Abstract

This study entitled “Outcome of different surgical technique in pre-auricular sinus- A retro-spective study”. Aim and objective- to summarize the clinical feature, compare the long-term results of the preauricular sinus excision by simple sinectomy and supra-auricular approach and to evaluate the recurrence rate of supra-auricular approach. Method and material - This retrospective study was conducted in the department of ENT, Bundelkhand medical college and hospital Sagar MP after due clearance institutional ethics committee. This study was conducted on 102 patients of pre-auricular sinus which were previously operated in ENT department from duration april 2019 to april 2022. All patients were divided in two groups on the basis of surgical approach 1) Group A ( n=32) - patients in which simple sinectomy was done. 2) Group B (n=70) - patients in which supra-auricular approach used. We analyzed the ratio of male to female, age group of the highest prevalence and recurrence rate. All the patients were followed up for at least 3 months after operations. The statistical analysis and comparison were performed utilizing SPSS. The significance level was set at P < 0.05. Result – in our study male to female 1:1.8, common in teenage 11-20 year age, unilateral was more than bilateral (left side preauricular sinus about 50%), recurrence rate was more in simple sinectomy than supra-auricular technique. Conclusion- Supra-auricular approach had significantly lower recurrence rate than tract sinectomy approaches, so it is recommended to make it the standard primary procedure for preauricular sinus excision besides its use in recurrent cases

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