Pseudocyst of the auricle Q18.1

Author: Prof. Dr. med. Peter Altmeyer

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Last updated on: 29.10.2020

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Synonym(s)

Auricular cyst; Auricular cyst traumatic; Auricular pseudocyst; Pseudocyst of the auricle; pseudocyst of the pinna; seroma of the auricle; Traumatic auricular cyst

History
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Hartmann, 1846; Engel, 1966

Definition
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Up to cherry-sized, areactive, fluctuating swelling of the cranial auricle area, which is attributed to a degenerative cartilage alteration. Viscous material is emptied during puncture.

Etiopathogenesis
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Unknown. In some cases the association is described with smaller traumas.

Manifestation
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Mostly males between the ages of 20 and 50. LJ.

Localization
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Located on the auricle.

Clinical features
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Unilateral, mostly shapeless, not painful, protuberant, fluctuating, skin-coloured swelling of the auricular cavity.

Histology
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Unilocular cavity in the middle of the ear cartilage without any epithelial wall lining. The wall cartilage surrounding the cavity is cystically degenerated; no accompanying inflammatory reaction.

Differential diagnosis
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Therapy
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Often the puncture of the pseudocyst with a large-lumen cannula is sufficient. Subsequently, an intralesional injection of a glucocorticoid crystal suspension is performed. Pressure pad for 10-14 days. In case of recurrence: surgical removal of the entire cyst, while preserving the surrounding vital cartilage.

Literature
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  1. Abdel Tawab HM et al (2019) Incision and Drainage with Daily Irrigation for the Treatment of Auricular Pseudocyst. Int Arch Otorhinolaryngol.23:178-183.
  2. Angel D (1966) Pseudocysts of the auricle in Chinese. Arch Otolaryngol 83: 197-202
  3. Lim CM et al (2002) Pseudocyst of the auricle. Laryngoscope 112: 2033-2036
  4. Paul AY et al (2001) Pseudocyst of the auricle: diagnosis and management with a punch biopsy. J Am Acad Dermatol 45: S230-232
  5. Pereira FC et al (2003) Bilateral pseudocyst of the auricle in a man with pruritus secondary to lymphoma. Int J Dermatol 42: 818-821
  6. Tuncer S et al (2003) Recurrent auricular pseudocyst: a new treatment recommendation with curettage and fibrin glue. Dermatol Surgery 29: 1080-1083

Disclaimer

Please ask your physician for a reliable diagnosis. This website is only meant as a reference.

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Last updated on: 29.10.2020