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Excision of the Preauricular Sinus: A Comparison of Two Surgical Techniques
Author(s) -
Lam Henry Chuen Kwong,
Soo Gordon,
Wormald Peter John,
Van Hasselt Charles Andrew
Publication year - 2001
Publication title -
the laryngoscope
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.181
H-Index - 148
eISSN - 1531-4995
pISSN - 0023-852X
DOI - 10.1097/00005537-200102000-00024
Subject(s) - sinus (botany) , medicine , surgery , surgical procedures , biology , botany , genus
Objectives To compare the long‐term recurrence rate of the standard technique (simple sinectomy) and the supra‐auricular approach (wide local excision) for the surgical management of preauricular sinuses. Study Design Retrospective cohort. Methods Fifty‐four patients with a preauricular sinus excised between May 1986 and December 1996 were included in this study. All patients were categorized into one of two groups based on the type of surgery performed: the standard technique or the supra‐auricular approach. The medical records were then reviewed and the latest information concerning the recurrence of a preauricular sinus were updated by phone interview. The recurrence rate of these two groups was statistically analyzed by the Fisher exact test. Results Forty‐nine of 54 patients were successfully contacted with data updated and analyzed. The 32% recurrence rate of the standard excision (n = 25) was significantly higher than the 3.7% recurrence rate of the supra‐auricular approach (n = 27; two‐tailed test, P = .01). Conclusion The supra‐auricular approach for excision of a preauricular sinus has a statistically lower recurrence rate in comparison to the standard technique.