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Supra Auricular Approach in Management of Preauricular Sinus
H A Manjunath1, U P Santosh1, Lekhya Raman1
1Department of ENT, JJM Medical College, Davangere, Karnataka India.
Summary
The supra-auricular approach effectively excises preauricular sinus tracts, showing no recurrence in a pilot study. This technique offers a promising alternative for managing preauricular sinus disease.
Area of Science:
- Otolaryngology
- Surgical Techniques
Background:
- Preauricular sinus is a common congenital anomaly.
- Recurrence after surgical excision remains a concern with standard techniques.
Purpose of the Study:
- To evaluate the supra-auricular approach for preauricular sinus excision.
- To compare its efficacy in reducing recurrence rates against standard methods.
Main Methods:
- Prospective study of 10 patients with preauricular sinus.
- Supra-auricular approach involving an extended elliptical incision and excision of the tract with surrounding tissue.
- Follow-up for 6 months.
Main Results:
- No recurrence observed in any of the 10 patients.
- The technique successfully excised the entire tract and its branches.
Conclusions:
- The supra-auricular approach is a safe and effective technique for preauricular sinus excision.
- It demonstrates a zero recurrence rate, suggesting superiority over standard methods.
- Further research with larger sample sizes is warranted.
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