Department of Otolaryngology Head & Neck Surgery, College of Medicine, The Catholic University of Korea, Republic of Korea.
Department of Otolaryngology Head & Neck Surgery, College of Medicine, The Catholic University of Korea, Republic of Korea.
Am J Otolaryngol. 2020 Jul-Aug;41(4):102465. doi: 10.1016/j.amjoto.2020.102465. Epub 2020 Mar 19.
The purpose of this study was to review our surgical strategy and outcomes of drain-less, subcutaneous suture technique in standard simple elliptical incision on preauricular sinus (PAS) cases.
The clinical records of 198 patients (247 ears) with PASs who were operated via standard simple elliptical incision with drain-less, subcutaneous suture technique by a single surgeon (K.H.P.) between January 2008 and December 2018 were reviewed for analysis. Patients' demographics, location of PASs, previous incision and drainage (I&D) history, previous surgical excision history, duration of follow-up, postoperative infection after surgery, and recurrence after surgery were analysed.
Out of 247 PASs, 18 (7.3%) cases had postoperative infections and 11 (4.5%) cases showed recurrence. Postoperative infection rate were higher in previous I&D groups (PIDGs, 9.8%) and previous fistulectomy groups (PFGs, 10%), and also recurrence rates of PFGs (10%) was higher than those of fresh cases. However, there were no statistically significant differences between these groups. In addition, PAS patients with postoperative complications such as infection and recurrence were more common in male patients.
We report a method of drain-less standard simple elliptical incision for the surgical removal of PAS and the outcomes of the surgery. Our method showed a low recurrence rate and low chance of wound infection postoperatively not only in fresh cases but also in pre-operative I&D cases and even previous fistulectomy cases. In conclusion, our method is proposed as an effective and safe method in all kind of patient groups, without presenting post-operative discomfort to patients.
本研究旨在回顾我们在标准耳前窦（PAS）单纯性椭圆形切开术中无引流、皮下缝合技术的手术策略和结果。
对 2008 年 1 月至 2018 年 12 月期间由同一位外科医生（K.H.P.）通过无引流、皮下缝合技术行标准单纯性椭圆形切口治疗的 198 例（247 耳）PAS 患者的临床资料进行回顾性分析。分析患者的人口统计学特征、PAS 位置、既往切开引流（I&D）史、既往手术切除史、随访时间、术后感染及术后复发情况。
247 例 PAS 中，术后感染 18 例（7.3%），复发 11 例（4.5%）。既往 I&D 组（PIDGs）和既往瘘管切除术组（PFGs）的术后感染发生率较高（9.8%和 10%），且 PFGs 的复发率（10%）高于新鲜病例，但差异无统计学意义。此外，伴有术后感染和复发等并发症的 PAS 患者中，男性更为常见。
我们报告了一种无引流标准单纯性椭圆形切口治疗 PAS 的方法及手术结果。我们的方法显示，不仅在新鲜病例中，而且在术前 I&D 病例甚至既往瘘管切除术病例中，术后复发率和感染率均较低。因此，我们的方法被认为是一种有效且安全的方法，适用于所有类型的患者，不会给患者带来术后不适。
