The significance of the spine of helix in the operation of complex preauricular fistulas in children
WANG Xiaodong
HAN Fugen
SENG Dongjie
JIANG Lan
WANG Shengcai
ZHANG Jie
ZHAO Jing
XU Ying
Abstract：Objective:To explore the application significance of partial spine of helix resection in the operation of complex preauricular fistula in children.Methods:A retrospective analysis of the clinical data and local lesion character-istics of 78 children with a complex preauricular fistula admitted to Henan Provincial Children's Hospital from June 2017 to February 2021,exploring the intraoperative significance of the spine of helix.Results:Part of the spine of helix,perichondrium and part of the soft tissue were excised completely by anatomical resection,and the natural fistula in 78 patients were all located in front of the crus of helix,among which,73 cases had a fistula close to the perichondrium of the helix and reached the spine of helix.The residual lesions,in the 5 cases of recurrence without a fistula in previous surgery patients,were all located in the spine of helix.There was no recurrence after operation in all cases.Conclusion:Surgery is the only way to radically cure complex preauricular fistulas.Active dissection of the spine of helix during sur-gery can reveal the location and extent of deep lesions.Partial excision of the spine of helix can effectively cure and re-duce recurrence,and also avoid local deformities caused by excessive helical cartilage excision.
Keywords：congenital pre-auricular fistulaspine of helixrecurrencesurgical procedures
Publication Date：2024-12-10
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 904-906 )