中文摘要：

目的：探讨不同类型的先天性耳前瘘管的临床特点及手术治疗方法。方法：对75例耳前瘘管的患者行术前准备后进行手术切除治疗,术后随访12～24个月,观察术区愈合情况及手术疗效。结果：75例接受手术治疗的耳前瘘管患者中,25例分泌型耳前瘘管患者术后无复发病例,21例单纯性耳前瘘管术后无复发病例,11例感染性耳前瘘管术前行局部切开引流、换药,3月后行手术切除,术后无复发病例。18例感染性耳前瘘管患者感染期行手术治疗,术后2例复发,复发率为11.1%,总体复发率为2.7%。结论：耳前瘘管患者术前的准备、感染病灶的控制及手术中以颞肌筋膜为基底的根治性治疗对于防止术后复发有重要的意义。

英文摘要：

Objective：To observed the different type of congenital preauricular fistula clinical character and operation treating method. Methods：After the preoperative preparation, we held the operation for the 75 cases preauricular fistula patients and observed the operation treating effect through 12-24 months follow-up. Result：For the 75 cases preauricular fistula patients who underwent the operating treatment,without recurred cases in 25 secre- tory type , without recurred cases in 21 simple type. For the 11 infectious type patients, through the preoperative local incision and drainage,dressing-change process that be well healed for 3 months,the 11 case underwent the operation without the recurred cases during follow-up. For the 18 infectious type patients, through the preoperative local inci- sion and drainage,dressing-change process that not be well healed,the 18 case underwent the operation with 2 cases recurred during the follow-up. The recurring rate was 11. 1% and total recurring rate was 2.7%. Conclusion： The preoperative preparation for the preauricular fistula,the total control of the local infectious spot and hold the radical incision based the temperal muscle fascia during the operation are of high significance in making precaution for the postoperative recurrence of preauricular fistula.