Pseudocyst of the Auricle: Case Reports and Its Biochemical Characteristics

Ichioka, Shigeru; Yamada, Atsushi; Ueda, Koji; Harii, Kiyonori

doi:10.1097/00000637-199311000-00017

Cited by 31 publications

(41 citation statements)

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“…Later in life, abnormal chondrocyte lysosomal enzyme release dissolves the endochondrium, creating an intracartilaginous true space, or pseudocyst. 6 One theory suggests abnormal lysosomal release leading to cartilage degradation and pseudocyst formation. 6 Repeated minor trauma like ear pulling, sleeping on hard pillow, blunt trauma, helmet wearing can be a cause of pseudocyst formation as validated by detection of LDH in seroma fluid.…”

Section: Discussionmentioning

confidence: 99%

“…6 One theory suggests abnormal lysosomal release leading to cartilage degradation and pseudocyst formation. 6 Repeated minor trauma like ear pulling, sleeping on hard pillow, blunt trauma, helmet wearing can be a cause of pseudocyst formation as validated by detection of LDH in seroma fluid. 7 Medical modalities like corticosteroids, minocycline has been advocated.…”

Section: Discussionmentioning

confidence: 99%

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Through and through suturing vs. window resection method in surgical management of seroma pinna: a comparative study

Priyadarshini

Rautray

Dash

2017

Int J Otorhinolaryngol Head Neck Surg

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INTRODUCTIONSeroma pinna is a collection of fluid between the auricular cartilage and the perichondrium. It is a cystic swelling filled with serous fluid. Seromas can occur spontaneously or after surgery or trauma 1 .Extravasated fluid might clot leading to the deformity of the cartilage as well as the ear. Males are usually affected with unilateral presentation. Other morbidities include scarring, perichondritis and abscess formation. Depending on the nature of swellings and the symptoms, they can be distinguished from other conditions of the pinna.2 Successful treatment is challenging because of high rate of recurrence.Usual treatment used to consist of aspiration of the fluid and pressure bandage. Ghanem et al found recurrence of the seroma after aspiration and pressure bandage. Various other modalities have also been designed. Other methods include using buttons as pressure splints, excising a piece of cartilage and perichondrium to cure recurrent seromas, placement of a continuous portable suction drain has also been advised, suturing through and though after aspiration. 4 The multitude of options suggest lacuna of some degree in each such modality. Aims and objectivesTo compare a more newer technique of through and through suturing in seroma pinna with the more traditional window method on the basis of patient ABSTRACT Background: Seroma pinna is a collection of fluid between the auricular cartilage and the perichondrium. Seromas can occur spontaneously or after surgery or trauma. Depending on the nature of swellings and the symptoms, they can be distinguished from other conditions of the pinna. Successful treatment is challenging because of high rate of recurrence. Usual treatment used to consist of aspiration of the fluid and pressure bandage. Methods include using buttons as pressure splints, excising a piece of cartilage and perichondrium to cure recurrent seromas 4 ,placement of a continuous portable suction drain has also been advised, suturing through and though after aspiration. Methods: In the first group of patients through and through suturing was done and in the second group window resection was done. Results: The recurrence rate was 5% for the first group patients while 20% for the second group. The percentage of development of perichondritis was 5% for group A and 15% for group B. Conclusions: The method put forward in this study is a simple and effective way for its management. The avoidance of dressing is a positive factor and positive factor is that it can be done on an OPD basis.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Through and through suturing vs. window resection method in surgical management of seroma pinna: a comparative study

Priyadarshini

Rautray

Dash

2017

Int J Otorhinolaryngol Head Neck Surg

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“…15,16 Although the origin of PCA has not been fully elucidated, it has been proposed that low-grade insult of sufficient duration may cause degeneration and separation of the auricular cartilage, leading to development of PCA. 7,11,[18][19][20] This has been suggested by the occurrence of PCA in the setting of headphone and helmet use, 11,19,21 sleeping on hard pillows, 11,18,22 habitual manipulation of the ear, 7 and carrying weights on shoulders. 18,22 It has been thought that the auricular cartilage is more susceptible to traumatic insult because of the lack of connective tissue overlying the cartilage and its firm adherence to the skin.…”

Section: Discussionmentioning

confidence: 99%

Pseudocysts of the auricle in a young adult with facial and ear atopic dermatitis

Kikuchi

Chen

et al. 2007

Journal of the American Academy of Dermatology

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“…[1][2][3][4] Clinically, it is an uncommon, benign, idiopathic disease which typically presents as a painless, spontaneously arising swelling on the upper anterior surface of the auricle, and which contains sterile, straw-coloured fluid on aspiration. 5,6 In 1966, Engel reported 17 cases in young, healthy, Chinese men and gave the first description of the histological changes seen in auricular pseudocysts. 4 Although these lesions can occur in both genders, all races and at any age, they occur predominantly among males, especially young, Asian males.…”

Section: Introductionmentioning

confidence: 99%

“…10 Various aetiological theories have been suggested, including chronic minor trauma, congenital embryonic dysplasia, autoimmune defect and circulatory disturbances in the auricle; however, the exact cause remains unclear. 3,6,[14][15][16][17][18][19][20] In 1985, Okuma described successful treatment of an auricular pseudocyst with needle aspiration followed by local steroid injection. 21 Since then, many different treatments have been employed, with varying success.…”

Section: Introductionmentioning

confidence: 99%

Lactate dehydrogenase isoenzyme patterns in auricular pseudocyst fluid

Chen

et al. 2013

J. Laryngol. Otol.

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Lactate dehydrogenase isoenzyme patterns in auricular pseudocyst fluid indicated higher percentage distributions of lactate dehydrogenase 4 and 5 and lower percentage distributions of lactate dehydrogenase 1 and 2. An effective laboratory method of evaluating the different lactate dehydrogenase isoenzyme components was developed; this method may improve the accuracy of auricular pseudocyst diagnosis.

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Pseudocyst of the Auricle: Case Reports and Its Biochemical Characteristics

Cited by 31 publications

References 0 publications

Through and through suturing vs. window resection method in surgical management of seroma pinna: a comparative study

Through and through suturing vs. window resection method in surgical management of seroma pinna: a comparative study

Pseudocysts of the auricle in a young adult with facial and ear atopic dermatitis

Lactate dehydrogenase isoenzyme patterns in auricular pseudocyst fluid

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