117 results match your criteria: "Preauricular Sinuses"
Surgical Management of Preauricular Sinus: A Histopathological Analysis.
Ear Nose Throat J
December 2024
Department of Otorhinolaryngology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Consensus on removing a part of the helical cartilage during preauricular sinus surgery is lacking. A thorough understanding of the histopathological characteristics can improve surgical decisions. We reviewed the histopathological characteristics of preauricular sinuses in 54 patients who underwent surgery between October 2020 and October 2021.
View Article and Find Full Text PDFAn Innovative Primary Repair Technique for Large Cutaneous Defects Post-excision of Complicated Preauricular Sinuses: A Case Report.
Cureus
July 2024
Otorhinolaryngology - Head and Neck Surgery, Universiti Kebangsaan Malaysia Medical Centre, Kuala Lumpur, MYS.
Article Synopsis
- Preauricular sinuses are birth defects caused by the incomplete merging of tissue during development, often leading to infections that may require surgery.
- Surgical intervention must be carefully planned to avoid significant tissue loss and complications, particularly in cases with scarring.
- This text outlines the surgical approach and recovery of a toddler with challenging preauricular sinuses, aiming to share valuable insights for other medical professionals dealing with similar situations.
A Case of Unilateral Simultaneous Preauricular Sinus and Postauricular Sinus in an Adult.
Ear Nose Throat J
May 2024
Department of Otorhinolaryngology-Head and Neck Surgery, Veterans Health Service Medical Center, Seoul, Korea.
Article Synopsis
- Preauricular sinuses are common birth defects in the ear, characterized by small openings usually found at the front of the ear's helix, and when they connect two spaces, they're called preauricular fistulas.
- They can also appear behind the tragus as a rarer variant known as postauricular sinuses.
- Surgical removal is often necessary for recurrent issues, and a complete excision of the affected tissue is essential; this text discusses a rare case of a woman with both types of sinuses.
Variant Types of Preauricular Sinuses: Classifications, Clinical Presentation and Management.
Laryngoscope
August 2024
The Department of Otolaryngology, Head and Neck Surgery, Renmin Hospital of Wuhan University, Wuhan, China.
Article Synopsis
- The study aims to inform surgeons about different types of preauricular sinuses (PAS) by reviewing clinical data from surgeries performed between 2015 and 2020.
- Out of 177 patients who underwent preauricular fistulectomy, 12 had variant PAS, categorized into three types based on the location of the fistula pit.
- The findings suggest that careful surgical techniques are essential for removing fistula tissue fully to prevent complications, as certain pit locations are more likely to penetrate cartilage.
Mycobacterial Preauricular Sinus Abscess: A Case Series.
Cureus
August 2023
Otorhinolaryngology - Head and Neck Surgery, Universiti Kebangsaan Malaysia Medical Centre, Kuala Lumpur, MYS.
Article Synopsis
- Preauricular sinus is a congenital ear defect arising from incomplete fusion of certain tissue structures and is relatively common.
- In Malaysia, tuberculosis (TB) poses a serious public health issue, often causing chronic ailments and complicating wound healing, with pulmonary TB being the most prevalent.
- The management of three patients with recurrent tuberculous preauricular sinus abscesses highlights the importance of testing for TB, starting anti-tuberculous treatment, and planning for elective sinus excision to prevent further infections after the patient recovers.
Management of the infected preauricular sinus.
J Plast Reconstr Aesthet Surg
August 2023
Department of Plastic and Reconstructive Surgery at Great Ormond Street Hospital for Children and Great Ormond Street Institute for Child Health UCL, Great Ormond Street, London WC1N 3JH, United Kingdom. Electronic address:
Introduction: The preauricular sinus is a common finding in children and may often be complicated by infection. Complete excision of the sinus is the only definitive cure. Failure to recognise the presence of a sinus, particularly when infection erupts away from the sinus, may lead to inadequate management and unnecessary surgery.
View Article and Find Full Text PDFRhomboid Flap Reconstruction for Type 1 Postauricular Variant of Preauricular Sinus.
Indian J Otolaryngol Head Neck Surg
April 2023
Department of Otorhinolaryngology, Govt. Multi Speciality Hospital, Sector 16, Chandigarh, India.
