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Pressure dressing after excision of preauricular sinus: suture transfixion of silicone sheets

Published online by Cambridge University Press:  02 October 2009

K W Heo ,
M J Baek  and
S K Park
K W Heo*
Affiliation:
Department of Otorhinolaryngology-Head and Neck Surgery, College of Medicine, Inje University, Busan Paik Hospital, Busan, South Korea
M J Baek
Affiliation:
Department of Otorhinolaryngology-Head and Neck Surgery, College of Medicine, Inje University, Busan Paik Hospital, Busan, South Korea
S K Park
Affiliation:
Department of Otorhinolaryngology-Head and Neck Surgery, College of Medicine, Inje University, Busan Paik Hospital, Busan, South Korea
*
Address for correspondence: Dr Kyung Wook Heo, Department of Otorhinolaryngology-Head and Neck Surgery, Inje University College of Medicine, Busan Paik Hospital, 633-165 Keakeum-dong, Busanjin-Ku, Busan, 614-735, South Korea. Fax: 82 51 892 3831 E-mail: [email protected]
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Abstract

Objective:

After excision of a preauricular sinus, a head bandage compressive dressing is usually used to reduce dead space and to decrease the risk of recurrence. However, such use of a head bandage may cause various problems. We assessed a new method of compressive dressing, using suture transfixion of silicone sheets to the former sinus tract, following preauricular sinus excision.

Methods:

This retrospective study reviewed the medical records of patients undergoing preauricular sinus excision in a tertiary referral centre over a five-year period. After excision of the preauricular sinus, patients underwent suture transfixion of silicone sheets. Post-operative outcomes were analysed.

Results:

The new dressing method was performed on 50 ears of 37 patients. The post-operative incidence of recurrence and haematoma formation was 4 and 2 per cent, respectively. Other problems possibly caused by head bandaging, such as headache, facial flushing, and nausea and/or vomiting, were not observed.

Conclusion:

Compressive dressing by suture transfixion of silicone sheets is safe and effective following preauricular sinus excision.

Keywords

External EarPre-Auricular SinusOtologic Surgical Procedures
Type
Short Communications
Information
The Journal of Laryngology & Otology , Volume 123 , Issue 12 , December 2009 , pp. 1367 - 1370
Copyright
Copyright © JLO (1984) Limited 2009

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References

1Richardson, MA, Rosenfeld, RM, Congenital malformations of the neck. In: Bluestone, CD, Rosenfeld, RM, eds. Surgical Atlas of Pediatric Otolaryngology, 2nd edn.Hamilton, Canada: BC Decker, 2002;502–3Google Scholar
2Yeo, SW, Jun, BC, Park, SN, Lee, JH, Song, CE, Chang, KH et al. The preauricular sinus: factors contributing to recurrence after surgery. Am J Otolaryngol 2006;27:396–400CrossRefGoogle ScholarPubMed
3Lam, HC, Soo, G, Wormald, PJ, Van Hasselt, CA. Excision of the preauricular sinus: a comparison of two surgical techniques. Laryngoscope 2001;111:317–19Google Scholar
4Castelli, ML, Di Lisi, D, Marcato, P, Tavormina, P, Cappellaro, E, Sartoris, A. Is pressure dressing necessary after ear surgery? Ann Otol Rhinol Laryngol 2001;110:254–6Google Scholar
5Tan, T, Constantinides, H, Mitchell, TE. The preauricular sinus: a review of its aetiology, clinical presentation and management. Int J Pediatr Otorhinolaryngol 2005;69:1469–74CrossRefGoogle Scholar
6Godley, FA. Experience with the malleable ear dressing, a versatile silicone-lined bandage for the auricle. Ear Nose Throat J 2003;82:570–4CrossRefGoogle Scholar
7Hill, J, Allan, W, Malhan, D, Williams, ED. Pressure exerted by head bandages used in ontological surgery. J Laryngol Otol 1993;107:1110–12Google Scholar
8Powell, BW. The value of head dressings in the postoperative management of the prominent ear. Br J Plast Surg 1989;42:692–4Google Scholar
9Widman, TJ, Oostman, H, Storrs, FJ. Allergic contact dermatitis from medical adhesive bandages in patients who report having a reaction to medical bandages. Dermatitis 2008;19:32–7CrossRefGoogle ScholarPubMed
10Rieger, UM, Haug, M, Pierer, G. An alternative to bolus tie-over dressing for full-thickness skin grafts for conchal cavity defects. Ann Plast Surg 2007;59:353–4Google Scholar