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Preauricular fistula(PAFC)

MedGen UID:
154283
•Concept ID:
C0546969
•
Congenital Abnormality
Synonyms: EAR PITS; PAFC; Preauricular fistulae, congenital
SNOMED CT: Congenital preauricular fistula (204272007); Fistula auris congenita (204272007); Preauricular fistula (204272007); Preauricular sinus (716577004); Congenital auricular fistula (716577004); Congenital preauricular fistula (716577004); Preauricular sinus (204272007)
 
Monarch Initiative: MONDO:0007501
OMIM®: 128700

Definition

A pit or dimple in front of the ear of a newborn is a common finding; rarely, such a dimple may get infected, which will be manifested with redness and swelling and will require medical attention. [from NCI]

Clinical features

From HPO
Preauricular pit
MedGen UID:
120587
•Concept ID:
C0266610
•
Congenital Abnormality
Small indentation anterior to the insertion of the ear.
See: Feature record | Search on this feature

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVPreauricular fistula

Professional guidelines

PubMed

Clinical evaluation and surgical management of congenital preauricular fistulas.
Ellies M, Laskawi R, Arglebe C, Altrogge C
J Oral Maxillofac Surg 1998 Jul;56(7):827-30; discussion 831. doi: 10.1016/s0278-2391(98)90005-2. PMID: 9663572

Recent clinical studies

Etiology

A clinical epidemiological study on congenital ear malformation (CEM).
Zhang M, Lin J, Zhang J, Han Z, Liu C, Zou Y
Acta Otolaryngol 2023 Nov;143(sup1):S17-S24. Epub 2024 Feb 13 doi: 10.1080/00016489.2023.2276348. PMID: 38071650
Surgical treatment of preauricular fistulas: a 12-year single-center clinical observation.
Li K, Hao Y, Zhao J, Zhou L, Wu Y, Zeng X, Gao W, Zhang X
BMC Surg 2023 Sep 30;23(1):297. doi: 10.1186/s12893-023-02198-x. PMID: 37775750Free PMC Article
Clinical features, diagnosis, and treatment of different types of congenital preauricular fistulas in pediatric patients.
Xu B, Bi J, Yu B, Yu L, Fu Y
Int J Pediatr Otorhinolaryngol 2023 Jul;170:111599. Epub 2023 May 9 doi: 10.1016/j.ijporl.2023.111599. PMID: 37196371
Malformations Associated With Pediatric Congenital Cholesteatomas.
Distinguin L, Simon F, Alvin F, Couloigner V, Leboulanger N, Garabédian N, Loundon N, Denoyelle F
Otol Neurotol 2020 Oct;41(9):e1128-e1132. doi: 10.1097/MAO.0000000000002761. PMID: 32925851
Causes and prevention of revision surgery for preauricular sinus: A histopathological analysis.
Kim WJ, Lee YM, Kim DH, Choe S, Lee D, Park SY, Kang M, Cho HJ, Heo KW
Int J Pediatr Otorhinolaryngol 2019 Jan;116:199-203. Epub 2018 Nov 9 doi: 10.1016/j.ijporl.2018.11.006. PMID: 30554699

Diagnosis

Clinical features, diagnosis, and treatment of different types of congenital preauricular fistulas in pediatric patients.
Xu B, Bi J, Yu B, Yu L, Fu Y
Int J Pediatr Otorhinolaryngol 2023 Jul;170:111599. Epub 2023 May 9 doi: 10.1016/j.ijporl.2023.111599. PMID: 37196371
Clinical manifestations and treatment strategies for congenital aural atresia with temporomandibular joint retroposition: a retrospective study of 30 patients.
Yang L, Chen P, Liu Y, Yang J, Zhao S
J Otolaryngol Head Neck Surg 2023 Mar 8;52(1):24. doi: 10.1186/s40463-022-00615-4. PMID: 36882877Free PMC Article
Malformations Associated With Pediatric Congenital Cholesteatomas.
Distinguin L, Simon F, Alvin F, Couloigner V, Leboulanger N, Garabédian N, Loundon N, Denoyelle F
Otol Neurotol 2020 Oct;41(9):e1128-e1132. doi: 10.1097/MAO.0000000000002761. PMID: 32925851
Treatment of recurrent intractable periauricular fistula using temporoparietal fascia.
Wu CI, Chen CC, Chang SC
J Craniofac Surg 2010 Jul;21(4):1224-5. doi: 10.1097/SCS.0b013e3181e17b66. PMID: 20613620
Clinical evaluation and surgical management of congenital preauricular fistulas.
Ellies M, Laskawi R, Arglebe C, Altrogge C
J Oral Maxillofac Surg 1998 Jul;56(7):827-30; discussion 831. doi: 10.1016/s0278-2391(98)90005-2. PMID: 9663572

