Objective:To report a surgical method for the treatment of pre-auricular fistula to lower post-operative recurrence rate. Methods:Clinical data of 187 patients with pre-auricular fistula who underwent en bloc resectio...Objective:To report a surgical method for the treatment of pre-auricular fistula to lower post-operative recurrence rate. Methods:Clinical data of 187 patients with pre-auricular fistula who underwent en bloc resection at the Affiliated Hospital of Luzhou Medical College from August 2006 to November 2012 were retrospectively reviewed. Factors that might affect the prognosis following En bloc fistula resection bordered by the superficial temporalis fascia, helix perichondrium and auriculocephalic sulcus were investigated. Results: Of the 187 patients, 181 achieved primary healing and 6 ended up with delayed healing. During the follow-up period (one to seven years), there were 4 cases of recurrence (2.1%). Conclusions:Clear demarcation of surgical resection can facilitate easy and thorough resection of preauricular fistula and lead to low recurrence rate. Proper timing and careful search for potential fistula branches are the two crucial factors affecting prognosis. Copyright ? 2016, PLA General Hospital Department of Otolaryngology Head and Neck Surgery. Production and hosting by Elsevier (Singapore) Pte Ltd. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).展开更多
Background: Neonatal preauricular pit/sinus is a benign embryologic remnant of the first or second branchial arches. The estimated incidence in the US is 1 to 9/1000 newborns, higher in East Asian babies. Most remain ...Background: Neonatal preauricular pit/sinus is a benign embryologic remnant of the first or second branchial arches. The estimated incidence in the US is 1 to 9/1000 newborns, higher in East Asian babies. Most remain asymptomatic throughout life. Inflammatory complications include discharge of squamous debris, cellulitis, or frank abscess. The purpose of this study was to survey pediatric otolaryngologists in the United States and Canada about management strategies for asymptomatic and symptomatic preauricular pits/sinuses. Study Design: A 15-item structured questionnaire covering questions on demographics, professional experience, and medical and surgical management of congenital preauricular pits/sinuses were sent by e-mail and selectively by regular mail to 273 members of the American Society of Pediatric Otolaryngology. Results: 175 of 273 responses (64%) were evaluable. 85% of respondents would simply observe cases of asymptomatic preauricular pit/sinus. Regarding further evaluation, 122 respondents (70%) would not recommend anything other than routine neonatal hearing screen, without need for repeat hearing tests in the first two years of life;34 (19%) would also get BAER hearing test and a renal ultrasound. If a sinus drains sebaceous material intermittently, 65% of the surveyed pediatric otolaryngologists would recommend excision. Ninety nine percent of pediatric ENT respondents would excise a recurrently infected preauricular sinus. Conclusion: Watchful waiting, without requirement of periodic hearing tests in the first 24 months of life is certainly acceptable for management of neonatal asymptomatic preauricular pit/sinus. There is universal agreement that recurrently infected preauricular sinuses should be referred to a pediatric otolaryngologist for surgical excision of the fistulous tract.展开更多
Otoplasty is very commonly used for the surgical correction of prominent ears. This procedure generally does not involve major complications. Pain and itching, hematoma and bleeding and infection are the most common c...Otoplasty is very commonly used for the surgical correction of prominent ears. This procedure generally does not involve major complications. Pain and itching, hematoma and bleeding and infection are the most common complications generally observed in post otoplasty patients. We present a case of a 13 years old boy who showed abnormal swelling from the pre- to the post-auricular area throughout the temporal region one day after the surgery. This case is distinct as the swelling was without the involvement of active bleeding but hematoma like complication at the site of surgery. The investigations were undertaken and the probable cause for these unusual observations were most likely related to lymphatic malformation.展开更多
A total of 30 students scoring between 12 and 20 on the Test Anxiety Scale who had been exhibiting an anxious state 〉 24 hours, and 30 normal control students were recruited. Indices of heart rate variability were re...A total of 30 students scoring between 12 and 20 on the Test Anxiety Scale who had been exhibiting an anxious state 〉 24 hours, and 30 normal control students were recruited. Indices of heart rate variability were recorded using an Actiheart electrocardiogram recorder at 10 minutes before auricular pressing, in the first half of stimulation and in the second half of stimulation. The results revealed that the standard deviation of all normal to normal intervals and the root mean square of standard deviation of normal to normal intervals were significantly increased after stimulation. The heart rate variability triangular index, very-low-frequency power, low-frequency power, and the ratio of low-frequency to high-frequency power were increased to different degrees after stimulation. Compared with normal controls, the root mean square of standard deviation of normal to normal intervals was significantly increased in anxious students following auricular pressing. These results indicated that auricular pressing can elevate heart rate variability, especially the root mean square of standard deviation of normal to normal intervals in students with pre-exam anxiety.展开更多
