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Preauricular sinus: Operating microscope improves outcome
Krishna K Kumar1, V B Narayanamurthy, V Sumathi
1Department of Otolaryngology, Sundaram Medical Foundation, IV Avenue, Shanthi Colony, Anna nagar, 600 040 Chennai, India.
Abstract:
A retrospective review of preauricular sinuses operated in Sundaram Medical Foundation, a 140-bedded tertiary care hospital during the period 1995 to 2000 is presented. Patients were operated six to eight weeks after control of infection. Magnification with an operating microscope was always used. A team of ENT and Plastic surgeons was involved in all the cases. Involvement of a Plastic and Reconstructive surgeon permitted primary closure after surgery without any drains, individualised incisions in every patient, and early discharge from hospital. A follow up of all operated patients for a period of 18 months revealed good results without any recurrence.
Insights
Surgical outcomes for preauricular sinuses were evaluated. Combining ENT and plastic surgery expertise led to successful primary closures, early discharges, and no recurrences in a 18-month follow-up.
Area of Science:
- Otolaryngology
- Plastic and Reconstructive Surgery
- Medical Device Technology
Background:
- Preauricular sinuses are congenital external abnormalities that may require surgical intervention.
- Effective management of preauricular sinuses necessitates a multidisciplinary surgical approach.
- Previous surgical techniques for preauricular sinus excision have varying recurrence rates and complication profiles.
Purpose of the Study:
- To evaluate the surgical outcomes of preauricular sinus excision.
- To assess the benefits of a combined Ear, Nose, and Throat (ENT) and Plastic Surgery team approach.
- To determine the efficacy of using an operating microscope and primary closure techniques.
Main Methods:
- A retrospective review of patients who underwent preauricular sinus surgery between 1995 and 2000.
- Surgical procedures were performed six to eight weeks post-infection control.
- All surgeries utilized an operating microscope, and involved a collaborative team of ENT and Plastic surgeons.
Main Results:
- The involvement of a Plastic and Reconstructive surgeon facilitated primary closure without drains.
- Individualized incisions and early hospital discharge were achieved for all patients.
- A follow-up of 18 months showed excellent results with no reported cases of recurrence.
Conclusions:
- A combined ENT and Plastic Surgery approach for preauricular sinus excision yields superior outcomes.
- The use of an operating microscope and primary closure techniques contributes to successful surgical management.
- This collaborative method ensures patient safety, reduces complications, and improves aesthetic results.
