Jiang Yuanming, He Ting, Liu Wei
Department of Otolaryngology, Wuhan No. 1 Hospital, Wuhan, Hubei, 430022, People's Republic of China.
Int J Gen Med. 2021 Oct 28;14:7285-7292. doi: 10.2147/IJGM.S331698. eCollection 2021.
Evaluating the treatment of infected preauricular fistulas by resecting the lesion combining with local flap repairing.
This clinical study was implemented in Ningbo No. 1 Hospital and Wuhan No. 1 Hospital of China. We included 100 cases who were diagnosed with infected preauricular fistulas and needed further surgery treatment. Among them, 50 patients experienced the conventional treatment including a fully infection control following with a surgery to remove preauricular fistulas (conventional treatment group). Other 50 patients only took some simple pre-operation treatment for about 1-7 days, and then preauricular fistulas resection combining local flap repairing were performed regardless of the infection (local flap repairing group). The duration of total treatment procedure, healing index, and total cost were observed.
All patients were discharged at about 7 days after surgery, the duration of the post-operative period had no significant difference between groups. The total duration of treatment (from any first treatment time point to patient discharge) was only 13.98±2.14 days in the local flap treatment group compared with that of 43.06±8.24 days in the conventional treatment group. Further, the total cost of treatment per patient in the local flap repairing treatment group was about 47.1% of that in the conventional treatment group.
For the treatment of infected preauricular fistula, performing a lesion removing surgery combining a local flap repairing can shorten the total treatment course, relieve patient's suffering, reduce treatment cost, and achieve a better clinical prognosis.
评估通过切除病灶并结合局部皮瓣修复治疗感染性耳前瘘管。
本临床研究在中国宁波市第一医院和武汉市第一医院开展。我们纳入了100例被诊断为感染性耳前瘘管且需要进一步手术治疗的患者。其中，50例患者接受了传统治疗，包括在完全控制感染后进行手术切除耳前瘘管（传统治疗组）。另外50例患者仅进行了约1 - 7天的简单术前治疗，然后不管感染情况如何，均进行耳前瘘管切除并结合局部皮瓣修复（局部皮瓣修复组）。观察了总治疗过程的持续时间、愈合指标和总费用。
所有患者术后约7天出院，两组术后住院时间无显著差异。局部皮瓣治疗组的总治疗时间（从任何第一个治疗时间点到患者出院）仅为13.98±2.14天，而传统治疗组为43.06±8.24天。此外，局部皮瓣修复治疗组每位患者的总治疗费用约为传统治疗组的47.1%。
对于感染性耳前瘘管的治疗，进行病灶切除手术并结合局部皮瓣修复可缩短总治疗疗程，减轻患者痛苦，降低治疗费用，并取得更好的临床预后。
