En bloc resection for treatment of refractory pre-auricular fistula

• Published in: Journal of otology Vol. 10; no. 4; pp. 163 - 166
• Main Authors: Fei, Jing, Zhang, Di, Sun, Xiao-qiang, Zhao, Chong, Qin, Gang, Liu, Yue-hua, Zhu, Lin, Li, Lei-ji
• Format: Journal Article
• Language: English
• Published: China Elsevier (Singapore) Pte Ltd 01.12.2015; Department of 0torhinolaryngology Head and Neck Surgery, Affiliated Hospital of Luzhou Medical College, Luzhou 646000, China; Chinese PLA General Hospital
• Subjects: Clinical Case; fascia;Helix; fistula;Temporalis; Helix perichondrium; Infection; perichondrium;Surgery;Infection; Pre-auricular; Pre-auricular fistula; Surgery; Temporalis fascia; Temporalis fascia; Infection; Pre-auricular fistula; Helix perichondrium; Surgery
• ISSN: 1672-2930; 2524-1753
• DOI: 10.1016/j.joto.2016.01.002

Objective: To report a surgical method for the treatment of pre-auricular fistula to lower post-operative recurrence rate.Methods: Clinical data of 187 patients with pre-auricular fistula who underwent en bloc resection at the Affiliated Hospital of Luzhou Medical College from August 2006 to November 2012 were retrospectively reviewed. Factors that might affect the prognosis following En bloc fistula resection bordered by the superficial temporalis fascia, helix perichondrium and auriculocephalic sulcus were investigated.Results: Of the 187 patients, 181 achieved primary healing and 6 ended up with delayed healing. During the follow-up period(one to seven years), there were 4 cases of recurrence(2.1%).Conclusions: Clear demarcation of surgical resection can facilitate easy and thorough resection of preauricular fistula and lead to low recurrence rate. Proper timing and careful search for potential fistula branches are the two crucial factors affecting prognosis.