Article Synopsis
- * In this case, an infected preauricular sinus was treated with antibiotics, followed by surgical excision using a bidirectional approach.
- * The surgical area was reconstructed with a retroauricular rhomboid flap, and after one month, the results showed no infection, minimal scarring, and a good cosmetic outcome.
Bilateral Congenital Preauricular Fistula of the Cavum Conchae.
Cureus
January 2023
Otolaryngology-Head and Neck Surgery, Tohoku University School of Medicine, Sendai, JPN.
Article Synopsis
- A 16-year-old girl was hospitalized due to recurrent auricular sinus infections.
- Physical examination revealed bilateral openings in her ear cartilage (cavum conchae).
- The surgical team performed a complete removal of these sinuses, which is a procedure not previously documented in medical literature.
Coexistence of Bilateral First and Second Branchial Cleft Anomalies: A Rare Case Report.
Indian J Otolaryngol Head Neck Surg
October 2022
E.N.T Department, B.J.Wadia Hospital for Children and Nawrosjee Wadia Maternity Hospital, Mumbai, 400012 India.
Article Synopsis
- The presence of both bilateral second branchial arch anomalies and bilateral first arch anomalies is very uncommon, with only four previous cases documented.
- This text discusses a fifth case involving a 1.5-year-old girl who has bilateral preauricular sinuses and bilateral branchial sinuses.
- Notably, there is no family history of similar conditions in this child.
Long-term follow-up of the inside-out technique for treatment of preauricular sinuses: observational study.
Eur Arch Otorhinolaryngol
December 2022
Otorhinolaryngology-Head and Neck Surgery, University Hospitals Leuven, Herestraat 49, 3000, Leuven, Belgium.
Article Synopsis
- - The study aimed to validate the inside-out (IO) technique for treating preauricular sinuses by analyzing patient records from a hospital over 14 years, focusing on recurrence, patient satisfaction, and aesthetic outcomes.
- - Out of 110 patients studied, complications occurred in 10.3% of cases, with a low recurrence rate of 2.3% after 5 years, and most patients (94%) reported being satisfied with the cosmetic results.
- - The findings support the use of the IO technique as the preferred surgical option for preauricular sinuses due to its effectiveness in minimizing recurrence and ensuring patient satisfaction with aesthetic outcomes.
Ectopic Tooth in Mandibular Canal, Maxillary Sinus, and Mandibular Condyle.
Case Rep Dent
January 2022
Marmara University, Istanbul, Turkey.
Article Synopsis
- Ectopic eruption refers to a tooth growing in an unusual location, which is rare but can occur in areas like the maxillary sinus, nasal cavity, or palate.
- Since there is limited consensus on how to treat ectopic teeth, it's important to document and discuss these cases in medical literature, especially because they can lead to complications like tumors or cysts.
- If patients experience any related symptoms, such as facial pain or unusual discharge, they should be assessed for ectopic teeth, with early removal being the preferred treatment method to minimize complications.
Cervicofacial Actinomycosis in the Pediatric Population: Presentation and Management.
Ann Otol Rhinol Laryngol
March 2022
Schulich School of Medicine and Dentistry, Western University, London, ON, Canada.
Article Synopsis
- Actinomycosis is a rare head and neck infection in children, often linked to chronic conditions, presenting symptoms like swelling and abscesses, and can lead to serious complications like osteomyelitis.!* -
- Two pediatric cases of actinomycosis stemming from congenital lesions were analyzed, which included surgical removal of affected areas and long-term antibiotic treatment, contributing to a total of 34 reviewed cases in the literature with a median age of 7.5 years.!* -
- The study emphasizes the need to consider actinomycosis in cases of chronic sinus drainage in the head and neck, suggests using MR imaging to check for complications, and highlights the effectiveness of penicillin-based antibiotics along with surgery
Combined external and endoscopic transnasal approach with use of a diamond burr in the removal of a fishing harpoon hook traversing bilateral sphenoid sinuses in a 22-year-old man.
BMJ Case Rep
May 2021
Department of Otorhinolaryngology, Philippine General Hospital, University of the Philippines Manila, Manila, Philippines.
Article Synopsis
- A 22-year-old construction worker was injured when a fishing harpoon gun shot him in the left side of the face, leading to blurred vision on the right side.
