A comparative study between window operation and through and through suturing in pseudocyst (seroma) of pinna
DOI:
https://doi.org/10.18203/issn.2454-5929.ijohns20212120Keywords:
Pseudocyst pinna, Perichondritis, Abscess, Cosmetic deformity, Through and through suturingAbstract
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.
Metrics
References
Singh D, Goswami R, Dudeja V. Management of Auricular Pseudocyst: A Comparative Study. Int J Med Res Rev. 2014;2(5).
Engel D. Pseudocyst of the auricle in Chinese. Arch Otolaryngol. 1966;83(3):197-202.
Borroni G, Brazzelli V, Merlino M. Pseudocyst of the auricle: a birthday ear pull. Br J Dermatol. 1991;125(3):292.
Glamb R, Kim R. Pseudocyst of the auricle. J Am Acad Dermatol. 1984;11(1):58-63.
Miyamoto H, Okajima M, Takahashi I. Lactate dehydrogenase isozymes in and intralesional steroid injection therapy for pseudocyst of the auricle. Int J Dermatol. 2001;40(6):380-4.
Richette P, Dumontier MF, Francois M, Tsagris L, Korwin-Zmijowska C, Rannou F, et al. Dual effects of 17beta-oestradiolon interleukin1 beta-induced proteoglycan degradation in chondrocytes. Ann Rheum Dis. 2004;63(2):191-9.
Posma E, Moes H, Heineman MJ, Fas MM. The effect of testosterone on cytokine production in the specific and non-specific immune response. Am J Reprod Immunol. 2004;52(4):237-43.
Morishita M, Miyagi M, Iwamoto Y. Effects of sex hormones on production of interleukin-1 by human peripheral monocytes. J Periodontol. 1999;70(7):757-60.
Tan BYB, Hsu PP. Auricular pseudocyst in the tropics: a multi-racial Singapore experience. J Laryngol Otol. 2004;118(3):185-8.
Zhu LX, Wang XY. New technique for treating pseudocyst of the auricle. J Laryngol Otol. 1990;104(1):31-2.
Choi S, Lam KH, Chan KW, Ghadially FN, Ng ASN. Endochondral pseudocyst of the auricle in Chinese. Arch Otolaryngol. 1984;110(12):792-6.
Lee JA, Panarese A. Endochondral pseudocyst of the auricle. J Clin Pathol. 1994;47(10):961-3.
Oyama N, Satoh M, Iwatsuki K, Kaneko F. Treatment of recurrent auricle pseudocyst with intralesional injection of minocycline: a report of two cases. J Am Acad Dermatol. 2001;45(4):554-6.
Tuncer S, Basterzi Y, Yavuzer R. Recurrent auricular pseudocyst: a new treatment recommendation with curettage and fibrin glue. Dermatol Surg. 2003;29(10):1080-3.
Hegde R, Bhargava S, Bhargava KB. Pseudocyst of the auricle: a new method of treatment. J Laryngol Otol. 1996;110(8):767-9.
Ophir D, Marshak G. Needle aspiration and pressure sutures for auricular pseudocyst. Plast Reconstr Surg. 1991;87(4):783-4.
Downloads
Published
How to Cite
Issue
Section
