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Related Experiment Video

Updated: Mar 13, 2026

The Microscopic Transcanal Approach in Stapes Surgery Revisited
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Supra-auricular versus Sinusectomy Approaches for Preauricular Sinuses.

Mohammad Waheed El-Anwar1, Ahmed Shaker ElAassar1

  • 1Department of Otorhinolaryngology - Head and Neck Surgery, School of Medicine, Zagazig University, Zagazig, Egypt.

International Archives of Otorhinolaryngology
|October 18, 2016
PubMed
Summary

The supra-auricular approach for preauricular sinus excision shows significantly lower recurrence rates and fewer complications compared to tract sinusectomy. Surgeons should consider the supra-auricular approach as a standard procedure for better patient outcomes.

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Articles linked to this work by shared authors, journal, and citation graph.

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Same author

Perichondrial Roll in Bridging Gap Between Long Process of Incus and Stapes Head in Ossiculoplasty: A New Technique.

Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology·2026
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Anteriorly-based nasal floor mucoperiosteal flap for septal perforation.

Archives of craniofacial surgery·2025
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Laryngeal Dimensions: A Computed Tomography Study.

International archives of otorhinolaryngology·2025
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Pharyngeal Flap Versus Combined Pharyngeal Flap with Submucosal Injection of Phenytoin for Palatal Fistula Repair.

The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association·2025
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Pre-lacrimal window maxillary sinus surgery: a computed tomography analysis and classification.

Archives of craniofacial surgery·2025
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Effect of platelet rich plasma on healing of mastoid cavity after canal wall down mastoidectomy.

European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·2025

Area of Science:

  • Otolaryngology
  • Plastic Surgery
  • Surgical Innovation

Background:

  • Preauricular sinus excision has a high recurrence rate, necessitating improved surgical techniques.
  • Existing methods like tract sinusectomy have limitations in preventing recurrence and causing complications.

Approach:

  • A systematic literature review was conducted across major databases (LILACS, MEDLINE, SciELO, PubMed, Cochrane Library).
  • 17 studies encompassing 1270 preauricular sinuses were analyzed, comparing sinusectomy and supra-auricular approaches.
  • Recurrence rates, complications, and facial nerve integrity were key outcome measures.

Key Points:

  • The supra-auricular approach demonstrated a significantly lower recurrence rate (1.3%) compared to tract sinusectomy (8.1%).
  • Sinusectomy was associated with a significantly higher incidence of complications.
Keywords:
facial nervepreauricular fistulaerecurrence

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  • No cases of facial nerve paresis or paralysis were reported for either surgical approach.

    • Conclusions:

    • The supra-auricular approach is superior to tract sinusectomy for preauricular sinus excision due to reduced recurrence.
    • This approach should be considered the standard procedure for preauricular sinus excision.
    • Familiarity with the supra-auricular approach is recommended for surgeons to optimize patient care.