
Department of Otorhinolaryngology-Head and Neck Surgery, College of Medicine, Inje University, Busan Paik Hospital, Busan, South Korea
*
Address for correspondence: Dr Kyung Wook Heo, Department of Otorhinolaryngology-Head and Neck Surgery, Inje University College of Medicine, Busan Paik Hospital, 633-165 Keakeum-dong, Busanjin-Ku, Busan, 614-735, South Korea. Fax: 82 51 892 3831 E-mail: heokw96@kornet.net
Get access Rights & Permissions [Opens in a new window]

Abstract

Objective:

After excision of a preauricular sinus, a head bandage compressive dressing is usually used to reduce dead space and to decrease the risk of recurrence. However, such use of a head bandage may cause various problems. We assessed a new method of compressive dressing, using suture transfixion of silicone sheets to the former sinus tract, following preauricular sinus excision.

Methods:

This retrospective study reviewed the medical records of patients undergoing preauricular sinus excision in a tertiary referral centre over a five-year period. After excision of the preauricular sinus, patients underwent suture transfixion of silicone sheets. Post-operative outcomes were analysed.

Results:

The new dressing method was performed on 50 ears of 37 patients. The post-operative incidence of recurrence and haematoma formation was 4 and 2 per cent, respectively. Other problems possibly caused by head bandaging, such as headache, facial flushing, and nausea and/or vomiting, were not observed.

Conclusion:

Compressive dressing by suture transfixion of silicone sheets is safe and effective following preauricular sinus excision.

Keywords

External EarPre-Auricular SinusOtologic Surgical Procedures
Type
Short Communications
Information
The Journal of Laryngology & Otology , Volume 123 , Issue 12 , December 2009 , pp. 1367 - 1370
Copyright
Copyright © JLO (1984) Limited 2009

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.)

References

1Richardson, MA, Rosenfeld, RM, Congenital malformations of the neck. In: Bluestone, CD, Rosenfeld, RM, eds. Surgical Atlas of Pediatric Otolaryngology, 2nd edn.Hamilton, Canada: BC Decker, 2002;502–3Google Scholar
2Yeo, SW, Jun, BC, Park, SN, Lee, JH, Song, CE, Chang, KH et al. The preauricular sinus: factors contributing to recurrence after surgery. Am J Otolaryngol 2006;27:396–400CrossRefGoogle ScholarPubMed
3Lam, HC, Soo, G, Wormald, PJ, Van Hasselt, CA. Excision of the preauricular sinus: a comparison of two surgical techniques. Laryngoscope 2001;111:317–19Google Scholar
4Castelli, ML, Di Lisi, D, Marcato, P, Tavormina, P, Cappellaro, E, Sartoris, A. Is pressure dressing necessary after ear surgery? Ann Otol Rhinol Laryngol 2001;110:254–6Google Scholar
5Tan, T, Constantinides, H, Mitchell, TE. The preauricular sinus: a review of its aetiology, clinical presentation and management. Int J Pediatr Otorhinolaryngol 2005;69:1469–74CrossRefGoogle Scholar
6Godley, FA. Experience with the malleable ear dressing, a versatile silicone-lined bandage for the auricle. Ear Nose Throat J 2003;82:570–4CrossRefGoogle Scholar
7Hill, J, Allan, W, Malhan, D, Williams, ED. Pressure exerted by head bandages used in ontological surgery. J Laryngol Otol 1993;107:1110–12Google Scholar
8Powell, BW. The value of head dressings in the postoperative management of the prominent ear. Br J Plast Surg 1989;42:692–4Google Scholar
9Widman, TJ, Oostman, H, Storrs, FJ. Allergic contact dermatitis from medical adhesive bandages in patients who report having a reaction to medical bandages. Dermatitis 2008;19:32–7CrossRefGoogle ScholarPubMed
10Rieger, UM, Haug, M, Pierer, G. An alternative to bolus tie-over dressing for full-thickness skin grafts for conchal cavity defects. Ann Plast Surg 2007;59:353–4Google Scholar