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整块切除治疗难治性耳前瘘管。

En bloc resection for treatment of refractory pre-auricular fistula.

作者信息

Fei Jing, Zhang Di, Sun Xiao-Qiang, Zhao Chong, Qin Gang, Liu Yue-Hua, Zhu Lin, Li Lei-Ji

机构信息

Department of Otorhinolaryngology Head and Neck Surgery, Affiliated Hospital of Luzhou Medical College, Luzhou 646000, China.

出版信息

J Otol. 2015 Dec;10(4):163-166. doi: 10.1016/j.joto.2016.01.002. Epub 2016 Jan 27.

DOI:10.1016/j.joto.2016.01.002
PMID:29937802
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6002584/
Abstract

OBJECTIVE

To report a surgical method for the treatment of pre-auricular fistula to lower post-operative recurrence rate.

METHODS

Clinical data of 187 patients with pre-auricular fistula who underwent en bloc resection at the Affiliated Hospital of Luzhou Medical College from August 2006 to November 2012 were retrospectively reviewed. Factors that might affect the prognosis following En bloc fistula resection bordered by the superficial temporalis fascia, helix perichondrium and auriculocephalic sulcus were investigated.

RESULTS

Of the 187 patients, 181 achieved primary healing and 6 ended up with delayed healing. During the follow-up period (one to seven years), there were 4 cases of recurrence (2.1%).

CONCLUSIONS

Clear demarcation of surgical resection can facilitate easy and thorough resection of preauricular fistula and lead to low recurrence rate. Proper timing and careful search for potential fistula branches are the two crucial factors affecting prognosis.

摘要

目的

报告一种治疗耳前瘘管的手术方法，以降低术后复发率。

方法

回顾性分析2006年8月至2012年11月在泸州医学院附属医院接受整块切除的187例耳前瘘管患者的临床资料。研究了可能影响以颞浅筋膜、耳轮软骨膜和耳颞沟为边界的整块瘘管切除术后预后的因素。

结果

187例患者中，181例一期愈合，6例延迟愈合。在随访期（1至7年）内，有4例复发（2.1%）。

结论

明确手术切除边界可便于耳前瘘管的轻松彻底切除，并导致低复发率。合适的时机和仔细寻找潜在的瘘管分支是影响预后的两个关键因素。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/845c/6002584/e42b1c07d5c5/gr8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/845c/6002584/74f3a3ef0ee4/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/845c/6002584/56a30b7720c4/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/845c/6002584/b1a2a5a13856/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/845c/6002584/afa84458349e/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/845c/6002584/91eee90f1298/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/845c/6002584/58372b8728bc/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/845c/6002584/93b03a497b2d/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/845c/6002584/e42b1c07d5c5/gr8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/845c/6002584/74f3a3ef0ee4/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/845c/6002584/56a30b7720c4/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/845c/6002584/b1a2a5a13856/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/845c/6002584/afa84458349e/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/845c/6002584/91eee90f1298/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/845c/6002584/58372b8728bc/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/845c/6002584/93b03a497b2d/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/845c/6002584/e42b1c07d5c5/gr8.jpg

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引用本文的文献

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本文引用的文献

1
Surgical treatment of recurring preauricular sinus: supra-auricular approach.复发性耳前瘘管的手术治疗：耳上入路
Acta Otorhinolaryngol Ital. 2008 Dec;28(6):302-5.
2
[The application of microscope in operation to the patients with preauricular fistula].[显微镜在耳前瘘管手术患者中的应用]
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2007 Feb;21(4):165-6.
3
Excision of the preauricular sinus: a comparison of two surgical techniques.耳前窦道切除术：两种手术技术的比较
Laryngoscope. 2001 Feb;111(2):317-9. doi: 10.1097/00005537-200102000-00024.
4
Management of congenital preauricular pit and sinus tract in children.儿童先天性耳前瘘管及窦道的管理
Laryngoscope. 1990 Mar;100(3):320-1. doi: 10.1288/00005537-199003000-00021.