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

Bruijnzeel, Hanneke; Aardweg, Maaike Ta van den; Grolman, Wilko; Stegeman, Inge; Veen, Erwin L. van der

doi:10.1002/lary.25829

Cited by 22 publications

(12 citation statements)

References 39 publications

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“…Methylene blue is difficult to remove after leakage, resulting in unclear lesion boundaries, very slight distinguishment of the anatomical level, and even residual fistula recurrence. It has been reported that the use of methylene blue in preauricular fistula surgery cannot reduce the risk of postoperative recurrence[ 10 ].…”

Section: Discussionmentioning

confidence: 99%

Severe bleeding after operation of preauricular fistula: A case report

Tian

Chen

2021

WJCC

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BACKGROUND Severe eyelid edema and blood accumulation in the submandibular space after preauricular fistula surgery is rarely reported. CASE SUMMARY We report a 4-year-old girl with eyelid edema and swelling of the submandibular region after preauricular fistula resection under general anesthesia. When drug treatment failed, neck computed tomography examination was performed, which confirmed severe bleeding in the submandibular space. Later, exploration and ligation of the superficial temporal artery were performed under general anesthesia to stop the bleeding. The child was successfully treated, and there were no abnormalities over 1 year of follow-up. CONCLUSION When severe bleeding occurs after preauricular fistula surgery, superficial temporal artery rupture should be considered as a cause.

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Section: Discussionmentioning

confidence: 99%

Severe bleeding after operation of preauricular fistula: A case report

Tian

Chen

2021

WJCC

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“…In the context of preauricular cysts, excision via a supra-auricular approach appears to decrease rates of recurrence compared to techniques such as sinectomy. 1 Additional methods employed in an attempt to adequately excise these cysts/sinuses include ensuring that the tract remains intact, and using a dye to identify the tract. 2 In the setting of peri-parotid atypical mycobacterial infection, Superficial parotidectomy via a facelift or modified Blair incision has been described with adequate removal of granulomatous disease.…”

Section: Discussionmentioning

confidence: 99%

“…Excision via a supra-auricular approach is associated with lower rates of recurrence in comparison to simpler excision techniques such as a sinectomy. [1][2][3] In the setting of peri-parotid atypical mycobacterial infection, parotidectomy via a facelift or modified Blair incision has been described with complete removal of disease. 4 Nevertheless, in lesions that have become recurrently infected, repeatedly excised, or directly involve preauricular skin, complete removal may involve wide local excision (WLE) of overlying skin.…”

Section: Introductionmentioning

confidence: 99%

Use of a Cervicofacial Flap in Closing Large Defects Following Wide Local Excision of Complicated Preauricular Lesions

Akakpo

Luck

Chun

2020

Ann Otol Rhinol Laryngol

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Purpose: To describe innovative surgical technique for closure of large defect following complicated preauricular cyst excision secondary to prior failed excision attempts, infections, and drainage procedures. Preauricular cysts must be widely excised including any fistulous tracts in order to reduce recurrence rates; however, the resultant large local excision poses cosmetic challenges. Methods: Retrospective chart review of 3 patient cases who underwent excision of recurrent preauricular lesions involving cervical parotid flap closure. All three cases demonstrate complicated preauricular congenital cysts which were infected and had prior drainage, excision attempts, or sclerotherapy. A cervicoparotid flap was used to close all defects cosmetically with no facial nerve weakness and without distortion to the oral commissure or lateral canthus. Results/conclusions: There is a high recurrence rate seen with wide local congenital cyst excisions that have been previously excised, infected, and drained; as well as, cosmetically unfavorable outcomes utilizing traditional repair. Utilizing our closure technique which involves reconstructive local regional flap with cervicoparotid approach our 3 patients have had no reoccurance of cyst or infection. Our approach also maximizes cosmetic outcomes, with reduced scar visibility. Pre and postoperative photos will be shown.

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“…Closing technique depend on the degree of tension and the depth of the defect. 12,13 The reconstruction technique suggested in this paper has the advantage of being applicable to various excision methods, and a flap of healthy tissue is required to cover the scar. Furthermore, because the posterior auricular area has a rich vascular supply, flaps from this area adhere well to other tissue, leading to higher success rates.…”

Section: Discussionmentioning

confidence: 99%

“…11 Bruijnzeel et all. 12 conducted a systematic search from the PubMed and EMBASE databases on March 20, 2015 (Appendix 1). Both title and abstract and full-text screening were based on predefined inclusion and exclusion criteria Fourteen high directness of evidence studies were included.…”

Section: Casementioning

confidence: 99%

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

Cited by 22 publications

References 39 publications

Severe bleeding after operation of preauricular fistula: A case report

Severe bleeding after operation of preauricular fistula: A case report

Use of a Cervicofacial Flap in Closing Large Defects Following Wide Local Excision of Complicated Preauricular Lesions

Surgical management of preauricular based on plastic-reconstructive algorithm

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