Published: 2019-12-23

Comparison of various pressure methods along with aspiration in treatment of auricular seroma

Niral R. Modi, Sanjay M. Tota


Background: Auricular seroma or pseudocyst is soft cystic swelling on the pinna due to collection of intra cartilaginous fluid. The successful management of auricular seroma by aspiration and pressure remains a challenge as this disease has high recurrence rate.

Methods: A total 28 patients with auricular seroma were treated by aspiration and different methods of pressure modalities as corrugated rubber splint, button, mastoid dressing and plaster of paris and their results were compared in this study.

Results: No any recurrence of seroma and any complication occur after rubber splint pressure application. Post procedure complain like fever, pain, oedema, perichondritis and recurrence are more present in button, mastoid dressing and plaster of Paris pressure application.

Conclusions: Aspiration and pressure application with rubber splint provides very simple, minimally invasive and effective management of auricular seroma. It is cost effective give uniform pressure and less traumatic to skin. Pressure with rubber splint method has low recurrence rate and as there is no need of mastoid bandage so less social embracement. 


Aspiration, Auricular seroma, Corrugated rubber splint

Full Text:



Engel D. Pseudocyst of auricle in Chinese. Arch Otolarygol.1966;83(3):197-202.

Hansen JE. Pseudocyst of the auricle in Caucasians. Arch otolarygol. 1967;85(1):13-4.

Miyamoto H, Okajima M, Takahashi I. Lactate dehyrogenase isozymes in and intralesional steroid injection therapy for pseudocyst of auricle. Int J Dermatol. 2001;40:380-4.

O’donnell BP, Eliezri YD. The surgical treatment of traumatic hematoma of the auricle. Dermatol Surg. 1999;25:803-5.

Naik K. Seroma of auricle: opening new doors over window. Int J Otorhinolaryngol Clin. 2011;3:88-9.

Purwar A, Shetty V, Khanna S, Gupta S. PRESSURE appliance to prevent the recurrence of auricular seroma: a new clinical trial. J Oral Biol Craniofac Res. 2013;3:42-4.

Kim TY, Kim DH, Yoon MS. Treatment of recurrent auricular pseudocyst with intralesional steroid injection and clip compression dressing. Dermatol Surg. 2009;35:245-7.