Auricular haematoma of pinna usually occurs secondary to trauma. If left untreated usually result in a deformity known as cauliflower ear. Various treatments are employed so as to produce the best cosmetic results. The aim of this article was to evaluate the outcome and complications of the treatment of auricular haematoma using non-absorbable 3-0 prolene intermittent sutures. This study has been performed upon eight patients presented with auricular haematoma at tertiary center, Govt. ENT Hospital, Koti, Hyderabad between August 2013 to August 2014. Follow up was continued for 6 months. The commonest cause behind auricular haematoma was personal insult. It was found that incision and drainage followed by suturing with nonabsorbable intermittent mattress sutures appear to be simple, well tolerated and excellent method in treatment and preventing re-accumulation of auricular haematoma and to avoid ear deformity (Cauliflower ear).
INTRODUCTION: Pre auricular sinus (PAS) is a common clinical finding seen in the ENT outpatient department. The patients complain only when it is infected, when cheesy material is extruded often form the aural pit. Initial control of infection, incision and drainage of the abscess becomes the primary step in its treatment. This is followed by the attempt to excise the tract to avoid recurrence of cellulitis and abscess. Simple sinectomy leads to recurrence; hence requires microscopic dissection and excision. The present study attempts to analyze the genetic penetration, incidence in various socio-economic groups and at the same time to review the micro surgical management. MATERIALS AND METHODS: 62 patients diagnosed with Preauricular sinus attending department of ENT, GGH; Kurnool were analyzed for genetic role in its etiology in addition to the prevalence of the condition according to the social and economic status. Thorough clinical examination and where necessary audiological evaluation to rule out innner ear pathology was done. Bacteriological study was done subjecting the pus and material extruded from the sinus pits. After a surgical profile all the patients except 4 were subjected to Total excision of the sinus tract using circular incision around the sinus pit and extending it posteriorly around the root of the pinna. All were followed for a period of 12 months to evaluate recurrence rate, Infection rate and wound dehiscence. OBSERVATIONS: Among the 62 patients there were 37 females and 25 males. The patient's age range was from 9 months to 36 years. 18 patients had undergone surgery at least once before presenting in this study. The commonest organism isolated was Staph aureus followed by bacillus fragilis and pseudomonas aeroginosa. Incomplete gene penetration was noted in 34 out of the 62 patients, as PAS was noticed in parents, siblings and grandparents. Follow up showed no recurrence over 1 year. CONCLUSIONS: PAS is a congenital condition within complete genetic penetration; not commonly associated with inner ear or kidney disease. Recurrence is common if only sinectomy is attempted; instead total excision with medial to lateral dissection and post aural extension of incision would give an almost fool proof method to get rid of the sinus once for all.
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