NGHIÊN CỨU ĐẶC ĐIỂM LÂM SÀNG, MÔ BỆNH HỌC VÀ ĐÁNH GIÁ KẾT QUẢ PHẪU THUẬT RÒ LUÂN NHĨ

Lê Thanh Huyền1,
1 Bệnh viện Sản nhi Phú Thọ

Main Article Content

Abstract

Preauricular sinus is a common congennital disorder in the ENT. Patients usually don’t concern about the preauricular sinus unless complications occur. Therefore, it makes treatment particularly challenging and the recurrence ratio high. Understanding the clinical and histopathological characteristics and evaluation the results of treament preauricular sinus are neccessary to avoid dangerous complications and can make a great support for prognosis the desease. Objectives: To describe the clinical and histopathological characteritis and evaluate the results of treatment preauricular sinus. Materials and methods: describe self-controlled case series clinical intervention before and after, collecting data retrospectively and prospectively. Studied on 37 patients who have been diagnosed preauricular sinus and being surgery in ENT department of Phu Tho Obstetrics and Pediatrics hospital and Thai Nguyen National hospital. Results: Age group 6-15 years old accounted for the highest percentage with 48.6%. The male/female ratio is approximately 1.5/1. The patients having familial factor accounted for 54.1%. The patients who had abscess complications and inflammatory complications are 27% and 35.1%. Location of preauricular sinus: anterior edge of the helix 82.2%. Histopathological: stratified squamous epithelium 65.6%. Average inpatient time group 8-14 day accounted for highest percentage with 51.4%. Complications intraoperative: bleeding 6.7%, fistula rupture 4.4%. Postoperative complications: hematoma 4.4%, infection 2.2%. Results 3 months after surgery: good 91.1%, moderate 6.7%, bad 2.2%.    Conclusion: Preauricular sinus is diagnosed and treated mainly in children, the male ratio is higher than female.  The most common location of preauricular sinus is anterior edge of the helix. The common histopathological is stratified squamous epithelium. Complications intraoperative and postoperative are rare. Majority of postoperative results were good.

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References

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