Comparison and evaluation of three techniques for treating auricular pseudocyst. (2nd January 2022)

• Record Type: Journal Article
• Authors: Yu, Jie; Lu, Yu; Yu, Qianru; Guan, Benling; Chen, Chengfang; Yu, Shudong
• Is Part Of: Journal of dermatological treatment. Volume 33:Number 1(2022)
• Page Start: 494
• Page End: 497
• Publication Date: 2022-01-02
• Subjects: Auricular pseudocyst -- therapy -- comparison; Skin -- Diseases -- Treatment -- Periodicals; Skin Diseases -- drug therapy -- Periodicals; Skin Diseases -- therapy -- Periodicals; 616.5
• DOI: 10.1080/09546634.2020.1770169
• Languages: English
• ISSNs: 0954-6634

Abstract

Abstract: Background: Auricular pseudocyst is a benign cystic lesion in cartilages of the auricle. Different methods are currently used to manage this disease. In these methods, simple aspiration combined with pressure dressing, local steroid injection and surgery are the most prevalent therapies. Objective: To find the best clinical path for the treatment of auricular pseudocyst. Methods: Eighty-four subjects were randomly allocated into three equal groups (Group A: simple suction combined with pressure dressing; Group B: suction and local steroid injection; and, Group C: surgery). Two otolaryngologists assessed effective rate, sequelae and degree of satisfaction at three-month follow-up. A visual analog scale was used to determine degree of satisfaction. Results: Group A had the lowest effective rate (54%). Group C was highest in terms of effectiveness (100%) but also in incidence of sequelae (71%). Group B had a slightly lower effective rate (86%) than Group C, but the incidence of sequelae was lowest (42%). Degree of satisfaction was highest (7.0 ± 2.7) for Group B. Conclusion: Local steroid injection should be the first choice for the treatment of auricular pseudocyst because of high satisfaction, favorable effectiveness and few sequelae. Where this method is ineffective, surgery should be used.