Reconstruction of preauricular soft tissue defects using a superiorly based rotation advancement scalp flap - A novel approach to the surgical treatment of preauricular sinuses

Tan, Bernard; Lee, Tee Sin; Loh, Ian

doi:10.1016/j.amjoto.2017.11.003

Cited by 8 publications

(5 citation statements)

References 9 publications

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“…Reconstruction with local flaps will be required for large tissue defect. 4,5 In the last 5 years there were 20 cases of preauricular sinus excision done in our secondary care hospital with primary closure. However, for the above 2 cases, surgical management was difficult as there was a large defect left behind after the excision of the sinus tract which needed local flaps for closure to aim at good cosmetic results.…”

Section: Discussionmentioning

confidence: 99%

Reconstruction challenges for complicated preauricular sinuses: case reports

Mathai,

Shekhawat,

Al Senaidi

2023

Int J Otorhinolaryngol Head Neck Surg

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Preauricular sinuses and pits are congenital anomalies located in or just in front of the ascending limb of the helix. Even though excising a sinus is a relatively minor surgical procedure, recurrence is not uncommon if an adequate resection is not done. Surgery is only indicated when it is complicated by recurrent infection or abscesses. Simple closure may not be possible when there is large tissue defect. In those circumstances local flaps will be required to cover the defect. In this article we report 2 cases which had large tissue defect after excision and closed with local rotational flaps. This provided good cosmetic outlook and no recurrences so far. There are not enough articles published so far with such kind of reconstruction techniques for preauricular sinus excision tissue defects.

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Section: Discussionmentioning

confidence: 99%

Reconstruction challenges for complicated preauricular sinuses: case reports

Mathai,

Shekhawat,

Al Senaidi

2023

Int J Otorhinolaryngol Head Neck Surg

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“…Patients with EF often have skin induration in the limbs with or without pitting edema at early stages, which gradually progresses to “peau d’orange” and induration of the skin. Some patients may have significant furrows in underlying veins, known as the “groove sign,” when the affected limb is raised, due to exacerbation of fibrosis in the fascia of the skin[ 5 ]. Symptoms of myxedema can appear in hypothyroidism; myxedema is caused by infiltration of fluids rich in hyaluronic acid, mucin, and mucopolysaccharides into tissues.…”

Section: Discussionmentioning

confidence: 99%

Diagnosis and treatment of eosinophilic fasciitis: Report of two cases

Yang

Zhang

2021

WJCC

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BACKGROUND Eosinophilic fasciitis (EF) is a rare disease characterized by inflammation of the fascia with immune system involvement. Failure to promptly diagnose and treat this disease can seriously affect the quality of life of patients. However, no clear and uniform criteria for diagnosis and treatment exist. CASE SUMMARY In this paper, we report two cases of EF, both of which showed symmetrical limb swelling and rigidity, increased eosinophils in the peripheral blood and bone marrow, increased red blood cell sedimentation rate, increased antinuclear antibody titer, and pathological changes in the tissues such as eosinophil and lymphocyte infiltration. Both patients were treated with hormones and cyclosporine, and showed significant improvements in their conditions. CONCLUSION EF is an autoimmune disease causing swelling and sclerosis of the fascia and eosinophilia. It is diagnosable by magnetic resonance imaging, positron emission tomography-computed tomography, blood routine tests, and bone marrow puncture. Glucocorticoids and immunosuppressants are effective treatments.

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“…The recurrence rate after surgery was 4.9%. 5,6,14 This case report had presented 4 cases of preauricular fistula which had undergone excision procedure according to the plasticreconstructive algorithm. All surgery measures were performed under general anesthesia.…”

Section: Discussionmentioning

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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Reconstruction of preauricular soft tissue defects using a superiorly based rotation advancement scalp flap - A novel approach to the surgical treatment of preauricular sinuses

Cited by 8 publications

References 9 publications

Reconstruction challenges for complicated preauricular sinuses: case reports

Reconstruction challenges for complicated preauricular sinuses: case reports

Diagnosis and treatment of eosinophilic fasciitis: Report of two cases

Surgical management of preauricular based on plastic-reconstructive algorithm

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