感染期耳前瘘管术中炎性皮肤保留的探索

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Abstract Objective To explore the application effect of inflammatory skin preservation in the operation of preauricular fistula in the period of infection. Methods From January 2019 to January 2020, 50 patients with congenital preauricular fistula and abscess in the Department of Otolaryngology of Affiliated Hospital of Putian University and Putian Hanjiang Hospital were selected as the study objects. The patients were divided into the experimental group and the control group by stratified random sampling, 25 cases in each group. In the experimental group, the small fusiform incision was used and extended down 1 to 2 cm, and the inflammatory skin was preserved. In the control group, large fusiform or double fusiform incision was used. The patients were followed up for 1 month to 1 year. The therapeutic effect, the incidence rate of complication, local scar length and recurrence rate of the two groups were compared.Results The total effective rate of the experimental group was 88.00%, compared with 96.00% of the control group,there was no significant difference (P＞0.05). There was no significant difference in the total incidence of complications between the two groups (P＞0.05). The local scar length in the experimental group was (8.16±1.28) mm, which was significantly shorter than (18.08±1.73) mm in the control group, the difference was statistically significant (P＜0.05). The recurrence rate of the experimental group was 8.00%, compared with 4.00% of the control group, there was no significant difference (P＞0.05). Conclusion For the patients with congenital preauricular fistula and abscess stage, the same therapeutic effect can be achieved by using small fusiform incision after proper control of inflammation,supplemented by surgical techniques such as inflammatory skin preservation during the operation, which can improve the scar without increasing the recurrence rate.

Key words： Congenital preauricular fistula Infection stage Abscess Inflammatory skin preservation

Received: 07 April 2020

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