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目的探讨复发性先天性耳前瘘管再次手术治疗的方法及效果。方法对2000-01-2010-01 24例先天性耳前瘘管术后复发病例再次手术治疗。术中切除深筋膜浅面以外的疤痕、肉芽、瘘管及靠近瘘管的耳轮角软骨。留置胶片引流,稍加压包扎,术后用抗生素3~5 d预防感染。结果 24例均一次性治愈,切口愈合好,随访6~12个月无复发。结论切除与瘘管靠近的部分耳轮角软骨是防止瘘管复发的有效手段。
Objective To investigate the method and effect of reoperation for recurrent congenital pre anotrophic fistula reoperation. Methods Twenty-four patients with congenital anterior canal fistula after 2000-01-2010-01 were treated surgically again. Excision of deep fascia outside the superficial scar, granulation, fistula and close to the fistula of the horn cartilage. Indwelling film drainage, a little pressure dressing, postoperative antibiotics 3 to 5 days to prevent infection. Results All the 24 cases were cured at one time. The incision healed well without recurrence after 6-12 months follow-up. Conclusion Removal of part of the cochlear cartilage near the fistula is an effective means to prevent the recurrence of fistula.