双梭形切口手术治疗儿童感染期先天性耳前瘘管

Surgical treatment of double fusiform incision for congenital preauricular fistula with infection in children

目的探讨双梭形切口手术治疗儿童感染期先天性耳前瘘管的疗效。方法回顾性分析2017年6月—2019年6月复旦大学附属儿科医院厦门分院收治的85例(85耳)先天性耳前瘘管感染期采用双梭形切口手术治疗患儿的临床资料,观察术后疗效。结果85例患儿均顺利完成手术,术后7~10 d,83例(83耳)一期愈合,2例二期愈合。所有患儿皮肤表面手术瘢痕均不明显,无耳廓软骨膜炎等并发症,耳廓形态无明显变化,切口愈合达美容缝合效果。术后随访6个月至2年,均无复发,治愈率100%。结论先天性耳前瘘管感染期行双梭形切口手术治疗,方法简便,兼顾美容效果,创伤小,恢复快,术后效果满意,临床可推广应用。

Objective To investigate the effect of surgical treatment of double fusiform incision for congenital preauricular fistula with infection in children.Methods A retrospective analysis was performed on the clinical data of the clinical data of 85 children(85 ears)with congenital preauricular fistula infection treated by double fusiform incision from June 2017 to June 2019 in Children’s Hospital of Fudan Univercity Xiamen Branch.Then,the postoperative efficacy of the children were observed.Results All 85 cases of children were successfully operated,83 cases(83 ears)healed in the first stage and 2 cases healed in the second stage within 7 to 10 days after surgery.All children had no obvious scars on the skin surgical incisions,no complications such as auricular perichondritis,no obvious changes in the shape of the auricles,and the incisions healed with cosmetic suture effect.The postoperative follow-up lasted from 6 months to 2 years,and there was no recurrence cases,and the cure rate was 100%.Conclusion It is a simple and aesthetic method with little trauma,quick recovery and satisfactory postoperative effect for the surgical treatment of double fusiform incision for congenital preauricular fistula with infection in children.It can be widely applied in clinic.