PRE-AURICULAR SINUS: AN UNCOMMON PRESENTATION
An infected pre-auricular sinus presenting as a post-auricular swelling is commonly misdiagnosed as an infected dermoid orsebaceous cyst. It may even mimic a mastoid abscess leading to further unwarranted investigations and interventions. We present a case of a 25-year-old Malay man who was initiall...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Academy of Family Physicians of Malaysia
2011-01-01
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| Series: | Malaysian Family Physician |
| Subjects: | |
| Online Access: | http://www.e-mfp.org/2011v6n1/pdf/pre-auricular_sinus.pdf |
| _version_ | 1819103431827128320 |
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| author | CHONG AW TAN KL CHEW YK NG WSJ |
| author_facet | CHONG AW TAN KL CHEW YK NG WSJ |
| author_sort | CHONG AW |
| collection | DOAJ |
| description | An infected pre-auricular sinus presenting as a post-auricular swelling is commonly misdiagnosed as an infected dermoid orsebaceous cyst. It may even mimic a mastoid abscess leading to further unwarranted investigations and interventions. We present a case of a 25-year-old Malay man who was initially diagnosed with recurrent infected dermoid cyst. At presentation, a right post-auricular inflamed swelling was noted with an overlying old incision and drainage scar. An auricular pit was foundat the crus of helix. Using a blunt probe inserted along the sinus tract pus was drained without the need for further surgical incision. Six weeks after the acute episode, patient underwent excision of the pre-auricular sinus with no evidence of recurrenceat three months follow up. Awareness by the attending physician of this ‘variant type’ of pre-auricular sinus at patient’s first presentation may negate the need for unnecessary incision and drainage which may subsequently impact the outcome of surgical excision and reduce the risk of recurrence. |
| first_indexed | 2024-12-22T01:50:21Z |
| format | Article |
| id | doaj.art-c19ffa6a3da8424fa9131c00b5da6cf5 |
| institution | Directory Open Access Journal |
| issn | 1985-207X 1985-2274 |
| language | English |
| last_indexed | 2024-12-22T01:50:21Z |
| publishDate | 2011-01-01 |
| publisher | Academy of Family Physicians of Malaysia |
| record_format | Article |
| series | Malaysian Family Physician |
| spelling | doaj.art-c19ffa6a3da8424fa9131c00b5da6cf52022-12-21T18:42:57ZengAcademy of Family Physicians of MalaysiaMalaysian Family Physician1985-207X1985-22742011-01-01613233PRE-AURICULAR SINUS: AN UNCOMMON PRESENTATIONCHONG AWTAN KLCHEW YKNG WSJAn infected pre-auricular sinus presenting as a post-auricular swelling is commonly misdiagnosed as an infected dermoid orsebaceous cyst. It may even mimic a mastoid abscess leading to further unwarranted investigations and interventions. We present a case of a 25-year-old Malay man who was initially diagnosed with recurrent infected dermoid cyst. At presentation, a right post-auricular inflamed swelling was noted with an overlying old incision and drainage scar. An auricular pit was foundat the crus of helix. Using a blunt probe inserted along the sinus tract pus was drained without the need for further surgical incision. Six weeks after the acute episode, patient underwent excision of the pre-auricular sinus with no evidence of recurrenceat three months follow up. Awareness by the attending physician of this ‘variant type’ of pre-auricular sinus at patient’s first presentation may negate the need for unnecessary incision and drainage which may subsequently impact the outcome of surgical excision and reduce the risk of recurrence.http://www.e-mfp.org/2011v6n1/pdf/pre-auricular_sinus.pdfVariant type pre-auricular sinuspost-auricular cyst. |
| spellingShingle | CHONG AW TAN KL CHEW YK NG WSJ PRE-AURICULAR SINUS: AN UNCOMMON PRESENTATION Malaysian Family Physician Variant type pre-auricular sinus post-auricular cyst. |
| title | PRE-AURICULAR SINUS: AN UNCOMMON PRESENTATION |
| title_full | PRE-AURICULAR SINUS: AN UNCOMMON PRESENTATION |
| title_fullStr | PRE-AURICULAR SINUS: AN UNCOMMON PRESENTATION |
| title_full_unstemmed | PRE-AURICULAR SINUS: AN UNCOMMON PRESENTATION |
| title_short | PRE-AURICULAR SINUS: AN UNCOMMON PRESENTATION |
| title_sort | pre auricular sinus an uncommon presentation |
| topic | Variant type pre-auricular sinus post-auricular cyst. |
| url | http://www.e-mfp.org/2011v6n1/pdf/pre-auricular_sinus.pdf |
| work_keys_str_mv | AT chongaw preauricularsinusanuncommonpresentation AT tankl preauricularsinusanuncommonpresentation AT chewyk preauricularsinusanuncommonpresentation AT ngwsj preauricularsinusanuncommonpresentation |