The Preauricular Sinus: A Novel Approach for Complete Bilateral Excision via a Modified Face-Lift Incision

Florian M. Lampert, Georgios Koulaxouzidis, G. Björn Stark

Department of Plastic Surgery, University of Freiburg Medical Center, Freiburg, Germany..

DOI: 10.4236/mps.2013.32015                

Abstract

Objectives/Hypothesis: To present a novel technique based on the combination of aesthetic and reconstructive techniques for the radical and safe excision of preauricular sinus along with minimal cosmetic impairing. Study Design: Case report, description of surgical method and brief overview of the literature. Methods: In a patient with bilateral preauricular sinus, we used a modified face-lift incision and SMAS-fixation instead of solely excising the sinus with skin ellipse. Results: Total removal of the bilateral fistulous systems could be achieved, along with a very aesthetically pleasing result. Conclusions: The surgical approach shown here allows a radical excision with only minimal aesthetic impairment using a shortened facelift-incision and SMAS-fixation.

Keywords

Preauricular Cyst; Preauricular Sinus; Face Lift Incision; SMAS Fixation; Aesthetic Reconstructive Surgery

Conflicts of Interest

The authors declare no conflicts of interest.

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