Department of Plastic and Reconstructive Surgery, Uijeongbu St Mary's Hospital, The Catholic University of Korea, Uijeongbu, Korea.
Otolaryngol Head Neck Surg. 2013 Sep;149(3):399-401. doi: 10.1177/0194599813497185. Epub 2013 Jul 15.
Preauricular sinus is a relatively common congenital anomaly that mainly exists on the anterior aspect of the anterior limb of the ascending helix. Although many surgical techniques have been developed, extirpation of the sinus is not easy because of the ramifications of the sinus, remnants of the sinus wall, and infection with or without formation of abscesses, which can all lead to disease recurrence. In our institution, we have surgically treated a total of 141 cases of congenital preauricular sinuses. Instead of using the conventional lacrimal probe and methylene blue method, we used a gentian violet-soaked Cottonoid, which has antibacterial effects against the main pathogen responsible for causing infection of the preauricular sinus. Results have been very favorable, with a zero recurrence rate. We present here a simple and reproducible surgical technique using a gentian violet-soaked Cottonoid that even beginning surgeons can easily follow.
先天性耳前窦道是一种较为常见的先天畸形，主要存在于上升螺旋前支的前侧。尽管已经开发出许多手术技术，但由于窦道的分支、窦道壁的残留物以及是否伴有脓肿形成的感染，窦道的切除并不容易，所有这些都会导致疾病复发。在我们的机构中，我们总共对 141 例先天性耳前窦道进行了手术治疗。我们没有使用常规的泪道探针和亚甲蓝法，而是使用了具有抗菌作用的龙胆紫浸棉条，这种棉条对导致耳前窦道感染的主要病原体有抗菌作用。结果非常理想，复发率为零。我们在这里介绍一种使用龙胆紫浸棉条的简单且可重复的手术技术，即使是初级外科医生也可以轻松掌握。
