先天性耳前瘘管手术时机的选择

目的 探讨先天性耳前瘘管行瘘管切除术的最佳时机。方法 先天性耳前瘘管患者78例局麻下进行手术治疗, 显微镜辅助,其中在非感染期间手术43例, 在感染得到基本控制后手术35例。结果 78例均获得满意疗效。术后随访1年以上, 两组术后各出现复发1例。结论 先天性耳前瘘管在感染得到基本控制后, 加以显微镜辅助行瘘管切除术, 可获得良好疗效。

Optimal time of fistulectomy in treatment of congenital preauricular fistula

Objective To explore the optimal time of surgery in the treatment of congenital preauricular fistula. Methods A total of 78 cases diagnosed as congenital preauricular fistula were studied, including 35 cases of local infection and 43 cases out. All preauricular fistula were removed with the aid of microscopy. For the cases of local infection, additional antibiotics treatment before surgery was applied. Results After a median follow up period of more than one year, 76 cases achieved full recovery, while 1 case in each group was to be recurrent. Conclusion Congenital preauricular fistula can be surgically removed under microscope when local infection has been resolved.