Ramasamy Kuganathan, Khamalrudin Noraimi, Teo Davina Stasia Hui Ming, Hashim Noor Dina
Otorhinolaryngology - Head and Neck Surgery, Hospital Shah Alam, Shah Alam, MYS.
Otorhinolaryngology - Head and Neck Surgery, Universiti Kebangsaan Malaysia Medical Centre, Kuala Lumpur, MYS.
Cureus. 2024 Jul 17;16(7):e64763. doi: 10.7759/cureus.64763. eCollection 2024 Jul.
Preauricular sinuses are congenital anomalies arising from the incomplete fusion of hillocks of His of the first and second branchial arches. Surgery is warranted when there is recurrent infection or abscess formation. However, the presence of scarring and skin thinning could result in large tissue defects after complete excision. In such cases, meticulous preoperative planning with regard to the reconstruction technique is imperative. We describe the clinical presentation, surgical technique, and postoperative outcomes of such a case in a young toddler, with a focus on the rationale behind the chosen management strategy. By sharing our experience, we aim to contribute to the existing literature on the management of complicated preauricular sinuses and provide insights that may guide clinicians facing similar challenges.
耳前窦道是由于第一和第二鳃弓的His小丘不完全融合而产生的先天性异常。当出现反复感染或脓肿形成时，有必要进行手术。然而，瘢痕形成和皮肤变薄可能导致完全切除后出现大面积组织缺损。在这种情况下，必须对重建技术进行细致的术前规划。我们描述了一名幼儿的此类病例的临床表现、手术技术和术后结果，重点关注所选管理策略背后的原理。通过分享我们的经验，我们旨在为现有的关于复杂耳前窦道管理的文献做出贡献，并提供可能指导面临类似挑战的临床医生的见解。
