Your browser doesn't support javascript.
loading
A systematic review on the surgical outcome of preauricular sinus excision techniques.
Bruijnzeel, Hanneke; van den Aardweg, Maaike T; Grolman, Wilko; Stegeman, Inge; van der Veen, Erwin L.
Afiliación
  • Bruijnzeel H; Department of Otorhinolaryngology, University Medical Center, Utrecht, The Netherlands.
  • van den Aardweg MT; Brain Center Rudolf Magnus, Central Military Hospital, Utrecht, The Netherlands.
  • Grolman W; Department of Otorhinolaryngology, University Medical Center, Utrecht, The Netherlands.
  • Stegeman I; Department of Otorhinolaryngology, University Medical Center, Utrecht, The Netherlands.
  • van der Veen EL; Brain Center Rudolf Magnus, Central Military Hospital, Utrecht, The Netherlands.
Laryngoscope ; 126(7): 1535-44, 2016 07.
Article en En | MEDLINE | ID: mdl-27320109
OBJECTIVES/HYPOTHESIS: Preauricular sinuses are benign congenital malformations of preauricular soft tissues. Complete excision using either sinectomy or supra-auricular approach is advised to prevent recurrence. Reported recurrence varies between 0 and 42%. We evaluated which surgical technique resulted in lowest complication and recurrence rates. STUDY DESIGN: PubMed, Embase, Scopus, Web of Science. METHODS: Two authors appraised studies on directness of evidence and risk of bias. Original data were extracted and pooled when I(2) was smaller than 50%. Results are reported according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses statement. RESULTS: Fourteen high directness of evidence studies were included. Reported complication rates were similar: sinectomy [0-31.4%] and supra-auricular approach (SAA) [0-18.2%]. Pooled recurrence rates showed that sinectomy resulted in significantly (P = .04) more recurrence 5.5% (95% confidence interval [CI] 3.6-8.3%) than SAA 2.2% (95% CI 0.7-7.0). Sinectomy using the microscope resulted in the lowest sinectomy recurrence rates (1.9%). SAA in combination with a Penrose drain resulted in 0% recurrence in revision cases. Drain use resulted in the lowest SAA recurrence rates; however, drain application was not advised due to higher complication rates (frequent wound infection [P = .003] and more [P = .002] and longer [P = .001] compression dressing use). CONCLUSION: SAA could be the preferable technique for preauricular sinus removal. If despite evidence, sinectomy is elected over SAA, microscope use can further decrease recurrence rates comparable to SAA levels. Level of included evidence (Ib-IV) indicates the need for a prospective study comparing surgical outcomes between techniques. Laryngoscope, 126:1535-1544, 2016.
Asunto(s)
Palabras clave
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Drenaje / Fístula Cutánea / Enfermedades del Oído / Pabellón Auricular / Microscopía Tipo de estudio: Observational_studies / Risk_factors_studies / Systematic_reviews Límite: Humans Idioma: En Revista: Laryngoscope Asunto de la revista: OTORRINOLARINGOLOGIA Año: 2016 Tipo del documento: Article País de afiliación: Países Bajos Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Drenaje / Fístula Cutánea / Enfermedades del Oído / Pabellón Auricular / Microscopía Tipo de estudio: Observational_studies / Risk_factors_studies / Systematic_reviews Límite: Humans Idioma: En Revista: Laryngoscope Asunto de la revista: OTORRINOLARINGOLOGIA Año: 2016 Tipo del documento: Article País de afiliación: Países Bajos Pais de publicación: Estados Unidos