PDF(Pubmed)
Abstract：
The pseudocyst of the auricle is an intracartilaginous lesion defined as the accumulation of sterile, straw-coloured 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.
摘要：
耳廓的假性囊肿是一种软骨内病变，定义为无菌的积聚，未被上皮覆盖的囊肿中的稻草色液体。这在男性中更为常见。最常见的病变部位是舟骨窝和右耳。尽管病因尚不清楚，它可能与机械刺激有关，反复的轻伤和慢性创伤.如果不及时治疗，它会导致耳廓永久畸形。耳廓假性囊肿是一种罕见且具有挑战性的疾病。不幸的是，医疗管理没有显示实际结果。因此，手术治疗方式是最佳选择。治疗的普遍目的是保护和恢复耳廓的解剖结构，切除囊性病变和预防复发。在大多数情况下，简单的抽吸或切开和引流会导致囊性液体的再积聚。切开引流技术最简单，但复发率高。保守治疗通常会导致复发和效果不理想。其他治疗方式包括切口和每日冲洗引流，耳廓夹板,病灶内注射类固醇抽吸，抽吸，然后加压敷料，或通过病灶内注射类固醇进行抽吸，然后进行加压敷料和手术脱毛，手术脱毛，然后用纽扣或薄片或三明治方法压迫。直径小于1厘米的囊肿通过非手术治疗方式处理，而对于直径大于1厘米的囊肿，手术被认为是首选疗法。这些治疗方案已显示出有希望的结果。传统技术的各种修改降低了复发率，成功治疗了这种情况，并显示出良好的美容效果。这篇综述文章旨在提供各种常规治疗方式和引入的新颖修改的整体集合，可用于一系列确定的耳廓血清肿治疗。
