Recurrent auricular pseudocyst: a new treatment recommendation with curettage and fibrin glue.
BACKGROUND
Pseudocyst of the auricle is a rarely seen fluctuant swelling of the ear. Although various hypotheses on the etiology have been suggested, the exact cause still remains unclear. Chronic minor trauma, which is believed to create intracartilaginous cavity, is accepted to be the most probable cause. Several treatment methods have been used for this benign lesion, but higher recurrence rates can be seen if not properly treated.


OBJECTIVE
To discuss a new treatment modality for this rare disorder.


METHODS
A 44-year-old man presented with a large pseudocyst of the auricle that had been treated several times previously with unsuccessful outcomes. For its treatment, we performed curettage and then used fibrin glue as a sealer between the two leaves of the cartilage.


RESULTS
At postoperative 6-months follow-up, there was no evidence of recurrence. The cosmetic outcome was excellent.


CONCLUSIONS
The use of fibrin glue both to obliterate the pseudocyst space and to make the two leaves of the cartilage adhere to each other should be kept in mind in this rare disorder in order to avoid recurrences.
Tuncer
Serhan
S
Gazi University Faculty of Medicine, Plastic and Reconstructive Surgery Department, Ankara, Turkey.
Basterzi
Yavuz
Y
Yavuzer
Reha
R
D000328:Adult; D002357:Cartilage Diseases / Q000628:therapy*; D003475:Curettage / Q000379:methods*; D004431:Ear, External; D015718:Fibrin Tissue Adhesive / Q000627:therapeutic use*; D006801:Humans; D008297:Male; D012008:Recurrence; D014014:Tissue Adhesives / Q000627:therapeutic use*; D016896:Treatment Outcome
D015718:Fibrin Tissue Adhesive; D014014:Tissue Adhesives