Preauricular Sinus / Fistula
Preauricular sinuses are generally located in the anterior area of the ascending limb of the helix. They occur in various locations, such as the superior regions of the auricle, the posterior surface of the cymba concha, and even the postauricular area.
The majority of preauricular sinuses present asymptomatically, and no treatment is required. When signs of infection occur, such as chronic recurrent discharges, erythematous changes, abscess formation, and local swelling, patients are recommended to undergo complete surgical excision of the sinus tracts.
Indications
-
Previous history if infection of the preauricular sinus
-
Symptomatic relief
Intended Benefits and expected outcome
- Prevetion of infection
- Symptomatic relief
The Procedure
- Local/general anaesthesia
- Make incision in front of the eat with inclusion of the sinus opening and scar
- Remove soft tissue along the area including all the tracts
- Haemostasis
- Wound closure
- Head bandage may be necessary
Risk and Complication(≧1% risk)
- Bleeding
- Wound infection/ abscess
- Wound break down
- Poor wound healing
- Scar/keloid
- Recurrence
Uncommon risks with serious consequence (<1% risk)
Damage to nearby structures(face nerves/vessels)
Before the procedure
- Inform doctor of any medical conditions e.g. diabetes mellitus, heart disease, hypertension and any regular medication, including herbs and dietary supplement.
- Stop food and drink if needed as instructed by doctor or nurse
- Other special preparation or investigation before the procedure
After the procedure
- simple dressing applied to the wound
- Head bandage (if used) can be removed one or two days afterwards
Follow-up and recovery
- Simply bandage the wound.
- Remove the head bandage (if any) a day or two after surgery.