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1 results

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

  • K W Heo, M J Baek, S K Park
  • Journal:
    The Journal of Laryngology & Otology / Volume 123 / Issue 12 / December 2009
    Published online by Cambridge University Press:
    02 October 2009, pp. 1367-1370
    Print publication:
    December 2009
  • 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.