Department of Otorhinolaryngology and Head and neck Surgery, Chucheon Sacred Heart Hospital, Hallym University Medical Center, Chuncheon, Republic of Korea.
Department of Otorhinolaryngology and Head and neck Surgery, Chucheon Sacred Heart Hospital, Hallym University Medical Center, Chuncheon, Republic of Korea; Department of Otorhinolaryngology and Head and neck Surgery, Hangang Sacred Heart Hospital, Hallym University Medical Center, Seoul, Republic of Korea; Institute of New Frontier Research, Hallym University College of Medicine, Chuncheon, Republic of Korea.
Int J Pediatr Otorhinolaryngol. 2020 May;132:109903. doi: 10.1016/j.ijporl.2020.109903. Epub 2020 Jan 22.
We introduced a surgical procedure which includes a simple sinusectomy without opening the sinus whilst attempting to minimize the skin incision.
A total of 34 patients with preauricular sinus were treated. In six patients, this technique was performed bilaterally, so a total of 40 ears were enrolled and analyzed for recurrence rate and surgical outcome in retrospective observational study. A database was created which included patient age, the preoperative and postoperative incision size, suture materials used, and complications. Incisional size according to the previous infection condition and incision and drainage (I & D) history were analyzed.
The mean initial skin incision length was 0.75 ± 0.40 cm and mean incision length after skin suture was 0.81 ± 0.42 cm. The young group under 10 years of age had a mean initial skin incision length of 0.56 ± 0.06 cm, and mean incision length after skin suture was 0.58 ± 0.08 cm. Suture materials were Nylon 6-0 for 14 ears, Nylon 7-0 for 20 ears, and Nylon 8-0 for 6 ears. The incidence of minor complications (immediate wound dehiscence, wound opening at a previous I & D region, keloid formation) was 7.5%.
Our method overcomes potential problems with esthetics in addition to reducing the recurrence rates of preauricular sinusectomy. With our technique, minimization of skin incision length is possible without the risk of recurrence. The use of fine suture materials and not using drainage avoids additional skin trauma.
我们介绍了一种手术方法，包括在不切开窦道的情况下进行单纯的窦切开术，同时尽量减少皮肤切口。
共治疗 34 例耳前窦患者。其中 6 例双侧采用该技术，共 40 耳纳入回顾性观察研究，分析复发率和手术效果。创建了一个数据库，其中包括患者年龄、术前和术后切口大小、使用的缝合材料以及并发症。根据既往感染情况和切开引流（I&D）史分析切口大小。
平均初始皮肤切口长度为 0.75±0.40cm，皮肤缝合后切口长度为 0.81±0.42cm。年龄在 10 岁以下的年轻组平均初始皮肤切口长度为 0.56±0.06cm，皮肤缝合后切口长度为 0.58±0.08cm。缝线材料为尼龙 6-0 14 耳，尼龙 7-0 20 耳，尼龙 8-0 6 耳。轻微并发症（立即伤口裂开、伤口在以前的 I&D 区域张开、瘢痕疙瘩形成）的发生率为 7.5%。
我们的方法除了降低耳前窦切除术的复发率外，还克服了美容方面的潜在问题。通过我们的技术，可以在不增加复发风险的情况下尽量减少皮肤切口长度。使用精细的缝线材料和不使用引流可以避免额外的皮肤创伤。
