感染性耳前瘻管之單一階段切除

Single Stage Excision of Infected Preauricular Fistula

劉博仁(Po-Jen Liu) ； 袁本治(Ben-Chih Yuan)

《中華民國耳鼻喉科醫學會雜誌》 32卷6期 (1997/12) Pp. 657-661

https://doi.org/10.6286/1997.32.6.657

摘要

耳前瘻管在臨床上雖不是一種致命的疾病，但不幸感染化膿則會引起病人極大的不適。傳統感染化膿性耳前瘻管之手術是分二階段，即先做膿瘍之切開引流，待感染控制後再行瘻管切除術，不過因事先之切開造成之纖維化，反而增加解決之困難。本院耳鼻喉科搜集自1994年1月至1995年12月兩年期間共有12例感染性耳前瘻管之病例嘗試接受與傳統手術不同的單一階段切除，其切除範圍上至顴骨弓下緣，前至瘻管開口前1-2 cm處，內至腮腺筋膜，下至耳珠軟骨上緣。追蹤至少六個月以上，結果顯示有1例復發，佔8%，與一般未感染之耳前瘻管手術復發率3-10%比較起來是有可接受之結果。

關鍵字

耳前瘻管 ； 瘻管切除術

並列摘要

Congenital preauricular fistula has been generally regarded as an innocuous condition, but it will become very troublesome with chronic discharge when infection is occurred. Incision and drainage is made for infected purulent fistula in traditional surgical treatment first, then the fistulectomy will be done after infection had been controlled well. From January 1994 to December 1995, 12 patients with infected purulent preauricular fisula had been made by one-stage surgical treatment that is an improved method, different from traditional treatment. The excisional range would be superior to the low border of zygomatic arch, medial to the parotid fascia, anterior to 1-2 cm in front of fistula orifice, and inferior to upper edge of tragus. All of them were followed up at least 6 monthes. There was only one recurrence (8%) due to incomplete excision of the fistula.

並列關鍵字

preauricular fistula ； fistulectomy