Pseudocyst of auricle — etiopathogenesis, treatement update and literature review

Ramadass, T.; Ayyaswamy, Gopi

doi:10.1007/bf03050773

Cited by 26 publications

(6 citation statements)

References 15 publications

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“…Males show a higher prevalence of pseudocyst of the auricle than females. 8 Most pseudocysts of the auricle are unilateral and occur in men aged 30e40 years, but lesions are documented in patients ranging in age from 15 to 85 years of both sexes. The etiology of pseudocyst of the auricle is unknown, but several pathogenic mechanisms have been proposed.…”

Section: Discussionmentioning

confidence: 99%

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: 99%

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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“…While there is no genetic predisposition, it is more common in Chinese and Caucasian males [ 2 ]. The prevalence is more common in males than females and is usually unilateral [ 3 , 4 ]. The hypothesis suggesting hormonal influence affecting the inflammatory process attempts to explain the prevalence in males [ 5 ].…”

Section: Introductionmentioning

confidence: 99%

“…In unilateral conditions, the lesions appear more frequently on the right ear than on the left ear [ 2 ]. The bilateral presence of seroma is reported in the pediatric group [ 3 ]. While seromas can occur anywhere on the auricle, it is more common in the scaphoid fossa [ 6 , 7 ].…”

Section: Introductionmentioning

confidence: 99%

“…On analysis, reports indicate elevated interleukin 6 (IL-6) and serum lactic dehydrogenase levels. IL-6 is known to stimulate the proliferation of chondrocytes [ 3 ]. On analysis of the autoimmune basis, it was found that the content of immunoglobulin (Ig) G, IgA, IgM and C3 is significantly lower in cystic fluid than in the serum [ 12 ].…”

Section: Introductionmentioning

confidence: 99%

“…It is usually ineffective with a high recurrence rate [ 19 ]. The universal aim of treatment is the conservation and restoration of the anatomical structure of pinna, removal of cystic lesions and prevention of recurrence [ 3 , 20 ]. In the absence of treatment, fibrosis and cartilage hardening occur, and it may lead to permanent cauliflower ear deformity, which is challenging to treat [ 3 ].…”

Section: Introductionmentioning

confidence: 99%

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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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Clinical characteristics and comparative study of different modalities of treatment of pseudocyst pinna

Patigaroo

Mehfooz²,

Patigaroo³

et al. 2011

Eur Arch Otorhinolaryngol

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The aims of the article were to study the clinical characteristic of patients with pseudocysts and to compare different common modalities of treatment and introduce the concept of observation in pseudocyst management. Twenty-eight patients were diagnosed with pseudocyst of the auricle between June 2009 and June 2011 in a medical college hospital. The patients were divided into four groups each of seven patients on the basis of primary treatment offered. Four primary treatments offered were simple aspiration, aspiration with intralesional steroid, incision and drainage with removal of anterior cartilage leaflet with buttoning, and lastly, simple observation and reassurance. All 28 patients were male with involvement of right side more than left and no one had bilateral involvement. Adults in the age group of 30-40 were commonly affected. Most of the patients had history of significant trauma by security forces. Most common site of involvement was scaphoid and triangular fossa. The best form of treatment with minimum recurrence was incision and drainage with removal of anterior cartilage leaflet with buttoning. Simple observation as a treatment option was found to be as good as intralesional steroids. Pseudocyst of the pinna is a benign condition of unknown etiology affecting the pinna, commonly encountered in middle-aged men. It is a rare condition and is hardly encountered in routine ENT practice. Bilateral diseases are uncommon. Most common site of occurrence is triangular and scaphoid fossa. Many modalities of treatment have been recommended in literature with varied recurrence and failure rates. The best treatment is surgical deroofing followed by buttoning with minimum recurrences. An option of simple observation for 2-3 months should be discussed with each patient and was found to be as good as intralesional steroids.

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Pseudocyst of auricle — etiopathogenesis, treatement update and literature review

Cited by 26 publications

References 15 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

Clinical characteristics and comparative study of different modalities of treatment of pseudocyst pinna

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