Surgical Deroofing Procedure for the Treatment of an Auricular Pseudocyst

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

“…Simple incision with drainage or aspiration of the cystic fluid with a pressure dressing usually leads to recurrence with reaccumulation of the cystic fluid . Incisional drainage followed by chemical obliteration with intralesional instillation of corticosteroid is commonly used, but with undesirable side effects such as discoloration and atrophy . Chemical obliteration performed with trichloroacetic acid, bleomycin, minocycline, fibrin glue, or sodium tetradecyl sulfate has also been reported, although with variable results .…”

“…6 Incisional drainage followed by chemical obliteration with intralesional instillation of corticosteroid is commonly used, but with undesirable side effects such as discoloration and atrophy. 7 Chemical obliteration performed with trichloroacetic acid, bleomycin, minocycline, fibrin glue, or sodium tetradecyl sulfate has also been reported, although with variable results. [7][8][9][10] By contrast, deroofing with resection of the anterior cartilaginous leaflet of the pseudocyst, followed by a button bolster or plastic sheet compressive dressing, gives better results.…”

“…7 Chemical obliteration performed with trichloroacetic acid, bleomycin, minocycline, fibrin glue, or sodium tetradecyl sulfate has also been reported, although with variable results. [7][8][9][10] By contrast, deroofing with resection of the anterior cartilaginous leaflet of the pseudocyst, followed by a button bolster or plastic sheet compressive dressing, gives better results. [11][12][13][14] However, the lack of pliability and availability of the above-mentioned compressive dressing materials can limit their use.…”

Recurrent Auricular Pseudocyst: Successful Treatment Using a Dental Silicon Cast

“…APs usually affect the upper half of the auricle and contain viscous fluid in an intercartilaginous cavity [ 1 , 2 , 3 ]. Various therapeutic options including surgical treatments and steroid injections have been used to treat APs [ 3 , 4 ], but they frequently recur in usual clinical practice. Dental silicon casts have been used for the treatment of various facial deformities such as rhinoplasty due to their ability to fit various curved body surfaces.…”