Decision Making in the Choice of Surgical Management for Preauricular Sinuses with Different Severities

Abstract

Simple sinusectomy is an adequate surgical technique for preauricular sinuses with a mild inflammatory condition. For more severe cases, the figure 8 incision with extended fistulectomy can achieve adequate wound exposure for radical excision of the inflamed tissue and a satisfactory surgical outcome.

A systematic review on the surgical outcome of preauricular sinus excision techniques

“…Overall DoE was H in 17 studies (Table ). Twenty‐two studies scoring M and five studies scoring L DoE were excluded.…”

“…No study contained L RoB; four studies had a M; and all included studies had a H RoB (Table ). We included 14 studies containing H DoE and H RoB (Table).…”

“…Publication years of included articles ranged between 1982 and 2013. Four included studies were prospective case series; one was a randomized controlled trial; and the remaining studies were retrospective case series (Table ). In total, 809 operated ears were included (Table ).…”

“…All but one included study accurately described surgical indications. In 12 selected studies, patients were operated on both unilateral and bilateral preauricular sinus. In addition, in two SAA studies solely unilateral or bilateral preauricular sinus were removed.…”

“…Pooling of aforementioned recurrence rates resulted in an overall rate of 5.0% (95% CI 3.3–7.3) (I 2 31.2% [not significant; NS]) (Appendix 2). Nine studies used sinectomy for preauricular sinus removal in a total of 598 ears (Table ). Sinectomy recurrence was reported in 0 to 42% of the patients.…”