{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T16:31:40Z","timestamp":1783009900789,"version":"3.54.5"},"reference-count":15,"publisher":"Korean Cleft Palate-Craniofacial Association","issue":"2","license":[{"start":{"date-parts":[[2023,4,20]],"date-time":"2023-04-20T00:00:00Z","timestamp":1681948800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["e-acfs.org"],"crossmark-restriction":true},"short-container-title":["Arch Craniofac Surg"],"published-print":{"date-parts":[[2023,4,20]]},"abstract":"<jats:p>Hidradenitis suppurativa (HS) is a chronic inflammatory condition that is difficult to diagnose, with a period of 10.0\u00b1 9.6 years from symptom onset to diagnosis. A 32-year-old Asian man presented with bilateral postauricular abscesses that first appeared 5 years previously. Despite several incisions and drainage, the symptoms only temporarily improved and continued to recur. On physical examination, chronic scars and sinus tracts were observed around the lesion. Postauricular HS was diagnosed, and surgical treatment was performed. We performed a wide excision and reconstructed the defect using a posterior auricular artery perforator-based keystone flap. Histological examination confirmed the diagnosis of HS. The reconstruction was successful, and there was no recurrence for 2 years after surgery. HS is difficult to diagnose without specific attention. Although the postauricular region is not a typical site of HS, it can occur in this area. Therefore, if a patient presents with recurrent abscesses in the postauricular region, HS should be considered. Additionally, if HS is diagnosed in the postauricular region, wide excision with reconstruction using a posterior auricular artery perforator-based keystone flap can lead to a favorable outcome.<\/jats:p>","DOI":"10.7181\/acfs.2023.00115","type":"journal-article","created":{"date-parts":[[2023,4,28]],"date-time":"2023-04-28T04:44:53Z","timestamp":1682657093000},"page":"73-77","update-policy":"https:\/\/doi.org\/10.7181\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Surgical treatment of postauricular hidradenitis suppurativa with delayed diagnosis: a case report and literature review"],"prefix":"10.7181","volume":"24","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7098-6958","authenticated-orcid":true,"given":"Inho","family":"Kang","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0653-9766","authenticated-orcid":true,"given":"Gyu Yong","family":"Jung","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2881-5386","authenticated-orcid":true,"given":"Min Jun","family":"Yong","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6161-671X","authenticated-orcid":true,"given":"Yujin","family":"Ahn","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0726-9881","authenticated-orcid":true,"given":"Joon Ho","family":"Lee","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"4182","reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1111\/ijd.15579"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1097\/prs.0000000000007677"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.2147\/ccid.s111019"},{"key":"ref4","first-page":"1045","volume-title":"Hidradenitis suppurativa: Epidemiology, clinical presentation, and pathogenesis","author":"Goldburg","year":"2020"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1159\/000508787"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2017.16691"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1111\/bjd.14075"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.4103\/ijdvl.ijdvl_69_18"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.1097\/dss.0000000000000806"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.1097\/prs.0000000000009658"},{"key":"ref11","first-page":"e4853","volume-title":"Reconstruction of the postauricular defects using retroauricular artery perforator-based island flaps: anatomical study and clinical report","author":"Zhang","year":"2016"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.7181\/acfs.2021.00556"},{"key":"ref13","first-page":"1909","volume-title":"Evolving concepts of keystone perforator island flaps (KPIF): principles of perforator anatomy, design modifications, and extended clinical applications","author":"Mohan","year":"2016"},{"key":"ref14","doi-asserted-by":"publisher","DOI":"10.1097\/prs.0b013e318205f36f"},{"key":"ref15","doi-asserted-by":"publisher","DOI":"10.12998\/wjcc.v8.i10.1832"}],"container-title":["Archives of Craniofacial Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/e-acfs.org\/upload\/pdf\/acfs-2023-00115.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/e-acfs.org\/journal\/view.php?doi=10.7181\/acfs.2023.00115","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/e-acfs.org\/upload\/pdf\/acfs-2023-00115.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,5,4]],"date-time":"2023-05-04T04:06:50Z","timestamp":1683173210000},"score":1,"resource":{"primary":{"URL":"http:\/\/e-acfs.org\/journal\/view.php?doi=10.7181\/acfs.2023.00115"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,4,20]]},"references-count":15,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2023,4]]}},"URL":"https:\/\/doi.org\/10.7181\/acfs.2023.00115","relation":{},"ISSN":["2287-1152","2287-5603"],"issn-type":[{"value":"2287-1152","type":"print"},{"value":"2287-5603","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,4,20]]},"assertion":[{"value":"2023-03-16","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-04-06","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-04-20","order":2,"name":"published","label":"Published online","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-04-20","order":3,"name":"published","label":"Print publication","group":{"name":"publication_history","label":"Publication History"}}]}}