Sandwich compression with rubbery tourniquet sheets and cotton balls for auricular pseudocyst

Wu, Ming-Ying; Chen, Chun‐Bing; Chen, Yi-Hsi; Chang, Catherine; Chan, Kai‐Chieh

doi:10.1002/lary.26884

Cited by 10 publications

(13 citation statements)

References 19 publications

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“…In the present study, the scaphoid fossa was found to be the most common site of involvement (60.9%), in line with the findings of Lee et al 11 The possible reason is that the scaphoid fossa is closer to the edge of the auricle and relatively more vulnerable to injuries. The incidence rate was slightly higher in the right auricle (59.8%) than that in the left auricle, in keeping with the findings of studies carried out by Wu et al 5 and Kanotra et al 8 An auricular pseudocyst has been unilateral in most cases, with bilateral auricular pseudocyst rarely reported, and it has shown a higher incidence rate in males than females, 1 , 4 , 5 consistent with our incidence rate of 95.4% males.…”

Section: Discussionsupporting

confidence: 92%

“… 11 The inciting event has been attributed to cartilage contusion or local circulatory disturbance after mechanical stimulation of the auricle; it also may have an association with such factors as immune abnormalities or congenital dysplasia of the auricle. 1 , 4 , 5 , 8 In a pathological study of the resected anterior cartilage conducted by Zhang et al, the outer wall of the early auricular pseudocyst was actually the diseased perichondrium, which subsequently developed into new cartilage, and the whole cartilage was formed following continuous proliferation and thickening of the new cartilage, 12 rendering a theoretical basis for the low recurrence rate after anterior chondrectomy.…”

Section: Discussionmentioning

confidence: 99%

“… 2 , 5 Nevertheless, the development of postoperative hematocele-induced complications such as infection, swelling, and auricular deformity often occur. 2 , 3 To address this problem, fixation with such materials as splints, 6 rubber sheets, 5 buttons, 7 , 8 and plastic sheets 9 have been employed following anterior chondrectomy, achieving some beneficial effects. However, these methods have added a somewhat complicated step, requiring postoperative return visits, yet they have been unable to completely avoid some complications.…”

Section: Introductionmentioning

confidence: 99%

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Application Effect of Modified Through and Through Suture in Anterior Chondrectomy of Auricular Pseudocyst

Tian¹,

Xie²,

Chen³

et al. 2023

CCID

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Objective To introduce a novel method of modified through and through suture with collagen sutures in conjunction with anterior chondrectomy of auricular pseudocyst and assess its therapeutic efficacy. Subjects and Methods The study comprised 87 patients with unilateral auricular pseudocyst, treated in our department from December 2019 to November 2021. Following anterior chondrectomy of the cyst, modified through and through suture was performed using collagen sutures. Evaluation of successful resolution of the problem, assessment of complications, recurrence, and ultimate ear cosmesis was undertaken with a minimum of 6 months follow-up. Results There were 83 males and 4 females, ages ranged from 26–78 years old, with a median age of 41 years. The right and left ears were affected in, 52 and 35 patients, respectively. Local skin color deepening was found in 15 patients within 3 months, which returned to normal within 5 months. During the follow-up, such complications as anaphylaxis, hematocele in the surgical cavity, incision infection, and deformity were not observed in any patients. All patients were cured with a single operation without relapse. Conclusion The modified through and through suture with collagen sutures in conjunction with anterior chondrectomy of an auricular pseudocyst is characterized by a straightforward, single-stage operation, with no relapses, few complications, restoration of normal ear cosmesis, and high patient acceptance.

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Section: Discussionsupporting

confidence: 92%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Application Effect of Modified Through and Through Suture in Anterior Chondrectomy of Auricular Pseudocyst

Tian¹,

Xie²,

Chen³

et al. 2023

CCID

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“…Several techniques to exert pressure on ears have been developed for use after those treatments. Some techniques, such as surgical bolstered sutures, are invasive, but other techniques are noninvasive [ 1 , 5 ]. Critical points for the successful application of pressure are even and appropriate forces on the uneven surface of the auricle.…”

Section: Discussion/conclusionmentioning

confidence: 99%

Recurrent Auricular Pseudocyst: Successful Treatment Using a Dental Silicon Cast

et al. 2021

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Auricular pseudocysts (APs) are benign intercartilaginous cysts at the auricle. Various therapeutic options have been used to treat APs, but they frequently recur in usual clinical practice. Here, we report a case of AP successfully treated using a silicon cast. A 65-year-old male presented with a cyst on his right auricle. Although a local injection of steroid was administered, the cyst had recurred. A dental silicon cast was applied after removal of the contents of the cyst by suction. There was no recurrence of the cyst 6 years after that treatment. Dental silicon casts are a novel technique for an appropriate fixation over auricles in the treatment of APs and had an effective therapeutic result in our case.

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“…The patient is prescribed analgesics to decrease the temporary pain after the procedure. A patient who is allergic to rubber or iodine may develop contact dermatitis [ 28 ].…”

Section: Reviewmentioning

confidence: 99%

Seroma of Auricle

Shirsath¹,

Jain²

2022

Cureus

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The pseudocyst of the auricle is an intracartilaginous lesion defined as the accumulation of sterile, strawcoloured fluid in a cyst unlined by epithelium. It is more common in males. The most common site of lesion is the scaphoid fossa and right ear. Though the aetiology remains unclear, it may be associated with mechanical irritation, repeated minor injuries and chronic trauma. If left untreated, it can lead to permanent deformity of the auricle. Pseudocyst of the auricle is a rare and challenging condition. Medical management has unfortunately shown no practical results. Hence, surgical treatment modalities are the best option. The universal aim of treatment is the conservation and restoration of the anatomical structure of the pinna, removal of cystic lesions and prevention of recurrence. Simple aspiration or incision and drainage alone lead to reaccumulation of cystic fluid in most cases. The technique of incision and drainage is the easiest but has a high recurrence rate. Conservative treatment often results in recurrence and unsatisfactory results. Other treatment modalities include incision and drainage with daily irrigation, auricular splinting, aspiration with intralesional steroid injection, aspiration followed by compression dressing, or aspiration with intralesional steroid injection followed by compression dressing and surgical deroofing, surgical deroofing followed by compression with buttons or sheet or sandwich method. Cysts with a diameter less than 1 cm are dealt with through non-surgical treatment modalities, while for cysts having a diameter greater than 1 cm, surgery is considered as first choice therapy. These treatment options have shown promising results. Various modifications in the traditional techniques have reduced the recurrence rate, successfully treated the condition and shown good cosmetic results. This review article aims at providing a holistic collection of various conventional treatment modalities and novel modifications introduced, which can be used in a sequence of definitive treatments of seroma of the auricle.

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Sandwich compression with rubbery tourniquet sheets and cotton balls for auricular pseudocyst

Abstract: 4. Laryngoscope, 128:1653-1657, 2018.

Cited by 10 publications

References 19 publications

Application Effect of Modified Through and Through Suture in Anterior Chondrectomy of Auricular Pseudocyst

Application Effect of Modified Through and Through Suture in Anterior Chondrectomy of Auricular Pseudocyst

Recurrent Auricular Pseudocyst: Successful Treatment Using a Dental Silicon Cast

Seroma of Auricle

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