Early one-stage surgical treatment of infected preauricular sinus

Shim, Hyung-Sup; Kim, Dong-Jin; Kim, Min‐Cheol; Lim, Jisun; Han, Ki‐Taik

doi:10.1007/s00405-013-2447-7

Cited by 14 publications

(10 citation statements)

References 13 publications

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“…2,5,12 However, surgical drainage is necessary in the acute phase where abscess is present with institution of appropriate sensitive antibiotics. 13 which was the case in the present study. With the resolution of the acute infection and adequate counseling, only 5 (29.4%) of the 17 patients consented and had definitive wide local surgical excision of the sinus tract and no facial nerve injury.…”

Section: Discussionsupporting

confidence: 74%

Clinical perculiarities of preauricular sinus abscess: a tertiary health centre experience

Aliyu

Abdullahi

2019

Int J Otorhinolaryngol Head Neck Surg

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Background: Preauricular sinus abscess is a sequellae of an infected squamous epithelial lined preauricular sinus tract, commonly seen in pediatric population. This study aim to determine the clinical profile of preauricular sinus abscess in Sokoto, Nigeria.Methods: This was a retrospective study carried out between June 2011 to May 2014 of all patients with preauricular sinus abscess that presented to the department of ear, nose and throat. Data extracted from clinical records were bio-data, duration of symptoms, and history of recurrence and associated congenital anomalies, sides of involvements, sensitivity results, treatments options and outcome. Data obtained were analyzed using simple statistical tables. Results: Seventeen patients were seen during the study period with preauricular abscess (PA). There were 5 (29.4%) males and 12 (70.6%) females with a ratio M:F of 1:2.4. The age range was from 5-34 years. Prevalence of PA is high in the 1-10 years age group. Six patients (35.3%) had ruptured abscess. Unilateral PA involving the left side in 12 (70.6%) patients was most common. Two patients had previous incision and drainage prior to presentation. Staphylococcus aureus was the most common isolated organism. Twelve patients (70.6%) were lost to follow up after surgical drainage and 5 (29.4%) patients had wide local excision of the sinus tract to remove all vestiges of squamous epithelium as opposed to simple sinectomy. One patient had recurrence.Conclusions: We emphasize the need for proper health education of definitive surgery after surgical drainage of preauricular sinus abscess.

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Section: Discussionsupporting

confidence: 74%

Clinical perculiarities of preauricular sinus abscess: a tertiary health centre experience

Aliyu

Abdullahi

2019

Int J Otorhinolaryngol Head Neck Surg

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“…A number of studies have emphasised that, if necessary, part of the tightly adhered cartilage or perichondrium can be removed. 1–8 However, the area of soft tissue resection has not been clearly defined, resulting in non-radical dissection and subsequent recurrence. To further standardise the procedure, it is suggested that the boundary of the removable area (in the front and top) should be extended up to the hairline, the back boundary should be extended up to the vertical projection line of the posterior margin of the external auditory canal, and the bottom boundary should be extended up to the horizontal projection line of the apex of the tragus.…”

Section: Discussionmentioning

confidence: 99%

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

et al. 2019

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

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“…Associated conditions include deafness and branchio-oto-renal syndrome. 16 In their study Shim H S et al have under taken Early one-stage surgical treatment of infected PAS, with an even acute infection with abscess formation; 136 congenital PAS aged 0-15 years were classified according to the state of their infection at the time of the surgery intra-operatively-Group I (asymptomatic; n=68,50%),Group II (Infected state; n=26, 19%) and Group III (Infected state with abscess formation; n=42,31%). The follow-up period was from 6 months to over 2 years.…”

Section: Discussionmentioning

confidence: 99%

Pre Auricular Sinus : A Clinical Analysis of 62 Cases and Review of Its Micro Surgical Management

Devi¹,

Ahmed²,

Shankar³

et al. 2014

jemds

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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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Early one-stage surgical treatment of infected preauricular sinus

Cited by 14 publications

References 13 publications

Clinical perculiarities of preauricular sinus abscess: a tertiary health centre experience

Clinical perculiarities of preauricular sinus abscess: a tertiary health centre experience

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

Pre Auricular Sinus : A Clinical Analysis of 62 Cases and Review of Its Micro Surgical Management

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