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The clinical efficacy of early intervention for infected preauricular sinus.

Abstract The study was designed to evaluate the outcomes of early surgical intervention, and to suggest the accurate operation time and surgical strategies.
PMID
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Authors

Mayor MeshTerms
Keywords

Early intervention

Excision

Infection

Preauricular sinus

Journal Title international journal of pediatric otorhinolaryngology
Publication Year Start




PMID- 28576531
OWN - NLM
STAT- MEDLINE
DA  - 20170603
DCOM- 20170626
LR  - 20170626
IS  - 1872-8464 (Electronic)
IS  - 0165-5876 (Linking)
VI  - 95
DP  - 2017 Apr
TI  - The clinical efficacy of early intervention for infected preauricular sinus.
PG  - 45-50
LID - S0165-5876(17)30059-9 [pii]
LID - 10.1016/j.ijporl.2017.01.037 [doi]
AB  - OBJECTIVE: The study was designed to evaluate the outcomes of early surgical
      intervention, and to suggest the accurate operation time and surgical strategies.
      METHODS: A total of 190 cases (144 patients) of PAS excision were classified into
      2 groups according to their time of surgery; early intervention group (n = 53),
      and non-early intervention group (n = 137). Early intervention was defined as
      excision performed within 3 weeks from their first hospital visit, and after
      acute infection control, surgical removal was followed regardless of their
      infection status. The mean age of patients was 18.3 +/- 15.7 years old (62 male, 
      82 female). During surgery, a parallel incision was added when iatrogenic fistula
      due to incision and drainage (I &D) or additionally opened wounds caused by
      infection was present. RESULTS: Cases of I & D history, revision cases, use of
      preoperative antibiotics were significantly higher in the early intervention
      group compared to the non-early intervention group, however, the time of surgery 
      did not affect the complication rate (p = 0.533). Within the infected cases, only
      1 patient from the non-early intervention group showed a minor complication of
      keloid scar. During our follow up period of minimum of 6 months, there was no
      recurrence in either groups. CONCLUSION: The early intervention of PASs does not 
      seem to increase postoperative complication or recurrence rates. A double
      parallel skin incision is a simple but adequate technique to treat infected PASs.
CI  - Copyright (c) 2017 Elsevier B.V. All rights reserved.
FAU - Choo, Oak-Sung
AU  - Choo OS
AD  - Department of Otolaryngology, Ajou University School of Medicine, 164, World
      cup-ro, Yeongtong-gu, Suwon, Gyeonggi-do, 443-380, Republic of Korea. Electronic 
      address: [email protected]
FAU - Kim, Top
AU  - Kim T
AD  - Department of Otolaryngology, Ajou University School of Medicine, 164, World
      cup-ro, Yeongtong-gu, Suwon, Gyeonggi-do, 443-380, Republic of Korea. Electronic 
      address: [email protected]
FAU - Jang, Jeong Hun
AU  - Jang JH
AD  - Department of Otolaryngology, Ajou University School of Medicine, 164, World
      cup-ro, Yeongtong-gu, Suwon, Gyeonggi-do, 443-380, Republic of Korea. Electronic 
      address: [email protected]
FAU - Choung, Yun-Hoon
AU  - Choung YH
AD  - Department of Otolaryngology, Ajou University School of Medicine, 164, World
      cup-ro, Yeongtong-gu, Suwon, Gyeonggi-do, 443-380, Republic of Korea; Bk21 Plus
      Research Center for Biomedical Sciences, Ajou University Graduate School of
      Medicine, Suwon, Republic of Korea. Electronic address: [email protected]
LA  - eng
PT  - Journal Article
DEP - 20170204
PL  - Ireland
TA  - Int J Pediatr Otorhinolaryngol
JT  - International journal of pediatric otorhinolaryngology
JID - 8003603
RN  - Preauricular Fistulae, Congenital
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Child
MH  - Child, Preschool
MH  - Craniofacial Abnormalities/*surgery
MH  - Drainage
MH  - Ear, External/*surgery
MH  - Female
MH  - Humans
MH  - Infant
MH  - Male
MH  - Middle Aged
MH  - Otorhinolaryngologic Surgical Procedures/adverse effects/*methods
MH  - Postoperative Complications
MH  - Treatment Outcome
MH  - Young Adult
OTO - NOTNLM
OT  - Early intervention
OT  - Excision
OT  - Infection
OT  - Preauricular sinus
EDAT- 2017/06/04 06:00
MHDA- 2017/06/27 06:00
CRDT- 2017/06/04 06:00
PHST- 2016/10/18 [received]
PHST- 2017/01/31 [revised]
PHST- 2017/01/31 [accepted]
AID - S0165-5876(17)30059-9 [pii]
AID - 10.1016/j.ijporl.2017.01.037 [doi]
PST - ppublish
SO  - Int J Pediatr Otorhinolaryngol. 2017 Apr;95:45-50. doi:
      10.1016/j.ijporl.2017.01.037. Epub 2017 Feb 4.