“H”型切口和“∧”型切口在儿童感染性耳前瘘管切除术中的应用

Application of H-type incision or Λ-type incision in the resection of infected preauricular fistula in children

摘要:

目的 探讨"H （eta） "型（简称" H"型）切口和"∧（lambada）"型（简称"∧"型）切口在儿童感染性耳前瘘管切除术中的可行性。方法 回顾性分析2013年1月—2018年7月采用"H"型切口和"∧"型切口进行手术的175例儿童感染性耳前瘘管患者的临床资料。其中，161例采用"H "型切口（" H"组），14例采用"∧"型切口（"∧"组）。结果 所有患者手术顺利。术后随访1~2年。术后切口感染率1.1%（2/175），经换药治疗痊愈。皮瓣成活率100.0%（175/175）。无复发病例。结论 "H"型切口和"∧"型切口可以充分暴露瘘管组织以及感染灶，取得良好的手术效果。切口自然形成的皮瓣基本满足感染性耳前瘘管切除后皮肤缺损的Ⅰ期修补且存活率可靠。"∧"型切口靠近发际线，可以得到更好的美容结果。

关键词:耳前瘘管;皮瓣;儿童;感染

Abstract:

Objective To investigate the feasibility of H-type incision or Λ-type incision in the resection of infected preauricular fistula in children. Methods It was retrospectively analyzed for the clinical data of 175 children with infected preauricular fistula underwent H-type incision or Λ-type incision from January 2013 to July 2018. The children with infective preauricular fistula were treated with "H" incision in 161 cases ("H" group) and "Λ" incision in 14 cases ("Λ" group). Results All patients were successfully operated. All postoperative patients were followed up for 1 to 2 years. The infection rate of postoperative incision was 1.1% (2/175). After dressing change, the infected children recovered well. The survival rate of flap was 100% (175/175). There were no recurrent cases. Conclusions H-type incision and Λ-type incision can fully expose the fistula and infected foci, and achieve good surgical results. The skin flaps formed naturally by incision design can basically repair the skin defect after the excision of infected preauricular fistula in stage I and the survival rate is reliable. The Λ-type incision close to the hairline can get better cosmetic results than the H-type incision.

Key words:Preauricular fistula;Flap;Children;Infection