Tuesday, November 9, 2010

Pseudocyst of auricle

Profile: Diabetic, wearing helmet often
Pseudocyst of auricle in a diabetic patient and wearing helmet often.

The layers of pinna gets separated because of wear and tear and a fluid comes in.
Since this has no true capsule, so this is known as psuedocyst.
Various treatments have been described for this condition
  1. Surgical excision-which is technically challenging but can be attempted.
  2. Repeated aspiration and bandage. (Too slow and may not be rewarding)
  3. Wide bore needle aspiration and quilting suturing for 10 days under antibiotic coverage (my preferred technique)
after aspiration of cyst, the cyst is made to remain collapsed by applying buttons on both sides fixed by trans pinna suturing.

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