What to do with ear pseudocyst

The ear is a very important part of the human body, but it is often prone to some diseases. For example, otitis media, pseudocysts in the ear and other diseases, so we should be careful to avoid disease problems. The problem of ear disease should be caused by viruses or bacteria, so you should pay attention to using the correct method to treat it. So what should we do if we have a pseudocyst of the ear?

Auricular pseudocyst is often caused by trauma, autoimmune factors, etc. and is a sterile reaction. Auricular pseudocyst is also known as auricular serous perichondritis because its cyst wall has no epithelial layer, so it is called a pseudocyst. Most of the patients are male, the age of onset is generally between 30 and 40 years old, and the disease often occurs on one side of the auricle.

It is more common in adult males, often with a feeling of fullness in one side of the ear. The cysts mostly occur on the ventral side of the auricle, appearing as a hemispherical protrusion with clear boundaries, normal skin color, and a hard or fluctuating feel. Puncture can extract light yellow or bloody fluid, but the disease will recur shortly after extraction.

Pay attention to protecting the affected area at ordinary times, avoid irritating or touching the affected area with your hands to avoid infection, and do not put pressure on the affected area when sleeping.

Surgical methods for auricular pseudocyst

Indications: auricular perichondritis with abscess formation.

Surgical preparation: Same as auricle and ear canal laceration repair.

Anesthesia: Local anesthesia. General anesthesia can be used for patients with severe infection and severe pain.

Surgical method:

1. When the lesion is relatively localized, make a longitudinal incision at the place where the abscess is obviously fluctuating. After the pus is discharged, use a curette to scrape off the necrotic tissue in the abscess cavity and place a rubber drainage strip.

2. If the infection is severe, most of the auricular cartilage has become necrotic and liquefied, and the cartilage needs to be removed. Make an arc-shaped incision roughly parallel to the helix on the front of the auricle and about 1 cm inside the helix, remove pus, necrotic tissue and necrotic cartilage, rinse the abscess cavity with sterile saline, and then inject diluted polymyxin solution or gentamicin solution. Then a pre-made plastic stent with a similar shape to the auricle is inserted, a rubber drainage strip is placed, and the incision is sutured.

Postoperative care of auricular pseudocyst

Auricular pseudocyst surgery is a sterile procedure. As long as the specific requirements of aseptic operation are strictly followed, the patient is not elderly or diabetic, and the local area can be kept dry and clean after the operation, there is no need to use antibiotics.

However, for the elderly, those with diabetes or impaired glucose tolerance, antibiotics can be used preventively to prevent secondary infection.

As for changing the dressing, it is not necessary if there are no signs of infection.

If the patient complains of severe ear pain and physical examination shows obvious local redness and swelling, and secondary suppurative perichondritis is suspected, the compression buttons and part of the incision sutures should be removed immediately, and the dressing should be cleaned and changed daily. At the same time, sensitive antibiotics should be administered intravenously to control the infection as soon as possible and avoid abscess formation, cartilage necrosis and auricle deformity.