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Endoscopic Cholesteatoma Surgery
Published on: January 19, 2022
Management of the preauricular sinus
1Department of Otolaryngology-Head and Neck Surgery, Tulane Medical Center, New Orleans, Louisiana, USA.
Insights
Preauricular sinus, a congenital ear anomaly, is usually benign but can become infected. Complete surgical excision of the sinus tract is the only definitive cure to prevent recurrence.
Area of Science:
- Otolaryngology
- Pediatric Surgery
- Genetics
Background:
- Preauricular sinus is a common congenital anomaly, particularly in children.
- It presents as a skin opening anterior to the ear, connected to a cyst network.
- Most cases are benign and asymptomatic.
Purpose of the Study:
- To review the nature and management of preauricular sinus.
- To emphasize the importance of complete excision for definitive treatment.
- To describe a technique for wide lesion exposure to prevent recurrence.
Main Methods:
- Literature review on preauricular sinus.
- Clinical observation of pediatric cases.
- Surgical technique description for excision.
Main Results:
- The vast majority of preauricular sinuses are benign and require no intervention.
- Draining sinus tracts are susceptible to infection.
- Complete excision of the pit and sinus tract is curative.
Conclusions:
- Complete surgical excision is the only definitive treatment for preauricular sinus.
- Wide exposure of the lesion during surgery is recommended to prevent recurrence.
- Prompt excision is advised for infected draining sinus tracts.
Abstract:
The preauricular sinus is a relatively common physical finding especially in the pediatric population. It is defined as a congenital lesion in which a small skin opening located in front of the external ear communicates with a subcutaneous network of cysts. The vast majority are benign in nature and require no intervention. Draining sinus tracts are prone to infection and should be excised. Complete excision of the pit and sinus tract provides the only definitive cure. To prevent problematic recurrence, we recommend wide exposure of the lesion by the technique described.
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