Management of Auricular Pseudocyst: A Comparative Study

  • Dr. Deepti Singh Senior Resident, Department of ENT, BMC Sagar, Madhya Pradesh, India
  • Dr. Reema Goswami Associate Professor, Department of ENT, BMC Sagar, Madhya Pradesh, India
  • Dr. Vivek Dudeja Senior Resident, MAMC Agroha, Haryana, India
Keywords: Auricular Pseudocyst/Seroma, Glove Drain Insertion, Splint Suturing

Abstract

Introduction: Auricular pseudocyst also known as auricular seroma is an asymptomatic condition of unknown etiology affecting the pinna, commonly encountered in middle aged men. The aim of the study was to compare various modalities of treatment involved i.e. wide-bore needle aspiration and splint suturing Vs incision drainage and glove drain insertion.

Materials and method: 30 patients with clinical diagnosis as auricular seroma were selected and were compared with different treatment modalities as stated and were followed for 3 months. No recurrence for at least 3 months was taken as the main outcome of treatment.

Result: Ten patients out of thirty underwent wide-bore needle aspiration and splint suturing (group A) and twenty patients underwent incision drainage and glove drain insertion (group B) were followed for 3 months. None of the patients had recurrence of the disease in group B but four patients presented with recurrence in group A. Out of the two, incision and glove drain insertion was found to be successful in all cases with no recurrence.

Conclusion: Incision drainage and glove drain insertion though requiring frequent visits to the hospital, was found to be more promising treatment modality in terms of recurrence.

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References

1. Engel D. Pseudocyst of the auricle in Chinese. Arch Otolaryngol. 1966 Mar;83(3):197-202. [PubMed]

2. Hansen J E. Pseudocyst of the auricle in Caucasians. Arch Otolaryngol. 1967 Jan;85(1):13-4. [PubMed]

3. Choi S, Lam K H and Chan K W et al., Endochondral pseudocyst of the auricle in Chinese. Arch Otolaryngol. 1984 Dec;110(12):792-6. [PubMed]

4. Miyamoto H, Okajima M, Takahashi I. Lactate dehydrogenase isozymes in and intralesional steroid injection therapy for pseudocyst of the auricle. Int J Dermatol. 2001 Jun;40(6):380-4. [PubMed]

5. Kopera D, Soyer HP, Smolle J, Kerl H. "Pseudocyst of the auricle", othematoma and otoseroma: three faces of the same coin?. Eur J Dermatol. 2000 Aug;10(6):451-4. [PubMed]

6. Tan BY, Hsu PP. Auricular pseudocyst in the tropics: a multi-racial Singapore experience. J Laryngol Otol. 2004 Mar;118(3):185-8. [PubMed]

7. Kanotra SP, Lateef M. Pseudocyst of pinna: a recurrence-free approach. Am J Otolaryngol. 2009 Mar-Apr;30(2):73-9. doi: 10.1016/j.amjoto.2008.02.008. [PubMed]

8. Harder M, Zachary C. Pseudocyst of the ear: surgical treatment. J Dermatol Surg Oncol. 1993 Jun;19(6):585-8. [PubMed]

9. Ichioka S, Yamada A, Ueda K, Harii K. Pseudocyst of the auricle: case reports and its biochemical charecteristics. Ann Plast Surg. 1993 Nov;31(5):471-4. [PubMed]

10. Job A, Raman R. Medical managementof pseudocystof the auricle. J Laryngol Otol. 1992 Feb;106(2):159-61.

11. Cohen PR, Grossman ME. Pseudocyst of the auricle. Case report and world literature review. Arch Otolaryngol Head Neck Surg. 1990 Oct;116(10):1202-4. [PubMed]

12. Tan BY, Hsu PP. Auricular pseudocyst in the tropics. A multi-racial Singapore experience. J Laryngol Otol. 2004 Mar;118(3):185-8. [PubMed]

13. Lim CM, Goh YH, Chao SS, Lynne L. Pseudocyst of the auricle. Laryngoscope. 2002 Nov;112(11):2033-6.

14. Jacques C, Gosset M, Berenbaun F,et al. The role of IL-1 and IL-1 Ra in joint inflammation and cartilage degradation. Vitam Horm. 2006;74:371-403. [PubMed]

15. Richette P, Dumontier MF, Francois M et al. Dual effects of 17 beta oestradiol on interleukin 1 beta-induced proteoglycan degradation in chondrocytes. Ann Rheum Dis. 2004 Feb;63(2):191-9. [PubMed]

16. Hoffman T, Richardson T, Jacobs R, Torres A. Pseudocyst Of the auricle. J Dermatol Surg Oncol. 1993 Mar;19(3):259-62. [PubMed]

17. Labbé D, Dompmartin A, Grimaux B, Mandard JC, Compère JF. Cystic chondromalacia of the auricle. A case report. Review of the literature. Ann Chir Plast Esthet. 1991;36(1):71-4. [PubMed]

18. Schulte KW, Neumann NJ, Ruzicka T. Surgical pearl: The close fitting ear cover cast- a noninvasive treatment for pseudocyst of the ear. J Am Acad Dermatol. 2001 Feb;44(2):285-6. [PubMed]

19. Chang CH, Kuo WR, Lin CH, Wang LF, Ho KY, Tsai KB. Deroofing surgical treatment for pseudocyst of the auricle. J Otolaryngol. 2004 Jun;33(3):177-80.

20. Salgado CJ, Hardy JE, Mardini S, Dockery JM, Mathews MS. Treatment of auricular pseudocyst with aspiration and local pressure. J Plast Reconstr Aesthet Surg. 2006;59(12):1450-2. [PubMed]

21. Hedge R, Bhargava S, Bhargava KB. Pseudocyst of the auricle: a new method of treatment. J Laryngol Otol. 1996 Aug;110(8):767-9. [PubMed]

22. Kanotra SP, Lateef M. Pseudocyst of pinna: a recurrence free approach. Am J Otolaryngol. 2009 Mar-Apr;30(2):73-9. doi: 10.1016/j.amjoto.2008.02.008. [PubMed]

23. Tuncer S, Basterzi Y, Yavuzer R. Recurrent auricular pseudocyst: a new treatment recommendation with curettage and fibrin glue. Dermatol Surg. 2003 Oct;29(10):1080-3. [PubMed]

24. Zhu LX, Wang XY. New technique for treating pseudocyst of the auricle. J Laryngol Otol. 1990 Jan;104(1):31-2. [PubMed]

25. Paul AY, Park HS, Welch ML et al. Pseudocyst of the auricle: diagnosis and management with a punch biopsy. J Am Acad Dermatol 2000, 45(suppl 6): S230-2. [PubMed]

26. Bhandary S, Varghese T, Mannil. A comparative study in the management of auricular pseudocyst. Indian journal of Otolaryngology and Head and Neck Surgery. 2000;52(3):246-50. [PubMed]

27. Sangeetha R, Vijayendra H. A safe and reliable technique in the management of pseudocyst. Indian J Otolaryngology and Head and Neck Surgery.2004;56(1):29-30.
Management of Auricular Pseudocyst: A Comparative Study
CITATION
DOI: 10.17511/ijmrr.2014.i05.09
Published: 2014-10-31
How to Cite
1.
Singh D, Goswami R, Dudeja V. Management of Auricular Pseudocyst: A Comparative Study. Int J Med Res Rev [Internet]. 2014Oct.31 [cited 2024Jul.3];2(5):457-62. Available from: https://ijmrr.medresearch.in/index.php/ijmrr/article/view/138
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