Abstract
Objective: This study aimed to investigate the application of mini-incisions in complex preauricular fistula resection in children.Methods: A total of 78 children who were diagnosed with preauricular fistula infection between January 2017 and December 2019 were included in the study. Their clinical data were analyzed retrospectively, and surgical treatment with mini-incisions based on plastic surgery principles and techniques was provided.Results: All the patients achieved healing following the first application of the treatment. The patients were followed up for 6–42 months, and no recurrence or local auricular deformation occurred.Conclusion: The application of mini-incisions and plastic surgery techniques in complex preauricular fistula resection in children can achieve a good effect and improve the satisfaction of the children and their parents.
Highlights
Congenital preauricular fistula (CPF) is a common congenital malformation of the external ear in children
This study aimed to investigate the application of mini-incisions in complex preauricular fistula resection in children
A total of 78 children who were diagnosed with preauricular fistula infection between January 2017 and December 2019 were included in the study
Summary
Congenital preauricular fistula (CPF) is a common congenital malformation of the external ear in children In most patients, it manifests as a skin pit in front of the ascending branch of the helix. No intervention should be implemented when the patients have no obvious symptoms If they present with red swelling, pain, and/or surrounding skin ulceration and other infection symptoms, the traditional treatment is incision and drainage, and surgical resection is performed after the inflammation is essentially controlled [1]. Recurrent preauricular fistula or preauricular fistula with periauricular granuloma or scar formation caused by repeated infection after fistulectomy is called complex preauricular fistula [2] In such cases, the timing of the operation and incision design are important to achieve good results.
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