Study on the management of granulation during surgery for congenital preauricular fistula infection stage.
10.13201/j.issn.2096-7993.2024.01.013
- Author:
Xiang XIAO
1
;
Lixue JIANG
2
;
Li LI
1
;
Chunguang DONG
1
;
Jiahui HAN
1
Author Information
1. The First Affiliated Hospital of Kangda College of Nanjing Medical University，Lianyungang，222100，China.
2. Department of Otolaryngology-Head and Neck Surgery，Dongfang Hospital of Lianyungang City.
- Publication Type:Journal Article
- Keywords:
congenital preauricular fistula;
granulation treatment;
infection stage
- MeSH:
Humans;
Cicatrix;
Wound Healing;
Craniofacial Abnormalities;
Fistula/surgery*;
Treatment Outcome
- From:
Journal of Clinical Otorhinolaryngology Head and Neck Surgery
2024;38(1):77-82
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the management of granulation tissue during surgery for infected congenital preauricular fistula and to assess the surgical outcomes. Methods:To summarize the surgical methods and the treatment of granulation methods in 140 cases of congenital preauricular fistula during the period of infection treated in our department from January 2018 to September 2022. The study divided patients into an observation group （79 patients） undergoing fistulectomy without granulation treatment, and a control group （61 patients） where fistulectomy and granulation resection were performed concurrently.. After six months of follow-up, the wound healing, recurrence rates, and the aesthetic assessment of granulation healing were evaluated using the Stony Brook Scar Evaluation Scale（SBSES）. Results:The two surgical approaches were applied to a total of 140 patients with infected congenital preauricular fistula. There was no statistical difference in wound healing and recurrence rates between the observation group and the control group. However, the observation group exhibited smaller scars. Conclusion:In cases of infected congenital preauricular fistula, surgical removal without excising granulation tissue is feasible, leading to effective healing and lesser scar formation.
