Comparison and evaluation of three techniques for treating auricular pseudocyst.

J Dermatolog Treat

Department of Otolaryngology, Shandong Provincial Hospital, Cheeloo College of Medicine, Shandong University, Jinan, Shandong, China.

Published: February 2022

AI Article Synopsis

  • Auricular pseudocyst is a benign growth in the ear's cartilage, managed through various treatment options like suction, steroid injections, and surgery.
  • A study with 84 participants assessed three different treatment methods, evaluating effectiveness, side effects (sequelae), and patient satisfaction three months post-treatment.
  • Results showed that while surgery had the highest effectiveness (100%), it had significant side effects (71%), while local steroid injections had lower effectiveness (86%) but the best satisfaction rating (7.0/10) and fewest side effects (42%), making it the preferred initial treatment option.

Article 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.

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Source
http://dx.doi.org/10.1080/09546634.2020.1770169DOI Listing

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