Yuan Li Eric Wang, Sahab Siti Halimahtun, Yahya Noorizan, Abdullah Mohamad Khir, Hashim Noor Dina
Otorhinolaryngology - Head and Neck Surgery, Universiti Kebangsaan Malaysia Medical Centre, Kuala Lumpur, MYS.
Otorhinolaryngology - Head and Neck Surgery, Hospital Pakar Sultanah Fatimah, Johor, MYS.
Cureus. 2023 Aug 28;15(8):e44287. doi: 10.7759/cureus.44287. eCollection 2023 Aug.
Preauricular sinus is a common congenital external ear anomaly. It occurs due to the incomplete fusion of hillocks of His of the first and second branchial arches. Tuberculosis (TB) is endemic in Malaysia, which imposes a major public health problem. It is caused by , which causes chronic, recurrent diseases and poor healing of a wound. Pulmonary TB is the most common form of infection, some manifesting as extrapulmonary TB. We share our experience in managing a series of three patients with recurrent tuberculous preauricular sinus abscesses in different age groups. Testing for acid-fast bacilli is highly advocated in recurrent cases and in extensive infection of preauricular sinuses despite the absence of systemic or pulmonary symptoms. Treatment with anti-tuberculous drugs is commenced, followed by an elective sinus excision once the patient is free from infection to prevent recurrence.
耳前窦是一种常见的先天性外耳畸形。它是由于第一和第二鳃弓的His小丘不完全融合而发生的。结核病在马来西亚流行，这带来了一个重大的公共卫生问题。它由……引起，会导致慢性复发性疾病以及伤口愈合不良。肺结核是最常见的感染形式，有些表现为肺外结核。我们分享了我们在管理一系列三名不同年龄组的复发性结核性耳前窦脓肿患者方面的经验。尽管没有全身或肺部症状，但在复发病例和耳前窦广泛感染时，强烈建议进行抗酸杆菌检测。开始使用抗结核药物治疗，一旦患者没有感染，随后进行择期窦切除术以防止复发。
