title: A simple and reproducible surgical technique for the management of preauricular sinuses.
abstract: Preauricular sinus is a relatively common congenital anomaly that mainly exists on the anterior aspect of the anterior limb of the ascending helix. Although many surgical techniques have been developed, extirpation of the sinus is not easy because of the ramifications of the sinus, remnants of the sinus wall, and infection with or without formation of abscesses, which can all lead to disease recurrence. In our institution, we have surgically treated a total of 141 cases of congenital preauricular sinuses. Instead of using the conventional lacrimal probe and methylene blue method, we used a gentian violet-soaked Cottonoid, which has antibacterial effects against the main pathogen responsible for causing infection of the preauricular sinus. Results have been very favorable, with a zero recurrence rate. We present here a simple and reproducible surgical technique using a gentian violet-soaked Cottonoid that even beginning surgeons can easily follow.
authors.affiliation: Department of Plastic and Reconstructive Surgery, Uijeongbu St Mary's Hospital, The Catholic University of Korea, Uijeongbu, Korea.
authors.forename: Hyung-Sup
authors.initials: HS
authors.lastname: Shim
authors.forename: Young-Il
authors.initials: YI
authors.lastname: Ko
authors.forename: Min-Cheol
authors.initials: MC
authors.lastname: Kim
authors.forename: Ki-Taik
authors.initials: KT
authors.lastname: Han
authors.forename: Jin-Soo
authors.initials: JS
authors.lastname: Lim
mesh_terms: D000891:Anti-Infective Agents, Local / Q000627:therapeutic use; D054644:Ear Auricle / Q000002:abnormalities* / Q000601:surgery*; D005260:Female; D005402:Fistula / Q000151:congenital* / Q000601:surgery*; D005840:Gentian Violet / Q000627:therapeutic use; D006801:Humans; D008297:Male; D011183:Postoperative Complications; D015203:Reproducibility of Results; D012189:Retrospective Studies; D016896:Treatment Outcome
chemical_list: D000891:Anti-Infective Agents, Local; D005840:Gentian Violet
keywords: Cottonoid; gentian violet; preauricular sinus; surgical technique