文摘Objective:To report a surgical method for the treatment of pre-auricular fistula to lower post-operative recurrence rate. Methods:Clinical data of 187 patients with pre-auricular fistula who underwent en bloc resection at the Affiliated Hospital of Luzhou Medical College from August 2006 to November 2012 were retrospectively reviewed. Factors that might affect the prognosis following En bloc fistula resection bordered by the superficial temporalis fascia, helix perichondrium and auriculocephalic sulcus were investigated. Results: Of the 187 patients, 181 achieved primary healing and 6 ended up with delayed healing. During the follow-up period (one to seven years), there were 4 cases of recurrence (2.1%). Conclusions:Clear demarcation of surgical resection can facilitate easy and thorough resection of preauricular fistula and lead to low recurrence rate. Proper timing and careful search for potential fistula branches are the two crucial factors affecting prognosis. Copyright ? 2016, PLA General Hospital Department of Otolaryngology Head and Neck Surgery. Production and hosting by Elsevier (Singapore) Pte Ltd. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
文摘Background: Neonatal preauricular pit/sinus is a benign embryologic remnant of the first or second branchial arches. The estimated incidence in the US is 1 to 9/1000 newborns, higher in East Asian babies. Most remain asymptomatic throughout life. Inflammatory complications include discharge of squamous debris, cellulitis, or frank abscess. The purpose of this study was to survey pediatric otolaryngologists in the United States and Canada about management strategies for asymptomatic and symptomatic preauricular pits/sinuses. Study Design: A 15-item structured questionnaire covering questions on demographics, professional experience, and medical and surgical management of congenital preauricular pits/sinuses were sent by e-mail and selectively by regular mail to 273 members of the American Society of Pediatric Otolaryngology. Results: 175 of 273 responses (64%) were evaluable. 85% of respondents would simply observe cases of asymptomatic preauricular pit/sinus. Regarding further evaluation, 122 respondents (70%) would not recommend anything other than routine neonatal hearing screen, without need for repeat hearing tests in the first two years of life;34 (19%) would also get BAER hearing test and a renal ultrasound. If a sinus drains sebaceous material intermittently, 65% of the surveyed pediatric otolaryngologists would recommend excision. Ninety nine percent of pediatric ENT respondents would excise a recurrently infected preauricular sinus. Conclusion: Watchful waiting, without requirement of periodic hearing tests in the first 24 months of life is certainly acceptable for management of neonatal asymptomatic preauricular pit/sinus. There is universal agreement that recurrently infected preauricular sinuses should be referred to a pediatric otolaryngologist for surgical excision of the fistulous tract.
文摘Otoplasty is very commonly used for the surgical correction of prominent ears. This procedure generally does not involve major complications. Pain and itching, hematoma and bleeding and infection are the most common complications generally observed in post otoplasty patients. We present a case of a 13 years old boy who showed abnormal swelling from the pre- to the post-auricular area throughout the temporal region one day after the surgery. This case is distinct as the swelling was without the involvement of active bleeding but hematoma like complication at the site of surgery. The investigations were undertaken and the probable cause for these unusual observations were most likely related to lymphatic malformation.
基金funded by the Undergraduate Innovation Experimental Design Program of Guangdong Province,No.1212110041the Extracurricular Scientific Research Project of Southern Medical University,No.2009kw034
文摘A total of 30 students scoring between 12 and 20 on the Test Anxiety Scale who had been exhibiting an anxious state 〉 24 hours, and 30 normal control students were recruited. Indices of heart rate variability were recorded using an Actiheart electrocardiogram recorder at 10 minutes before auricular pressing, in the first half of stimulation and in the second half of stimulation. The results revealed that the standard deviation of all normal to normal intervals and the root mean square of standard deviation of normal to normal intervals were significantly increased after stimulation. The heart rate variability triangular index, very-low-frequency power, low-frequency power, and the ratio of low-frequency to high-frequency power were increased to different degrees after stimulation. Compared with normal controls, the root mean square of standard deviation of normal to normal intervals was significantly increased in anxious students following auricular pressing. These results indicated that auricular pressing can elevate heart rate variability, especially the root mean square of standard deviation of normal to normal intervals in students with pre-exam anxiety.
