Shahid Ali, Najamul Husnain Khan.
Local experience in management of Preauricular sinuses.
Pak Postgrad Med J Jan ;16(4):133-5.

Introduction: Recurrence is a common problem in management of congenital Pre-auricular sinus. In this observational study we report the demographic data, clinical features along with the risk factors for recurrence and influence of supra-auricular approach in comparison to the already reported recurrence rate with standard surgical technique. Materials and Methods: Patients with pre-auricular sinus who were managed at the Lahore General Hospital from December 1999 to March 2003 were included in this study. Results: Thirty cases of preauricular sinus were managed with the supra- auricular surgical approach. The recurrence rate with this approach was found to be 10% as compared to the reported recurrence rate of 19% to 42% in different series with standard surgical technique. The main risk factor for recurrence was infection prior to excision or around excision. Conclusion: Though this was a non-comparative study, supra- auricular approach appeared to be a technique for surgical excision of pre-auricular sinus.

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