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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
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.
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.
- 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.
