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Preauricular Sinus Excision

 

Preauricular sinuses are generally located in the anterior area of the ascending limb of the helix. They occur in various locations, such as the superior regions of the auricle, the posterior surface of the cymba concha, and even the postauricular area.

 

The majority of preauricular sinuses present asymptomatically, and no treatment is required. When signs of infection occur, such as chronic recurrent discharges, erythematous changes, abscess formation, and local swelling, patients are recommended to undergo complete surgical excision of the sinus tracts.

 

Indications

 

  • Previous history if infection of the preauricular sinus

  • Symptomatic relief

 

Intended Benefits and expected outcome

 

  • Prevetion of infection

  • Symptomatic relief

 

The Procedure

 

  1. Local/general anaesthesia

  2. Make incision in front of the eat with inclusion of the sinus opening and scar

  3. Remove soft tissue along the area including all the tracts

  4. Haemostasis

  5. Wound closure

  6. Head bandage may be necessary

 

Risk and Complication(≧1% risk)

 

  • Bleeding

  • Wound infection/ abscess

  • Wound break down

  • Poor wound healing

  • Scar/keloid

  • Recurrence

 

Uncommon risks with serious consequence (<1% risk)

 

  • Damage to nearby structures(face nerves/vessels)

 

Before the procedure

 

  1. Inform doctor of any medical conditions e.g. diabetes mellitus, heart disease, hypertension and any regular medication, including herbs and dietary supplement. 
  2. Stop food and drink if needed as instructed by doctor or nurse
  3. Other special preparation or investigation before the procedure

 

After the procedure

 

  • simple dressing applied to the wound
  • Head bandage (if used) can be removed one or two days afterwards

 

*This is general information only and the list of complications is not exhaustive. Other unforeseen complications may occasionally occur. In special patient groups, the actual risk may be different. For further information please contact your doctor.

 

Price

 

Preauricular Sinus / Fistula (Under MAC or LA)

The above fee covers:

 

Surgeon's Fee

Operation Theatre Fee

Anaesthetist's Fee

Miscellaneous Fee

$24,000

$7,200

$7,200

$1,850

Package Price

$40,250

For examination or operation marked with "Under MAC or GA"/"Under GA"/"Under MAC" on this price list includes an anaesthesiologist's cost. If the procedure excludes an anaesthesiologist's cost, but any methods of anaesthetic and/or monitored anaesthetic care is required by the attending doctor, the centre will assign the anaesthesia bill to the patient as an additional payment. The Package Price of Day-case Otorhinolaryngological Endoscopy and Surgery covers  Surgeon's Fee, Operation Theatre Fee, Instrument Fee, Pathology Fee (if necessary), Report, Post-operative Medication Fee, other miscellaneous charges during the procedure and Post-operative Consultation Fee (1 session). The Surgery Package in the consultation room excludes Follow-up consultation.

 

The price listed are for reference only. Prices are subject to change without prior notice.