Post-Surgery Concerns for Preauricular Sinus: Healing and Infection Risks

Q: Post-Surgery Concerns for Preauricular Sinus: Healing and Infection Risks

Hello, A-Zheng： 1. It is possible. 2. "Excision" refers to complete removal; as long as the dressings are changed on time, there should be no inflammation. 3. In the first five days after surgery, the dressing is less likely to become inflamed. Artificial

Post-operative concerns regarding preauricular sinus surgery?

Hello Dr.
Tsai: I previously raised a question regarding preauricular sinus, and after your response, I underwent surgery on June 13.
Now my attending physician has informed me that the healing of my wound is not progressing well and there are signs of inflammation.
I have some follow-up questions for you:
1.
The doctor mentioned that the wound is slightly inflamed, and there is redness and swelling around the ear, along with some pain.
Since my surgery, the skin around my ear feels a bit numb, but I do not feel pain.
Could this numbness indicate that there is pus formation in the internal wound?
2.
I read online that the removal of the preauricular sinus is referred to as excision.
Does this mean the same as excavation? Does this type of wound typically heal more slowly and have a higher risk of infection and inflammation?
3.
Previously, when I changed the dressing wrapped in gauze, there was a bit of blood and fluid from the wound.
If I do not completely seal the dressing, will the surgical site heal faster?
4.
I have seen a type of artificial skin sold at pharmacies that claims to absorb fluid from the wound and promote faster healing after a few days.
Would using this product be advisable?

Azheng, 30~39 year old female. Ask Date: 2001/06/19

Dr. Cai Zhenggu reply Otolaryngology

Hello, A-Zheng: 1.
It is possible.
2.
"Excision" refers to complete removal; as long as the dressings are changed on time, there should be no inflammation.
3.
In the first five days after surgery, the dressing is less likely to become inflamed.
Artificial skin is used for burn wounds, and this type of surgery does not require it.

Reply Date: 2001/06/19

More Info

Post-surgery concerns regarding the healing and infection risks associated with a preauricular sinus surgery are quite common, and it's essential to address these concerns with a thorough understanding of the healing process and potential complications.

1. Healing and Inflammation: After surgery, it's not unusual for the surgical site to exhibit some degree of inflammation, which can manifest as redness, swelling, and tenderness. The "tingling" or "numb" sensation you are experiencing around the ear may be due to nerve irritation or damage during the procedure, which can happen but typically resolves over time. However, if there is significant pain or if the area becomes increasingly red and swollen, it could indicate an infection or other complications. It's crucial to monitor these symptoms closely and report any concerning changes to your healthcare provider.

2. Surgical Technique: The terms "excision" and "removal" in the context of preauricular sinus surgery often refer to the same procedure, where the sinus tract and any associated tissue are surgically removed. This is done to prevent recurrence and complications. The healing process can be slower if the surgical site is larger or if there is significant tissue manipulation. The risk of infection can also be higher in cases where the wound is deeper or if there is a significant amount of tissue removed. Proper wound care and following your surgeon's post-operative instructions are vital to minimize these risks.

3. Wound Care: Keeping the surgical site clean and dry is essential for optimal healing. If the wound is not sealed properly, it may be exposed to bacteria, which can lead to infection. However, it is also important not to cover the wound too tightly, as this can trap moisture and create an environment conducive to infection. Discuss with your healthcare provider the best approach for dressing changes and whether a breathable dressing is appropriate for your situation.

4. Use of Artificial Skin: The use of artificial skin or hydrocolloid dressings can be beneficial in certain situations. These products can help absorb exudate and create a moist healing environment, which may promote faster healing. However, it's essential to ensure that the wound is clean and that there are no signs of infection before applying such products. Always consult with your healthcare provider before using any new products on your surgical site to ensure they are appropriate for your specific situation.

In summary, while some degree of inflammation and discomfort is normal after surgery for a preauricular sinus, it is essential to monitor your symptoms closely. If you notice increased redness, swelling, or pain, or if you have concerns about the healing process, do not hesitate to reach out to your healthcare provider. They can provide guidance tailored to your specific situation and help ensure that your recovery proceeds smoothly. Proper wound care, attention to signs of infection, and following your surgeon's advice are key components of a successful recovery.

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