Excision of the Preauricular Sinus: A Comparison of Two Surgical Techniques

Lam, Henry; Soo, Gordon; Wormald, Peter John; Hasselt, C. Andrew van

doi:10.1097/00005537-200102000-00024

Cited by 67 publications

(55 citation statements)

References 10 publications

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“…The present study findings concurred with ElAassar et al 6 where only one case showed recurrence with supra-auricular approach and the difference was found significant statistically. Similar findings were found in a study by Lam et al, 7 where supra-auricular approach was found to have least recurrence compared to simple sinusectomy.…”

Section: Discussionsupporting

confidence: 91%

A Comparative Study Between Different Surgical Techniques for Preauricular Sinus at Tertiary Care Centre, Secunderabad, Telangana

Khabeer¹,

Bhushan²,

Kumar³

et al. 2018

jemds

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BACKGROUND Preauricular sinus is an asymptomatic congenital abnormality of external ear found along the ascending crux of the helix or adjacent to tragus. Asymptomatic preauricular sinus does not require any intervention. The most common clinical presentation of infected preauricular sinus is erythema, swelling, pain and discharge. Infected preauricular sinus requires surgical excision to prevent recurrence and reinfection.The objective of this study is to compare the outcomes of preauricular sinus excision by classic simple sinusectomy, classic simple sinusectomy with methylene blue dye injection and supra-auricular approach. MATERIALS AND METHODSA prospective study was carried out in Department of Otorhinolaryngology of Gandhi Medical College, Secunderabad from 2009 to 2014 with a 3-year follow-up period. Patients were evaluated on the outcomes of 3 surgical techniques namely classic simple, sinusectomy, classic simple sinusectomy with methylene blue injection and supra-auricular approach. RESULTSA total of 50 patients required surgical excision of preauricular sinus during study period. Around 64% of cases were in the age group of 6 -10 years. Around 15% of study population who underwent classic simple sinusectomy showed recurrence after excision and 10% of subjects who underwent classic simple sinusectomy with intraoperative methylene blue injection showed recurrence. There were no recurrences reported among study subjects who underwent excision of sinus by supra-auricular approach. CONCLUSIONFrom the present study, it can be concluded that supra-auricular approach has no recurrence/ least recurrence when compared with other surgical techniques for management of preauricular sinus.

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Section: Discussionsupporting

confidence: 91%

A Comparative Study Between Different Surgical Techniques for Preauricular Sinus at Tertiary Care Centre, Secunderabad, Telangana

Khabeer¹,

Bhushan²,

Kumar³

et al. 2018

jemds

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“…A more radical supra-auricular approach (Wide local excision) was made by Prasad et al in 1990 [9] and by Lam et al in 2001 [10]. Based on these reports, the supra-auricular approach has a lower recurrence rate 5% (of 21) vs. 42% (of 12) [9] and 3.7% (of 27) vs. 32% (of 25) [10]. And our series had zero recurrence rate in 34 cases with a follow up of 9 years.…”

Section: Discussionmentioning

confidence: 99%

Preauricular Sinus: A Novel Approach

Chowdary¹,

Chandra²,

Madesh

2012

Indian J Otolaryngol Head Neck Surg

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“…insertion of a probe or instillation of Methylene blue [5,6], expanding the area of resection [4,7,8] or even interposition of the temporoparietal fascia [9].…”

Section: Discussionmentioning

confidence: 99%

The Preauricular Sinus: A Novel Approach for Complete Bilateral Excision via a Modified Face-Lift Incision

Lampert¹,

Koulaxouzidis²,

Stark³

2013

MPS

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Objectives/Hypothesis: To present a novel technique based on the combination of aesthetic and reconstructive techniques for the radical and safe excision of preauricular sinus along with minimal cosmetic impairing. Study Design: Case report, description of surgical method and brief overview of the literature. Methods: In a patient with bilateral preauricular sinus, we used a modified face-lift incision and SMAS-fixation instead of solely excising the sinus with skin ellipse. Results: Total removal of the bilateral fistulous systems could be achieved, along with a very aesthetically pleasing result. Conclusions: The surgical approach shown here allows a radical excision with only minimal aesthetic impairment using a shortened facelift-incision and SMAS-fixation.

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Excision of the Preauricular Sinus: A Comparison of Two Surgical Techniques

Abstract: The supra-auricular approach for excision of a preauricular sinus has a statistically lower recurrence rate in comparison to the standard technique.

Cited by 67 publications

References 10 publications

A Comparative Study Between Different Surgical Techniques for Preauricular Sinus at Tertiary Care Centre, Secunderabad, Telangana

A Comparative Study Between Different Surgical Techniques for Preauricular Sinus at Tertiary Care Centre, Secunderabad, Telangana

Preauricular Sinus: A Novel Approach

The Preauricular Sinus: A Novel Approach for Complete Bilateral Excision via a Modified Face-Lift Incision

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