{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,30]],"date-time":"2026-01-30T06:27:01Z","timestamp":1769754421107,"version":"3.49.0"},"reference-count":12,"publisher":"Georg Thieme Verlag KG","issue":"01","license":[{"start":{"date-parts":[[2022,5,2]],"date-time":"2022-05-02T00:00:00Z","timestamp":1651449600000},"content-version":"vor","delay-in-days":3043,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Arch Plast Surg"],"published-print":{"date-parts":[[2014,1]]},"abstract":"<jats:p>\nBackgroundPreauricular sinuses are congenital abnormalities caused by a failure of fusion of the primitive tubercles from which the pinna is formed. When persistent or recurring inflammation occurs, surgical excision of the infected tissue should be considered. Preauricular defects inevitably occur as a result of excisions and are often difficult to resolve with a simple suture; a more effective reconstruction technique is required for treating these defects.<\/jats:p><jats:p>\nMethodsAfter total excision of a preauricular sinus, the defect was closed by a plastic surgeon. Based on the depth of the defect and the degree of tension when apposing the wound margins, the surgeon determined whether to use primary closure or a posterior auricular flap.<\/jats:p><jats:p>\nResultsA total of 28 cases were examined. In 5 cases, including 2 reoperations for dehiscence after primary repair, reconstruction was performed using posterior auricular transposition flaps. In 16 cases of primary closure, the defects were closed using simple sutures, and in 7 cases, closure was performed after wide undermining.<\/jats:p><jats:p>\nConclusionsIf a preauricular defect is limited to the subcutaneous layer and the margins can be easily approximated, primary closure by only simple suturing may be used to perform the repair. If the defect is deep enough to expose the perichondrium or if there is tension when apposing the wound margins, wide undermining should be performed before primary closure. If the extent of the excision exposes cartilage, the procedure follows dehiscence of the primary repair, or the tissue is not sufficiently healthy, the surgeon should use a posterior auricular flap.<\/jats:p>","DOI":"10.5999\/aps.2014.41.1.45","type":"journal-article","created":{"date-parts":[[2014,1,28]],"date-time":"2014-01-28T08:12:14Z","timestamp":1390896734000},"page":"45-49","source":"Crossref","is-referenced-by-count":10,"title":["Reconstruction Techniques for Tissue Defects Formed after Preauricular Sinus Excision"],"prefix":"10.1055","volume":"41","author":[{"given":"Myung Joon","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, Eulji University Hospital, Eulji University School of Medicine, Daejeon, Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ho Jik","family":"Yang","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, Eulji University Hospital, Eulji University School of Medicine, Daejeon, Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jong Hwan","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, Eulji University Hospital, Eulji University School of Medicine, Daejeon, Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2022,5,2]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"1469","DOI":"10.1016\/j.ijporl.2005.07.008","article-title":"The preauricular sinus: a review of its aetiology, clinical presentation and management","volume":"69","author":"T Tan","year":"2005","journal-title":"Int J Pediatr Otorhinolaryngol"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"1241","DOI":"10.1097\/00006534-200104150-00024","article-title":"Auricular reconstruction: indications for autogenous and prosthetic techniques","volume":"107","author":"CH Thorne","year":"2001","journal-title":"Plast Reconstr Surg"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"372","DOI":"10.1016\/j.ijporl.2012.11.029","article-title":"Preauricular sinuses in the pediatric population: techniques and recurrence rates","volume":"77","author":"EC Gan","year":"2013","journal-title":"Int J Pediatr Otorhinolaryngol"},{"key":"ref4","doi-asserted-by":"crossref","first-page":"567","DOI":"10.1016\/j.surg.2005.01.009","article-title":"A new surgical technique for treatment of preauricular sinus","volume":"137","author":"RJ Baatenburg de Jong","year":"2005","journal-title":"Surgery"},{"key":"ref5","doi-asserted-by":"crossref","first-page":"427","DOI":"10.1016\/j.amjoto.2011.10.015","article-title":"Preauricular sinus: advantage of the drainless minimal supra-auricular approach","volume":"33","author":"SC Bae","year":"2012","journal-title":"Am J Otolaryngol"},{"key":"ref6","doi-asserted-by":"crossref","first-page":"1213","DOI":"10.1097\/PRS.0b013e3181ec1f03","article-title":"Versatility of the posterior auricular flap in partial ear reconstruction","volume":"126","author":"F Schonauer","year":"2010","journal-title":"Plast Reconstr Surg"},{"key":"ref7","doi-asserted-by":"crossref","first-page":"317","DOI":"10.1097\/00005537-200102000-00024","article-title":"Excision of the preauricular sinus: a comparison of two surgical techniques","volume":"111","author":"HC Lam","year":"2001","journal-title":"Laryngoscope"},{"key":"ref8","doi-asserted-by":"crossref","first-page":"6","DOI":"10.1007\/BF02907728","article-title":"Preauricular sinus: operating microscope improves outcome","volume":"58","author":"KK Kumar","year":"2006","journal-title":"Indian J Otolaryngol Head Neck Surg"},{"key":"ref9","doi-asserted-by":"crossref","first-page":"352","DOI":"10.1007\/s002669900216","article-title":"One-stage reconstruction of an upper part defect of the auricle","volume":"22","author":"K Yoshimura","year":"1998","journal-title":"Aesthetic Plast Surg"},{"key":"ref10","doi-asserted-by":"crossref","first-page":"265","DOI":"10.1097\/00006534-198702000-00021","article-title":"Epidermal cyst originating from the preauricular sinus","volume":"79","author":"A Yanai","year":"1987","journal-title":"Plast Reconstr Surg"},{"key":"ref11","doi-asserted-by":"crossref","first-page":"223","DOI":"10.1007\/BF01578353","article-title":"Reconstruction of middle-third auricular defect based on aesthetic perception theory","volume":"14","author":"YL Chang","year":"1990","journal-title":"Aesthetic Plast Surg"},{"key":"ref12","doi-asserted-by":"crossref","first-page":"252","DOI":"10.3342\/kjorl-hns.2010.53.4.252","article-title":"Chondrocutaneous advancement flap for helical rim defect","volume":"53","author":"JH Choi","year":"2010","journal-title":"Korean J Otorhinolaryngol-Head Neck Surg"}],"container-title":["Archives of Plastic Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.5999\/aps.2014.41.1.45.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,5,2]],"date-time":"2022-05-02T22:35:50Z","timestamp":1651530950000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.5999\/aps.2014.41.1.45"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014,1]]},"references-count":12,"journal-issue":{"issue":"01","published-online":{"date-parts":[[2022,5,2]]},"published-print":{"date-parts":[[2014,1]]}},"URL":"https:\/\/doi.org\/10.5999\/aps.2014.41.1.45","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["2234-6163","2234-6171"],"issn-type":[{"value":"2234-6163","type":"print"},{"value":"2234-6171","type":"electronic"}],"subject":[],"published":{"date-parts":[[2014,1]]}}}