Department of Plastic and Reconstructive Surgery at Great Ormond Street Hospital for Children and Great Ormond Street Institute for Child Health UCL, Great Ormond Street, London WC1N 3JH, United Kingdom.
Department of Plastic and Reconstructive Surgery at Great Ormond Street Hospital for Children and Great Ormond Street Institute for Child Health UCL, Great Ormond Street, London WC1N 3JH, United Kingdom.
J Plast Reconstr Aesthet Surg. 2023 Aug;83:305-307. doi: 10.1016/j.bjps.2023.05.046. Epub 2023 May 30.
The preauricular sinus is a common finding in children and may often be complicated by infection. Complete excision of the sinus is the only definitive cure. Failure to recognise the presence of a sinus, particularly when infection erupts away from the sinus, may lead to inadequate management and unnecessary surgery.
We report our experience in managing infected preauricular sinuses and highlight important points in our surgical technique.
A retrospective review was performed of our electronic patient database for all paediatric patients who underwent surgical excision of preauricular sinuses by the senior author at Great Ormond Street Hospital for Children between January 2013 and October 2022.
A total of 10 patients underwent surgical management of 11 preauricular sinuses with a median follow-up time of 40 months (range 1-136). Eight patients underwent excision of the preauricular sinus due to infection. All infected cases affected the preauricular cheek skin and had previously undergone at least one unsuccessful surgical drainage prior to a referral to our unit. All cases were successfully operated on at our unit with no reported complications or recurrence.
A lack of awareness of the presence of a sinus and identification of a preauricular pit by the inexperienced clinician will result in inadequate treatment of this condition and potentially unnecessary surgical procedures. Our paper highlights the importance of correctly identifying the extent of the sinus and describes a safe and reliable technique to ensure complete removal of the preauricular sinus with satisfactorily low recurrence rates.
耳前窦是儿童常见的一种情况，常可并发感染。彻底切除窦道是唯一的根治方法。如果未能识别窦道的存在，特别是在感染发生于窦道以外的部位时，可能会导致治疗不当和不必要的手术。
我们报告了我们在处理感染性耳前窦方面的经验，并强调了我们手术技术中的重要要点。
我们对 2013 年 1 月至 2022 年 10 月期间，由资深作者在大奥蒙德街儿童医院对 10 例耳前窦进行手术切除的所有儿科患者的电子患者数据库进行了回顾性分析。
共有 10 例患者因感染而行 11 例耳前窦切除术，中位随访时间为 40 个月（范围 1-136 个月）。8 例患者因感染而行耳前窦切除术。所有感染病例均影响耳前颊部皮肤，在转诊至我们科室之前，曾至少有一次不成功的手术引流。所有病例均在我们科室成功手术，无报告并发症或复发。
缺乏对窦道存在的认识以及经验不足的临床医生对耳前凹的识别，会导致对该疾病的治疗不当，并可能导致不必要的手术。我们的论文强调了正确识别窦道范围的重要性，并描述了一种安全可靠的技术，可确保彻底切除耳前窦，复发率低且令人满意。
