{"title":"One-stop outpatient management of accessory auricle in children with titanium clip.","authors":"Phui Yee Wong, Tereze Laing, Catherine Milroy","doi":"10.1155/2014/780394","DOIUrl":null,"url":null,"abstract":"<p><p>Introduction. Literature on ideal management of accessory auricles is limited. Traditionally, accessory auricles are managed by paediatricians with suture ligation at the base of the accessory auricle to induce ischaemic necrosis (Mehmi et al, 2007). This method can be associated with complications and poor cosmesis thus leading to the vogue of surgical excision ( Frieden et al, 1995; Sebben, 1989). We present our experience in managing these lesions in children with the application of a titanium clip in a one-stop outpatient setting. Methods. Data was collected retrospectively through review of patient records and telephone questionnaire identifying outcomes from the parents' perspective. Results. Of 42 patients, 24 (57.1%) responded. Eleven (26.2%) underwent surgical excision, 6 (14.3%) had no intervention, and 1 (2.4%) was not contactable. All parents were happy with the outcome and would recommend this management to other parents. Twenty-three (96%) had no complications apart from a tiny residual nubbin, which was considered cosmetically acceptable. One child had a residual nubbin that grew in size requiring surgical excision at later stage. Conclusion. Management of accessory auricles by the application of a titanium clip in one-stop outpatient setting is safe, simple, quick, and well tolerated with no need for admission, anaesthesia, or followup due to the low complication rate. </p>","PeriodicalId":20105,"journal":{"name":"Plastic Surgery International","volume":"2014 ","pages":"780394"},"PeriodicalIF":0.0000,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2014/780394","citationCount":"4","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Plastic Surgery International","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1155/2014/780394","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2014/4/1 0:00:00","PubModel":"Epub","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 4
Abstract
Introduction. Literature on ideal management of accessory auricles is limited. Traditionally, accessory auricles are managed by paediatricians with suture ligation at the base of the accessory auricle to induce ischaemic necrosis (Mehmi et al, 2007). This method can be associated with complications and poor cosmesis thus leading to the vogue of surgical excision ( Frieden et al, 1995; Sebben, 1989). We present our experience in managing these lesions in children with the application of a titanium clip in a one-stop outpatient setting. Methods. Data was collected retrospectively through review of patient records and telephone questionnaire identifying outcomes from the parents' perspective. Results. Of 42 patients, 24 (57.1%) responded. Eleven (26.2%) underwent surgical excision, 6 (14.3%) had no intervention, and 1 (2.4%) was not contactable. All parents were happy with the outcome and would recommend this management to other parents. Twenty-three (96%) had no complications apart from a tiny residual nubbin, which was considered cosmetically acceptable. One child had a residual nubbin that grew in size requiring surgical excision at later stage. Conclusion. Management of accessory auricles by the application of a titanium clip in one-stop outpatient setting is safe, simple, quick, and well tolerated with no need for admission, anaesthesia, or followup due to the low complication rate.
介绍。关于副耳廓理想治疗的文献有限。传统上,副耳廓由儿科医生在副耳廓底部缝合结扎以诱导缺血性坏死(Mehmi et al, 2007)。这种方法可能会导致并发症和美容不良,从而导致手术切除的流行(Frieden et al ., 1995;Sebben, 1989)。我们介绍我们的经验,在管理这些病变的儿童应用钛夹在一站式门诊设置。方法。通过回顾患者记录和电话问卷,从父母的角度确定结果,回顾性收集数据。结果。42例患者中,24例(57.1%)有反应。11例(26.2%)行手术切除,6例(14.3%)未进行干预,1例(2.4%)未接触。所有家长都对结果感到满意,并将这种管理方法推荐给其他家长。23例(96%)患者除了残留的小结节外没有其他并发症,这在美容上是可以接受的。一名儿童有残留的结节,其大小越来越大,需要在后期进行手术切除。结论。在一站式门诊环境中应用钛夹处理副耳廓安全、简单、快速、耐受性好,由于并发症发生率低,不需要入院、麻醉或随访。