- After 12 days, he visited the emergency room where a CT scan revealed that the harpoon tip was lodged at the right orbital apex, with a hook stuck in the sphenoid sinus.
- The medical team used a combined approach to safely remove the harpoon components, resulting in improved vision, and the patient was discharged two days later on antibiotics with no lasting issues.
Branchial cleft anomalies: hybrid "Branchial Inclusion" theory.
Eur Arch Otorhinolaryngol
July 2021
Department of Infectious Diseases, General Hospital Zadar, Bože Peričića 5, 23 000, Zadar, Croatia.
Article Synopsis
- Branchial cleft anomalies (BCAs) are developmental malformations in the head and neck that have unclear causes; this study aimed to test various theories about their development using a sample of 48 cases.
- The analysis involved 46 patients who underwent surgical removal of 48 BCAs, with findings indicating that most cases were branchial cleft cysts and were primarily located near the sternocleidomastoid muscle.
- The study concluded that no existing theories fully account for the origins of BCAs in their sample, suggesting that the hybrid "branchial inclusion" theory may offer the best explanation for their histogenesis.
Clarifying Misleading Lumps and Sinuses in the Newborn.
Pediatr Rev
June 2020
Division of Pediatric Surgery, Cohen Children's Medical Center, Zucker School of Medicine at Hofstra/Northwell, New Hyde Park, NY.
Article Synopsis
- Neonates often present with congenital lumps or sinuses, and it's crucial for pediatricians to differentiate between benign and clinically significant ones.
- A proper understanding of these lesions prevents unnecessary testing and reduces anxiety while ensuring timely management of those that may have important implications.
- The review focuses on commonly misinterpreted lesions, such as wattles, preauricular lesions, and dermoid cysts, providing guidance for initial patient management.
The Developmental Origin of the Auricula Revisited.
Laryngoscope
October 2020
and Department of Medical Biology, Section Clinical Anatomy and Embryology, Amsterdam University Medical Center, University of Amsterdam, Amsterdam, the Netherlands.
Article Synopsis
- * Researchers examined 22 human embryos and created 3D reconstructions, finding that the hillocks were mostly absent and that the auricle is primarily innervated by the facial nerve.
- * The findings challenge existing textbook concepts, suggesting that preauricular sinuses should be classified as anomalies of the first pharyngeal arch, rather than what is currently understood.
Supra-auricular and post-auricular resection of pre-auricular and post-auricular sinuses.
J Laryngol Otol
November 2019
Department of Otolaryngology - Head and Neck Surgery, Anqing Municipal Hospital (Anqing Hospital Affiliated to Anhui Medical University), Anqing, China.
Article Synopsis
- The study aimed to classify pre-auricular sinuses in patients before radical dissection to improve cosmetic outcomes.
- Researchers reviewed data from 53 patients with congenital pre-auricular sinuses and categorized them into pre-auricular and post-auricular types for targeted surgical approaches.
- All patients had successful healing with no recurrence of the condition, and the scars were well-concealed, indicating that tailored surgical methods can enhance aesthetic results.
Comprehensive management of infected preauricular sinuses/cysts.
Int J Pediatr Otorhinolaryngol
December 2019
Departments of Otolaryngology, Head & Neck Surgery and Pediatrics, Lewis Katz School of Medicine at Temple University, Philadelphia, PA, United States. Electronic address:
Article Synopsis
- The study reviewed a 16-year experience of a surgeon managing infected preauricular sinuses and cysts in children, focusing on treatment methods and outcomes.
- It involved 415 patient encounters, resulting in 56 surgical excisions, with a notable approach of treating infections with antibiotics and drainage methods before surgery.
- The findings suggest that while controlling infection before surgery is ideal, it isn't always necessary, and specific techniques can lead to effective treatment and good cosmetic results.
The diagnosis and treatment of a variant type of auricular sinus: postauricular sinus.
Eur Arch Otorhinolaryngol
July 2019
Department of Otolaryngology, Sun Yat-Sen Memorial Hospital, Sun Yat-Sen University, 107 West Yan Jiang Road, Guangzhou, 510120, China.
Article Synopsis
- The study aimed to educate otolaryngologists about different types of auricular sinuses through a systematic review of cases and surgical experiences.
