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Cyst excision treatment of recurrent anterior auricular cartilage pseudocyst in

Started by wlsqfjaru, March 12, 2011, 03:30:19 AM

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Cyst excision treatment of recurrent anterior auricular cartilage pseudocyst in 16 cases
 
 
Key words pseudocyst of auricle; auricular cartilage; surgery 【Key Words】 R764.1, R764.91 Document code】 【B】 【Article ID 1672-2922 (2007) 01-075-01 ear pseudocyst more common in young men, unknown etiology may be related to mechanical irritation and allergy related. Many treatment methods, such as exhausted cyst fluid pressure bandage, plus puncture fluid injection, pumping liquid plaster immobilization after, but there are issues recur. Since 2004. We are above the initial disease recurrence after treatment, 16 patients taken to surgery for removal of cyst anterior cartilage. Achieve a satisfactory effect, are as follows. 1 Clinical data of 16 cases (16 ears) patients, 13 male ears (81%), female 3 ears (19%). Aged 21 to 65 years,You are not allowed to view links. Register or Login, mean 35 years. Disease areas: the triangular fossa 1O cases, 4 cases of navicular fossa, ear a cavity in 1 case,You are not allowed to view links. Register or Login, involved the triangular ears and a nest cavity in 1 case. Line 12 of ear puncture fluid pressure treatment or a puncture, injection of 5-fluorouracil relapsed after 2: 3 patients with local skin thickening auricular deformation. 1 case involved the ears a cavity, triangular fossa, directly surgery. 2 surgical methods supine position, the affected ear upward, conventional iodophor disinfection, shop towels. With 1% lidocaine with epinephrine infiltration anesthesia around the cyst. In the cyst or the helix and the lower groove of the helix as a cut between the El, cut the skin, subcutaneous tissue to the cartilage membrane, in the cartilage to the cyst under the careful separation of the edge. Cut in the lowest layer of cartilage cysts to yellow cyst fluid outflow to reduce the sac pressure. To maximize the excision of the cyst anterior cartilage layer. Intraoperative cyst anterior and posterior wall are more common cartilage, cyst fluid in one folder. Posterior wall of the cartilage smooth, bainite, anterior cartilage thin and soft, rough and partially absorbed. Repeated scraping with a curette the posterior wall of the cartilage surface. 2% iodine and then burning the cartilage exposed, wash the operative cavity, into a rubber sheet drainage, interrupted suture cut E1. Pressure bandage with elastic bandage, so that the posterior wall of the front skin and cartilage close. Followed up for 6 months or more without recurrence. 15 cases in which conventional anti-inflammatory and symptomatic treatment. 48 hours to extract drainage strip. Disinfect the wound, to be replaced after dressing bandage pressure fixed 2 days, 7 days a suture removal and recovery; case after local swelling during wound exudate see. Given intravenous antibiotics and bandaged extended discussion of the week and 4 auricle pseudocyst cured more common in young men. Unknown etiology and pathogenesis may be related to mechanical irritation and allergy related. Most of the hard pillow on the use of , fluid in the cartilage. rather than the cartilage between the membrane and the cartilage. Based on the above pathology. we puncture fluid pressure treatment or a puncture, injection of 5-fluorouracil 2 recurrent cases. and the local skin thickening auricle deformation, involved the triangular ears a nest cavity and cases for surgical treatment. surgical excision of the cyst in the anterior wall of the cartilage layer maximum. scraping with a curette the posterior wall of the cartilage surface several times, and then exposed to 2% iodine ablation cartilage,You are not allowed to view links. Register or Login, and in the postoperative pressure bandage,You are not allowed to view links. Register or Login, so that the front wall of cartilage and skin tissue close to, in order to achieve the purpose does not recur after surgery. and exhausted conventional cyst fluid pressure bandage,You are not allowed to view links. Register or Login, plus puncture fluid injection, pumping liquid plaster immobilization after treatment, there are easy to relapse, repeated treatment and local adverse effects such as skin thickening. The surgery requires strict selection of cases (for cysts smaller based on conservative therapy), follow the sterile operating procedures, as far as possible removal of the side of the cartilage layer, after pressure bandage. to the anti-inflammatory treatment to prevent infection.

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