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The clinical efficacy of early intervention for infected preauricular sinus

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dc.contributor.authorChoo, OS-
dc.contributor.authorKim, T-
dc.contributor.authorJang, JH-
dc.contributor.authorChoung, YH-
dc.date.accessioned2018-08-24T01:48:43Z-
dc.date.available2018-08-24T01:48:43Z-
dc.date.issued2017-
dc.identifier.issn0165-5876-
dc.identifier.urihttp://repository.ajou.ac.kr/handle/201003/15882-
dc.description.abstractOBJECTIVE: The study was designed to evaluate the outcomes of early surgical intervention, and to suggest the accurate operation time and surgical strategies.
METHODS: A total of 190 cases (144 patients) of PAS excision were classified into 2 groups according to their time of surgery: early intervention group (n = 53), and non-early intervention group (n = 137). Early intervention was defined as excision performed within 3 weeks from their first hospital visit, and after acute infection control, surgical removal was followed regardless of their infection status. The mean age of patients was 18.3 +/- 15.7 years old (62 male, 82 female). During surgery, a parallel incision was added when iatrogenic fistula due to incision and drainage (I &D) or additionally opened wounds caused by infection was present.
RESULTS: Cases of I & D history, revision cases, use of preoperative antibiotics were significantly higher in the early intervention group compared to the non-early intervention group, however, the time of surgery did not affect the complication rate (p = 0.533). Within the infected cases, only 1 patient from the non-early intervention group showed a minor complication of keloid scar. During our follow up period of minimum of 6 months, there was no recurrence in either groups.
CONCLUSION: The early intervention of PASs does not seem to increase postoperative complication or recurrence rates. A double parallel skin incision is a simple but adequate technique to treat infected PASs.
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dc.language.isoen-
dc.subject.MESHAdolescent-
dc.subject.MESHAdult-
dc.subject.MESHChild-
dc.subject.MESHChild, Preschool-
dc.subject.MESHCraniofacial Abnormalities-
dc.subject.MESHDrainage-
dc.subject.MESHEar, External-
dc.subject.MESHFemale-
dc.subject.MESHHumans-
dc.subject.MESHInfant-
dc.subject.MESHMale-
dc.subject.MESHMiddle Aged-
dc.subject.MESHOtorhinolaryngologic Surgical Procedures-
dc.subject.MESHPostoperative Complications-
dc.subject.MESHTreatment Outcome-
dc.subject.MESHYoung Adult-
dc.titleThe clinical efficacy of early intervention for infected preauricular sinus-
dc.typeArticle-
dc.identifier.pmid28576531-
dc.contributor.affiliatedAuthor추, 옥성-
dc.contributor.affiliatedAuthor장, 정훈-
dc.contributor.affiliatedAuthor정, 연훈-
dc.type.localJournal Papers-
dc.identifier.doi10.1016/j.ijporl.2017.01.037-
dc.citation.titleInternational journal of pediatric otorhinolaryngology-
dc.citation.volume95-
dc.citation.date2017-
dc.citation.startPage45-
dc.citation.endPage50-
dc.identifier.bibliographicCitationInternational journal of pediatric otorhinolaryngology, 95. : 45-50, 2017-
dc.embargo.liftdate9999-12-31-
dc.embargo.terms9999-12-31-
dc.identifier.eissn1872-8464-
dc.relation.journalidJ001655876-
Appears in Collections:
Journal Papers > School of Medicine / Graduate School of Medicine > Otolaryngology
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