Preauricular sinus: A comparative study between different surgical approaches

ElAassar, Ahmed Shaker; Hady, Mohammad Abd-El; Askar, Sherif M.; Amer, Hazem Saeed; El‐Anwar, Mohammad Waheed

doi:10.4103/indianjotol.indianjotol_69_17

Cited by 3 publications

(7 citation statements)

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“…The difference was found statistically significant (p < 0.05). 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: 93%

“…The present study findings were concurrent with a study conducted by ElAasaar et al, 6 where recurrence was highest with simple sinusectomy (28%).…”

Section: Discussionsupporting

confidence: 92%

“…The study findings differed with a study conducted by Richa Gupta et al, 5 where 42.3% of cases were found in the age group of 11 -20 years. The present study findings in relation to gender and laterality of sinus were similar to a study conducted by ElAassar et al, 6 where 67% of study subjects were females and 46.5% of them had right preauricular sinus. Richa Gupta et al 5 findings…”

Section: Discussionsupporting

confidence: 92%

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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: 93%

“…The present study findings were concurrent with a study conducted by ElAasaar et al, 6 where recurrence was highest with simple sinusectomy (28%).…”

Section: Discussionsupporting

confidence: 92%

Section: Discussionsupporting

confidence: 92%

See 1 more Smart Citation

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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“…2,8 The present study findings in relation to gender and laterality of sinus were similar to a study conducted by El Aassar et al, where 67% of study subjects were females and 46.5% of them had right preauricular sinus. 6 The study findings differed from Gupta et al findings, where left pre auricular sinus (46.15%) was slightly commoner than right pre auricular sinus (42.3%). 7…”

Section: Discussioncontrasting

confidence: 91%

“…Many authors, recently have advocated the need to identify and excise via supra auricular approach as treatment of choice so as to completely excise the tract as it is associated with lower recurrence rate. 6 The major drawback of wide excision via supra auricular approach for pre auricular sinus is creation of large soft tissue defect/ dead space. This defect leads to collection of serous fluid or discharge thus increasing the chances of infection.…”

mentioning

confidence: 99%

A study on newer technique for reconstruction of pre auricular soft tissue defect with temporo-parietal fascia flap (Khabeer’s flap)

Khabeer

Ivaturi

Jadhav

et al. 2018

Int J Otorhinolaryngol Head Neck Surg

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Background: A pre auricular sinus is a congenital abnormality, which occurs due to failure of fusion of primitive tubercles from which pinna develops. Pre auricular sinuses are usually asymptomatic and when symptomatic present usually as discharging sinus, associated with abscess formation anterior to root of helix. Symptomatic pre auricular sinus requires surgical excision to prevent recurrence and reinfection. Treatment of pre auricular sinus by conventional methods usually presents a dead space due to removal of sinus tract. The present study is to overcome this defect by a superficial temporalartery based temporo-parietal fascia flap or Khabeer’s flap. The objective of this study is to describe a novel technique for excision of pre auricular sinus using supra auricular approach and using a temporo-parietal fascia flap for covering the defect created after excision of pre auricular sinus.Methods: A prospective study was carried out in Department of Otorhinolaryngology, Gandhi Medical College/Gandhi Hospital Secunderabad from 2014 to 2017. All the patients admitted with symptomatic pre auricular sinus underwent surgical excision by supra auricular approach and at the end superficial temporal artery based flap was placed to fill the dead space. Results: A total of 20 pre auricular sinuses were operated during the study period. There were no recurrences, no collection of serous fluid and no cosmetic defect post operatively in any of the study subject.Conclusions: The newer approach was found to be safe as it does not confer any complications post operatively and can be used for management of pre auricular sinus.

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Surgical management of preauricular based on plastic-reconstructive algorithm

Widodo

Harba'i

2019

Oto Rhino Laryn Indones

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Background: Preauricular fistula is a congenital malformation of the six auditory hillocks during the development of auricle, when an imperfect fusion of the first arch tuberculum to other tuberculums occurred and generated a tract. It is characterized by a nodule or a dent located adjacent to the external ear. An infection will create a swollen area in front of ear auricles with pain and suppuration. Fistula extirpation should be carried out after the acute infection subsides. Purpose: To evaluate surgery techniques with the lowest complication and recurrence rate. Case report: Reporting 4 surgical cases of prearicular fistula treated by Plastic-Reconstructive ENT Head and Neck surgery, among 26 cases of preauricular fistula diagnosed between 2015 to 2017 in Cipto Mangunkusumo General Hospital. Methods: Searching literature through Pubmed, Wiley, Proquest and Google Schoolar with keywords of “Preauricular fistula AND surgical treatment”. Further selection through clinical questions. Results: One journal presented a systematic review on the surgical outcome of preauricular sinus excision techniques. Reporting 4 cases treated by plastic-reconstructive surgery based on the systematic review above mentioned. Conclusion: The supra auricular approach could be recommended as a good technique for preauricular fistula, in particular for the infected and/or the recurrent cases. Latar belakang: Fistel preaurikula adalah suatu kelainan malformasi kongenital, dimana tuberkulum arkus brakialis pertama tidak menyatu dengan tuberkulum lainnya, sehingga terbentuk sebuah traktus (saluran). Fistel preaurikula ditandai oleh adanya nodul atau cekungan yang tampak di dekat telinga luar. Bila terjadi infeksi biasanya menyebabkan daerah di depan daun telinga bengkak dan nyeri, serta bernanah. Ekstirpasi fistel sebaiknya dilakukan setelah infeksi akut mereda. Tujuan: Mengevaluasi teknik bedah dengan tingkat komplikasi dan kekambuhan terendah. Laporan kasus: Dilaporkan 4 kasus fistel preaurikula yang ditatalaksana oleh bedah THT-KL plastik-rekonstruksi, dari sejumlah 26 kasus yang datang berobat di RSUPN Cipto Mangunkusumo, antara Januari 2015 dan April 2017. Metode: Penelitian literatur melalui Pubmed, Wiley, Proquest, dan Google Schoolar dengan kata kunci “Preauricular fistula AND surgery treatment”. Seleksi literatur lebih lanjut melalui pertanyaan klinis. Hasil: Didapati 1 jurnal yang menyajikan hasil operasi dari teknik bedah eksisi sinus preaurikular secara systematic review. Dilaporkan 4 kasus yang ditatalaksana dengan bedah plastik-rekonstruksi berdasarkan systematic review tersebut di atas. Kesimpulan: Pendekatan supra aurikula dapat direkomendasikan sebagai teknik bedah yang baik untuk penatalaksanaan fistel preaurikular, khususnya yang terinfeksi dan/atau berulang.

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Preauricular sinus: A comparative study between different surgical approaches

Cited by 3 publications

References 0 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

A study on newer technique for reconstruction of pre auricular soft tissue defect with temporo-parietal fascia flap (Khabeer’s flap)

Surgical management of preauricular based on plastic-reconstructive algorithm

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