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Radiofrequency thermal ablation versus 'cold steel' for supra-auricular excision of preauricular sinus: comparative study.
MedLine Citation:
PMID:  20537204     Owner:  NLM     Status:  In-Process    
Abstract/OtherAbstract:
OBJECTIVE: To compare the results of radiofrequency thermal ablation versus 'cold steel' excision, for supra-auricular excision of preauricular sinus.
STUDY DESIGN: Prospective study. Observations included recurrence, intra-operative bleeding, operation time and ease of dissection.
SETTING: Tertiary referral hospital.
SUBJECTS AND METHODS: Sixty cases of preauricular sinus were assigned randomly to two groups (30 cases each). Group one patients underwent cold steel sinus excision, whereas group two patients underwent radiofrequency-assisted sinus excision.
RESULTS: Fifty patients were operated upon, with a mean age of 12.26 years. Most patients were aged between zero and five years (40 per cent). The average patient follow-up time was 15 months (range, six to 24 months). Recurrence rates were 23 per cent in group one and 3 per cent in group two; this difference was statistically significant (p = 0.016). Dissection of the sinus tract was reported to be much easier in the radiofrequency group, compared with the cold steel group (p = 0.023), with minimal bleeding.
CONCLUSION: From our observations, radiofrequency-assisted, local, wide excision appears to be preferable for treatment of preauricular sinus, compared with cold steel excision, as it allows better peri-operative visualisation, easier dissection, minimal bleeding and a lower subsequent recurrence rate (3.3 per cent).
Authors:
H Bajwa; S Kumar
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Publication Detail:
Type:  Journal Article     Date:  2010-06-11
Journal Detail:
Title:  The Journal of laryngology and otology     Volume:  124     ISSN:  1748-5460     ISO Abbreviation:  J Laryngol Otol     Publication Date:  2010 Nov 
Date Detail:
Created Date:  2010-10-21     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8706896     Medline TA:  J Laryngol Otol     Country:  England    
Other Details:
Languages:  eng     Pagination:  1190-3     Citation Subset:  AIM; IM    
Affiliation:
Department of ENT-Head and Neck Surgery, Lady Hardinge Medical College, Delhi, India.
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