Therapy

Causes and prevention of revision surgery for preauricular sinus: A histopathological analysis.
Kim WJ, Lee YM, Kim DH, Choe S, Lee D, Park SY, Kang M, Cho HJ, Heo KW
Int J Pediatr Otorhinolaryngol 2019 Jan;116:199-203. Epub 2018 Nov 9 doi: 10.1016/j.ijporl.2018.11.006. PMID: 30554699
Complicated congenital preauricular fistula: sonographic features.
Blasco-Morente G, Arias-Santiago S, Rey Nuñez de Arenas P, Kim KH
Actas Dermosifiliogr 2015 Oct;106(8):674. Epub 2015 Apr 24 doi: 10.1016/j.ad.2015.02.007. PMID: 25917961
Primary tuberculosis of the TMJ: presentation of a case and literature review.
Helbling CA, Lieger O, Smolka W, Iizuka T, Kuttenberger J
Int J Oral Maxillofac Surg 2010 Aug;39(8):834-8. doi: 10.1016/j.ijom.2010.03.023. PMID: 20605408

Prognosis

Clinical features, diagnosis, and treatment of different types of congenital preauricular fistulas in pediatric patients.
Xu B, Bi J, Yu B, Yu L, Fu Y
Int J Pediatr Otorhinolaryngol 2023 Jul;170:111599. Epub 2023 May 9 doi: 10.1016/j.ijporl.2023.111599. PMID: 37196371
Surgical treatment of preauricular sinus in children: Temporalis muscle fascia anchoring suture.
Kim MS, Choi SW, Lee SH, Lee JW, Lee IW, Lee HM
Int J Pediatr Otorhinolaryngol 2020 Nov;138:110340. Epub 2020 Aug 29 doi: 10.1016/j.ijporl.2020.110340. PMID: 32896754
Primary tuberculosis of the TMJ: presentation of a case and literature review.
Helbling CA, Lieger O, Smolka W, Iizuka T, Kuttenberger J
Int J Oral Maxillofac Surg 2010 Aug;39(8):834-8. doi: 10.1016/j.ijom.2010.03.023. PMID: 20605408
Mutation of the EYA1 gene in patients with branchio-oto syndrome.
Yashima T, Noguchi Y, Ishikawa K, Mizusawa H, Kitamura K
Acta Otolaryngol 2003 Jan;123(2):279-82. doi: 10.1080/0036554021000028103. PMID: 12701758
Clinical evaluation and surgical management of congenital preauricular fistulas.
Ellies M, Laskawi R, Arglebe C, Altrogge C
J Oral Maxillofac Surg 1998 Jul;56(7):827-30; discussion 831. doi: 10.1016/s0278-2391(98)90005-2. PMID: 9663572

Clinical prediction guides

A clinical epidemiological study on congenital ear malformation (CEM).
Zhang M, Lin J, Zhang J, Han Z, Liu C, Zou Y
Acta Otolaryngol 2023 Nov;143(sup1):S17-S24. Epub 2024 Feb 13 doi: 10.1080/00016489.2023.2276348. PMID: 38071650
Surgical treatment of preauricular fistulas: a 12-year single-center clinical observation.
Li K, Hao Y, Zhao J, Zhou L, Wu Y, Zeng X, Gao W, Zhang X
BMC Surg 2023 Sep 30;23(1):297. doi: 10.1186/s12893-023-02198-x. PMID: 37775750Free PMC Article
Clinical features, diagnosis, and treatment of different types of congenital preauricular fistulas in pediatric patients.
Xu B, Bi J, Yu B, Yu L, Fu Y
Int J Pediatr Otorhinolaryngol 2023 Jul;170:111599. Epub 2023 May 9 doi: 10.1016/j.ijporl.2023.111599. PMID: 37196371
A locus for congenital preauricular fistula maps to chromosome 8q11.1-q13.3.
Zou F, Peng Y, Wang X, Sun A, Liu W, Bai S, Zhu H, Gao B, Feng G, He L
J Hum Genet 2003;48(3):155-8. doi: 10.1007/s100380300024. PMID: 12624728
Clinical evaluation and surgical management of congenital preauricular fistulas.
Ellies M, Laskawi R, Arglebe C, Altrogge C
J Oral Maxillofac Surg 1998 Jul;56(7):827-30; discussion 831. doi: 10.1016/s0278-2391(98)90005-2. PMID: 9663572

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