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NJCA. 2012; 1(4): 181-185

Pseudocyst of the auricle : management options

Atul M Bage, Nutan N Bage, Anand Karthikeyan D, Vijayasundaram.

Background & Aims : Pseudocyst of auricle otherwise called as auricular seroma is a cystic swelling filled with serous fluid. It occurs spontaneously or following surgery or trauma. Successful treatment of seromas remain a challenge because this disease has a high propensity for recurrence. The aim was to study the role of triamcinolone in reducing recurrence of pseudocyst of the auricle. Materials and methods : A total of 50 patients with pseudocyst of auricle were randomized into two groups. They were followed up to a year for recurrence. The technique of intra-lesional injection of triamcinolone acetonide after aspirating the fluid was followed in one group as against aspiration and tight bandaging in another group. Results : Out of seroma patients who underwent aspiration and bandaging, 90.91% had recurrence as against only 25.64% recurrence in patients who underwent aspiration and Inj.Triamcinolone infiltration. Out of seroma patients who underwent aspiration and bandaging 54.55% had recurrence within 1 month of initial treatment and 27.27% of them had a second recurrence within 3 months. Conclusion : Intra¬lesional injection of triamcinolone is a promising treatment option for management of auricular seroma. It prevents the recurrence also.

Key words: ear cyst, pinna swelling, idiopathic cystic chondromalacia, steroids injection, compression bandaging, recurrence

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Archives of Clinical and Experimental Surgery (ACES)


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