先天性耳前瘘管伴感染的早期手术治疗

Early operation treatment of congenital preauricular fistula accompanied with infection

目的:探讨先天性耳前瘘管患者感染后,采取提早手术干预的方法的临床疗效。方法:自2002年5月收治先天性耳前瘘管感染患者75例,在切开排脓后5~7天内行先天性耳前瘘管摘除术。结果:本组患者均获痊愈。随访半年,无一例复发,无一例发生术后切口感染、耳郭软骨膜炎等近期并发症。结论:先天性耳前瘘管感染时不需要等到化脓性伤口完全愈合,早期切除耳前瘘管病灶及脓腔的肉芽组织,有利伤口的愈合。

Objective:To disscuss the effect of the method of operation for early intervention after infection of patients with congenital preauricular fistula.Methods:75 cases with congenital preauricular fistula were selected from May 2002.They were treated with congenital preauricular fistula resection in 5 to 7 days after incision and drainage.Results:The patients were all cured.With half a year of follow-up,there was no recurrence in 1 case.there was no nearby complications occurred in 1 case,such as incision infection,perichondritis of auricle and so on.Conclusion:For congenital preauricular fistula patients,we do not need to wait until the purulent wound healed completely,and we should give them early excision of granulation tissue in front of the ear and pus cavity fistula.This is conducive to wound healing.