Cruciate Incision For Treatment of Primary/Recurrent Cases of Seroma/ Hematoma of Pinna : A Novel Approach

T, Mahesh Bhat; Rao, Vinay V; Rosario, David

doi:10.7860/jcdr/2015/11259.5545

Cited by 5 publications

(2 citation statements)

References 8 publications

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“…Authors proposed that since the patient was an elderly woman with diabetes mellitus, the underlying comorbidity may have contributed to the unfavourable outcome. 14 Although this procedure is the best, it is associated with minor complications as seen in our study. Perichondrial reaction and thickening of pinna were the common complications which we noticed.…”

Section: Discussionmentioning

confidence: 57%

Clinico‐pathological profile and comparative study of conservative versus surgical deroofing as an effective technique in management of pseudocyst of pinna

Cader¹,

Shah²,

Nair³

2018

World j. otorhinolaryngol.-head neck surg.

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Background and objectivesAn auricular pseudocyst is not uncommon in routine ENT clinical practice, it occurs when fluid accumulates between the intracartilaginous spaces of the auricle. Many treatment modalities have been proposed such as incision and drainage of the cyst, simple needle aspiration, tight bandaging with dental rolls, however recurrence and cosmetic problems are still noted in some cases. The aim of this article was to discuss our experience of surgical treatment of intractable auricular pseudocysts with marsupialisation, deroofing and anterior cartilage leaflet removal along with compression suture therapy.Materials and methodsTwenty patients were included in the study conducted at ENT department, Sur Ministry of Health Hospital between January 2012 and January 2014 after prior consent and ethical approval. Those following trauma and other pinna conditions like relapsing polychondritis were excluded from our study. The clinical appearances were noted and all patients underwent surgical deroofing with removal of anterior cartilage leaflet and compression suture therapy using buttons for two weeks.Results and observationsThere were 8 males and 12 females out of the 20 and right sided pinna (n = 14) involvement in the region of the scaphoid fossa (n = 12) was more than the triangular fossa (n = 3) or conchal bowl involvement (n = 5). Mostly patients between 30 and 40 years of age were affected (Mean age of 37 years and standard deviation of 8). The overall success rate with deroofing and compression suture therapy was 98%.ConclusionsAuricular pseudocysts are not an uncommon condition affecting middle aged patients without identifiable etiology. Conservative modalities may be the first choice of treatment for auricular pseudocysts although varied recurrence and failure rates have been published in the literature. However, the deroofing surgical technique with anterior cartilage leaflet removal with compression suture therapy is a reliable and easy procedure which can achieve an acceptable appearance of the pinna without recurrence when conservative management fails or is refused by the patient.

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Section: Discussionmentioning

confidence: 57%

Clinico‐pathological profile and comparative study of conservative versus surgical deroofing as an effective technique in management of pseudocyst of pinna

Cader¹,

Shah²,

Nair³

2018

World j. otorhinolaryngol.-head neck surg.

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“…Other complications include the thickening of pinna at the site of the incision, which resolved over a period of three months. Studies have shown that it has no recurrence, negligible cosmetic deformity and negligible scar marks after three months post-operation [ 35 ].…”

Section: Reviewmentioning

confidence: 99%

Seroma of Auricle

Shirsath¹,

Jain²

2022

Cureus

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The pseudocyst of the auricle is an intracartilaginous lesion defined as the accumulation of sterile, strawcoloured fluid in a cyst unlined by epithelium. It is more common in males. The most common site of lesion is the scaphoid fossa and right ear. Though the aetiology remains unclear, it may be associated with mechanical irritation, repeated minor injuries and chronic trauma. If left untreated, it can lead to permanent deformity of the auricle. Pseudocyst of the auricle is a rare and challenging condition. Medical management has unfortunately shown no practical results. Hence, surgical treatment modalities are the best option. The universal aim of treatment is the conservation and restoration of the anatomical structure of the pinna, removal of cystic lesions and prevention of recurrence. Simple aspiration or incision and drainage alone lead to reaccumulation of cystic fluid in most cases. The technique of incision and drainage is the easiest but has a high recurrence rate. Conservative treatment often results in recurrence and unsatisfactory results. Other treatment modalities include incision and drainage with daily irrigation, auricular splinting, aspiration with intralesional steroid injection, aspiration followed by compression dressing, or aspiration with intralesional steroid injection followed by compression dressing and surgical deroofing, surgical deroofing followed by compression with buttons or sheet or sandwich method. Cysts with a diameter less than 1 cm are dealt with through non-surgical treatment modalities, while for cysts having a diameter greater than 1 cm, surgery is considered as first choice therapy. These treatment options have shown promising results. Various modifications in the traditional techniques have reduced the recurrence rate, successfully treated the condition and shown good cosmetic results. This review article aims at providing a holistic collection of various conventional treatment modalities and novel modifications introduced, which can be used in a sequence of definitive treatments of seroma of the auricle.

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Transwindow Suture Technique for Pseudocyst of Pinna

Onkarappa

Kurle

2018

Indian J Otolaryngol Head Neck Surg

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Pseudocyst or seroma of the pinna is the accumulation of serous fluid between the perichondrium and cartilage of pinna. Though there are several surgical techniques in the treatment of seroma, recurrence is common. The aim and objective of this preliminary study is to present and discuss a novel technique of treating pseudocyst of pinna which is practiced at Karwar Institute of Medical sciences. A prospective study was done with a novel procedure ''Transwindow suture technique'' for the treatment of pseudocyst of pinna in four patients. Three of the four patients had a very good results without any recurrence. One patient had a small quantity of recollection due to premature closure of the skin window which was successfully corrected. In this preliminary study we had encouraging results in the treatment of pseudocyst of pinna. A large scale prospective study would demonstrate the effectiveness of this procedure.

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Cruciate Incision For Treatment of Primary/Recurrent Cases of Seroma/ Hematoma of Pinna : A Novel Approach

Cited by 5 publications

References 8 publications

Clinico‐pathological profile and comparative study of conservative versus surgical deroofing as an effective technique in management of pseudocyst of pinna

Clinico‐pathological profile and comparative study of conservative versus surgical deroofing as an effective technique in management of pseudocyst of pinna

Seroma of Auricle

Transwindow Suture Technique for Pseudocyst of Pinna

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