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摘要


先生性外耳瘻管除了耳前瘻管最為常見外,少數會發生在外耳的其它位置。患者的瘻管開口在耳廓上,其中1例在對耳輪腳,併發耳廓膿瘍及軟骨壞死;1例是在耳輪昇腳的內緣:2例開口在外耳道,並引起耳珠前膿瘍;4例瘻管的開口在耳輪腳,其中2例引起耳後膿瘍;剩下1例是瘻管在耳輪下位。發炎的有8例,均先以抗生素或加上切開引流治療膿瘍。最後以手術摘除瘻管。這些瘻管的開口位置特別,手術時發現瘻管和軟骨膜緊密相黏,甚至包埋在軟骨中,有別於一般耳前瘻管。

關鍵字

耳前瘻管 對耳輪腳 腮弓

並列摘要


Most congenital auricular fistulae are located just above and in front of the meatus and named as preauricular fistula or pit. Some auricular fistulae are located in other areas of the auricle. They originate from lack of fusion between two of the six hillocks that make up the auricle during the embryonic stage. We collected nine cases of auricular fistula of the above-described type. One was on the medial side of the ascending portion of the helix. One was at the lower portion of the helix. One was at the crus of the antihelix and caused abscess and cartilage necrosis in the upper area of the auricle. Two were at the external meatus. Four were located at the crus of the helix and two of these resulted in the formation of postauricular abscess. Owing to the peculiar location and difficulty in excision, we presented the cases and made some discussions.

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