頁籤選單縮合
題名 | 感染性耳前瘻管之單一階段切除=Single Stage Excision of Infected Preauricular Fistula |
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作者姓名(中文) | 劉博仁; 袁本治; | 書刊名 | 中華民國耳鼻喉科醫學會雜誌 |
卷期 | 32:6 1997.12[民86.12] |
頁次 | 頁51-55 |
分類號 | 416.82 |
關鍵詞 | 耳前瘻管; 瘻管切除術; Preauricular fistula; Fistulectomy; |
語文 | 中文(Chinese) |
中文摘要 | 耳前 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 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 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 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 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 管手術復發率 3-10 %比較起來是有可接受之結果。 |
英文摘要 | Congenital preauricular fistula has been generally regarded as an innocuous condition, but it will become very trouble-some 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 has been controlled well. From January 1994 to December 1995, 12 patients with infected purulent preauricular fistula 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 or tragus. All of them were followed up at least 6 monthes. There was only one recurrence (8%) due to incomplete excision of the fistula. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。