Published: 2021-05-26

A comparative study between window operation and through and through suturing in pseudocyst (seroma) of pinna

Smitha S. G., Nikitha Pillai, Jedhin Raveendran


Background: Pseudocyst of pinna is a cystic swelling formed due to collection of fluid between the auricular cartilage and perichondrium. It can occur spontaneously or after surgery or trauma. Successful treatment is challenging despite the availability of various treatment modalities because of high rate of recurrence. This study was taken up to compare the outcomes of window operation and through and through suturing.

Methods: 30 patients diagnosed with auricular pseudocyst/seroma were randomized into 2 groups. Group 1 patients underwent window operation and group 2 underwent through and through suturing. Patients were followed up at the end of 10th day, 1 month and 2 months following procedures to assess and compare the outcome of each.

Results: The recurrence rate was 20% for group 1 patients. 2 patients of group 1 developed perichondritis and abscess following window operation. The percentage of cosmetic deformity was 13.3% in group 1 patients. Group 2 patients had no complications.

Conclusions: Through and through suturing is a simple and effective way for managing pseudocyst. It scores high due to its lower rate of recurrence and complications.


Pseudocyst pinna, Perichondritis, Abscess, Cosmetic deformity, Through and through suturing

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