- It involved 20 children diagnosed with variant types of auricular sinuses at Sun Yat-Sen Memorial Hospital from 2009 to 2013, detailing their specific characteristics and treatment methods.
- Results showed that 16 out of 20 children underwent surgery, primarily due to infections, and none experienced recurrence in a 5-year follow-up, highlighting the importance of accurate diagnosis and effective surgical techniques.
Ultrasound Evaluation of Dermal Sinuses/Fistulas in Pediatric Patients.
J Ultrasound Med
December 2019
Department of Radiology, Keio University School of Medicine, Tokyo, Japan.
Article Synopsis
- A dermal sinus or fistula is a common medical condition that requires consultation with specialists for effective treatment.
- Radiologists need to be knowledgeable about various types of dermal sinus/fistula lesions, including preauricular sinus and thyroglossal duct cyst, to make accurate diagnoses and guide management.
- By analyzing the location of skin openings and ultrasound images, radiologists can offer valuable insights to help physicians in treating these conditions.
Reconstruction of preauricular soft tissue defects using a superiorly based rotation advancement scalp flap - A novel approach to the surgical treatment of preauricular sinuses.
Am J Otolaryngol
October 2019
Department of Otolaryngology, Changi General Hospital, Singapore.
Is routine audiometric testing necessary for children with isolated preauricular lesions?
Int J Pediatr Otorhinolaryngol
February 2017
Head and Neck Institute, Department of Otolaryngology - Head and Neck Surgery, 9500 Euclid Avenue, Cleveland Clinic, Cleveland, OH, USA. Electronic address:
Article Synopsis
- The study investigates the relationship between preauricular lesions (like tags and pits) and hearing loss, as some research suggests a link while others do not.
- It involved reviewing charts of pediatric patients with specific preauricular conditions from 2008 to 2014, finding that 12 out of 99 patients had abnormal hearing.
- The conclusion is that while most children with these lesions may not require extensive hearing evaluations, there is a notable connection to Eustachian tube dysfunction that warrants further investigation.
Supra-auricular versus Sinusectomy Approaches for Preauricular Sinuses.
Int Arch Otorhinolaryngol
October 2016
Department of Otorhinolaryngology - Head and Neck Surgery, School of Medicine, Zagazig University, Zagazig, Egypt.
Article Synopsis
- Several surgical techniques have been developed to lower the recurrence rate of preauricular sinus after excision.
- A literature review compiled data from 17 studies on surgical methods, revealing that the supra-auricular approach has a significantly lower recurrence rate (1.3%) compared to sinusectomy (8.1%).
- The supra-auricular technique also showed fewer complications and should be considered the standard procedure for excising preauricular sinuses.
A systematic review on the surgical outcome of preauricular sinus excision techniques.
Laryngoscope
July 2016
Department of Otorhinolaryngology, University Medical Center, Utrecht, The Netherlands.
Article Synopsis
- Preauricular sinuses are benign congenital malformations that may recur after surgical removal, and this study aimed to evaluate which surgical method minimizes complications and recurrence rates.
- The review included 14 studies and found that the sinectomy method had a higher recurrence rate (5.5%) compared to the supra-auricular approach (SAA) (2.2%), with microscopy improving outcomes for sinectomy.
- SAA is suggested as the preferred technique for removal, but if sinectomy is chosen, using a microscope can help achieve lower recurrence rates similar to SAA; further prospective studies are needed to confirm these findings.
Prevalence and ethnic variation of pre-auricular sinuses in children.
Int J Pediatr Otorhinolaryngol
January 2016
B.C. Children's Hospital, Division of Pediatric Otolaryngology-Head & Neck Surgery, University of British Columbia, K2-184 4480 Oak Street, Vancouver, BC, Canada V6H 3N1. Electronic address:
Article Synopsis
- The study investigates the prevalence, ethnic variation, and potential genetic basis of pre-auricular sinus (PAS) in children, using data from 1106 subjects under 18 years old at B.C. Children's Hospital.
- Results showed a 2.4% prevalence of PAS, with significant ethnic differences, particularly higher rates in Asians (6.6%) compared to other ethnic groups.
- A family history of PAS was strongly associated with a higher likelihood of developing the condition, suggesting a potential genetic factor involved.