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RelentCare ENT,CHEST and Facial Aesthetic Centre, Thrissur, Kerala
"Effective Treatments for Pinna Pseudocysts: Surgery for Best Relief || Best treatment Thrissur"
what is a pseudocyst pinna and its treatment ?
The first image of a patient's ear captured by the patient.
Immediate post-drainage with a small incision from the local hospital.
Following five consecutive sessions of drainage and compression bandaging at the local hospital.
Surgical drainage of pus was performed, followed by a window cut in the anterior cartilage leaf. A drain was placed and removed after three days, with button suturing applied at the concha. The procedure was conducted at our clinic.
A Pseudocyst of the pinna is a rare but benign condition characterized by the accumulation of fluid within the cartilage of the ear. It primarily affects middle-aged men and is usually asymptomatic, though it can lead to discomfort and cosmetic issues.
Traditional medical treatments - including aspiration and conservative management, have shown limited effectiveness, making surgical intervention the best option for definitive care.
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Clinical Characteristics
At Relentcare ENT Clinic, under the guidance of Dr. Salison Salim Panicker and Dr. Vidya Ramdas, we have encountered a range of cases involving pseudocysts. Most commonly, these cysts develop in the scaphoid fossa and triangular fossa of the pinna.
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Our observations indicate that:
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Demographics: The majority o patients are middle-aged men, with a slight prevalence of left-sided involvement.
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Symptoms: While many patients remain asymptomatic, some may experience minor discomfort or aesthetic concerns.
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Surgical Approach
Our approach to treating pseudocysts is centred on a procedure known as surgical deroofing, paired with a technique called buttoning. The process involves several key steps:
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Preoperative Preparation: Patients are thoroughly evaluated to confirm the diagnosis and discuss the surgical plan. Preoperative care includes informing patients about the procedure, risks, and expected outcomes.
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Incision and Drainage: Under local anesthesia, an incision is made over the cyst. The cyst is drained, and the anterior cartilage leaflet is carefully excised to reduce the likelihood of recurrence.
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Buttoning Technique: After drainage, a compressive button is applied to the anterior and posterior aspects of the ear. This helps to maintain the ear's shape and support proper healing. The buttons are secured with silk sutures and left in place for about 12 days.
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Postoperative Care: Patients are prescribed anti-inflammatory medications and antibiotics for five days to manage pain and prevent infection. Regular follow-ups are scheduled to monitor healing and address any complications.
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Success Rate and Outcomes
Our clinic has achieved a high success rate of 96% with the surgical deroofing and buttoning technique. This method effectively prevents recurrence, and we’ve noted that complications are minimal. In rare cases, patients may experience inflammation, which typically resolves with conservative treatment.
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Conclusion
At Relentcare ENT Clinic, we are committed to providing high-quality care for patients with pseudocysts of the pinna. Our experienced team, led by Dr. Salison Salim Panicker and Dr. Ramdas, utilizes advanced surgical techniques to ensure optimal outcomes while prioritizing patient comfort and safety. If you or someone you know is struggling with this condition, we invite you to reach out for a comprehensive evaluation and personalized treatment plan tailored to your needs. Your well-being is our top priority, and we are here to help you regain your confidence and comfort.
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