Management of congenital preauricular pit and sinus tract in children

Prasad, Sanjay; Grundfast, Kenneth M.; Milmoe, Gregory

doi:10.1288/00005537-199003000-00021

Cited by 79 publications

(65 citation statements)

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“…Incomplete excision is the cause of recurrence of Indian J Otolaryngol Head Neck Surg (July-Sept 2013) 65(3):234-236 235 a preauricular sinus; recurrence rates have been reported between nil [3] and 42% [9]. 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].…”

Section: Discussionmentioning

confidence: 99%

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Preauricular Sinus: A Novel Approach

Chowdary¹,

Chandra²,

Madesh

2012

Indian J Otolaryngol Head Neck Surg

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Section: Discussionmentioning

confidence: 99%

“…Various surgical techniques have been described but no one technique gave good results. Incomplete excision is the cause of recurrence; recurrence rates have been reported between nil [3] and 42% [9].…”

Section: Managementmentioning

confidence: 99%

Preauricular Sinus: A Novel Approach

Chowdary¹,

Chandra²,

Madesh

2012

Indian J Otolaryngol Head Neck Surg

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“…They are often asymptomatic, but recurrent infections require an operative removal. In case of incomplete excision, recurrence is likely; literature presents recurrence rates of up to 42% [3][4][5].…”

Section: Discussionmentioning

confidence: 99%

“…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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“…9,10 The cause of recurrence is usually due to difficult identification of tract in patients with recurrent infections, with scarring and fibrosis of the preauricular soft tissue leading to inadequate removal of all the ramifications of the tract. 11 The case is being reported as it is a rare presen tation of a common congenital anomaly.…”

mentioning

confidence: 99%