Association of Recurrence of Infected Congenital Preauricular Cysts Following Incision and Drainage vs Fine-Needle Aspiration or Antibiotic Treatment

Rataiczak, Holly; Lavin, Jennifer; Levy, Michelle; Bedwell, Joshua R.; Preciado, Diego; Reilly, Brian K.

doi:10.1001/jamaoto.2016.2988

Cited by 17 publications

(14 citation statements)

References 11 publications

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“…However, studies have shown that repeated sinus infectious process produces fibrotic and edematous changes which may distort the normal tissue structure and sinus tract making definitive surgery more difficult thereby leaving squamous epithelium behind to cause recurrence. 11 Staphylococcus aureus was the commonest isolated organism in 9 (53%) of the 17 patients in our study while the culture of the discharge in 5 (29.4%) patients yielded no significant growth after 48 hours incubation. This may be attributed to indiscrimate use of antibiotics in selfmedication before presenting to a specialist for proper treatment.…”

Section: Discussionmentioning

confidence: 54%

“…This may be attributed to indiscrimate use of antibiotics in selfmedication before presenting to a specialist for proper treatment. 7,11 None of the patients had associated congenital anomalies such as hearing or renal impairments. 1,2 Complete wide local surgical excision of the preauricular sinus tract were all squamous epithelium are removed is the gold standard of treatment.…”

Section: Discussionmentioning

confidence: 99%

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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: Discussionmentioning

confidence: 54%

Section: Discussionmentioning

confidence: 99%

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

Aliyu

Abdullahi

2019

Int J Otorhinolaryngol Head Neck Surg

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“…The structure presents as a simple epithelial invagination into the auricular stroma and can often become inflamed, leading to discharge from the superficial opening and discomfort [ 1 , 7 ]. This itself can lead to serious complications, such as facial paralysis, due to its location near the facial nerve [ 1 , 7 , 8 ]. Clinical history in such cases is important to distinguish between a fistulized abscess and an inflamed PAuS.…”

Section: Introductionmentioning

confidence: 99%

Preauricular Sinus: A Tale of Forgetful Rediscovery

Matev

Lyutfi

Stoyanov

et al. 2020

Cureus

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The preauricular sinus (PAuS) is a congenital foramen, opening or invagination, usually located on the crus of the auricular helix and is considered a congenital malformation and component of multiple syndromes. The structure can be present unilaterally or bilaterally, with the possibility of more than one fistula present on one ear, predominantly on the auricular tags. As a well-defined and established clinical entry, PAuS has a very strictly laid-out history. However, different works of art give us a glimpse into the structure before its first true clinical description, showing that the PAuS was known to man long before it was first clinically described, such as those of Hieronymous Bosch, with the first medical descriptions being attributed to Heusinger and Virchow. In modern times, the condition is considered both an individual malformation and a component of several genetic syndromes.

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“…Rarely, however, similar structures can be located in other areas of the auricle such as the tragus, pinna, etc. due to the complexity of auricular formation (13)(14)(15).…”

Section: Introductionmentioning

confidence: 99%

“…However, as a structure identified as a part of a number of inherited syndromes, such as the Beckwith-Wiedemann syndrome, Lachiewicz-Sibley and the brachio-oto-renal syndrome also known as Melnik-Fraser, there is very little modern evidence and information on the mechanisms of the individual transgenerational inheritance or lack thereof for PAuS (6,7,11,13,(20)(21)(22). Most of the research in the field, especially in the genetic and genealogical aspects, had been carried out prior to the 1950s and, to our knowledge, no similar studies have been carried out ever since (23)(24)(25)(26)(27)(28)(29).…”

Section: Introductionmentioning

confidence: 99%

Preauricular sinus: Incidence and inheritance

Stoyanov

Renjilian

Matev

et al. 2018

SSM

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INTRODUCTION: The preauricular sinus (PAuS) is a malformation of the auricula pinna. The structure may present isolated or as a component of a number of oto-renal syndromes. AIM: The aim of this study was to establish the incidence of PAuS in a Bulgarian cohort and propose a model for its inheritance, based on the transgenerational mechanisms derived from the genealogic trees of interviewed individuals. MATERIALS AND METHODS: A total of 100 healthy individuals were prospectively evaluated for the presence of a PAuS on a random cohort sampling principle. A descriptive statistical approach was used when categorizing the individual features. Individuals were also assessed in terms of their genealogies and presence of renal symptoms. RESULTS: Of all assessed individuals, 3% (n=3) had a structure complying with the criteria for a PAuS. No one having the structure reported renal symptoms. The genealogical trees were characteristic of a dominant trait with incomplete penetrance. CONCLUSION: The incidence of PAuS in our study cohort is similar to that of other Caucasian cohorts and gives a rare modern glimpse into the transgenerational inheritance of the PAuS, together with data on the oto-nephrological syndromes.

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Association of Recurrence of Infected Congenital Preauricular Cysts Following Incision and Drainage vs Fine-Needle Aspiration or Antibiotic Treatment

Cited by 17 publications

References 11 publications

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

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

Preauricular Sinus: A Tale of Forgetful Rediscovery

Preauricular sinus: Incidence and inheritance

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