Hayriye KARABULUT, Baran ACAR, Kenan Selçuk TUNCAY, Taner TANYILDIZLI, Ayşe Serap KARADAĞ, Servet GÜREŞÇİ, Rıza Murat KARAŞEN

Treatment of the non-traumatic auricular pseudocyst with aspiration and intralesional steroid injection

Aurikuler psödokist, aurikulanın ön yüzüne yerleşen, nadir görülen benign bir hastalıktır. Klinik olarak bu hastalık aurikula üst ön yüzde belirgin ağrısız, fluktuan şişlik ile karekterizedir. Etyoloji net olmamakla birlikte minör travmalar bu hastalığın nedeni olarak suçlan-maktadır. Literatürde bu hastalığın tedavisi çok çeşitlidir. İnsizyonel drenaj veya iğne aspirasyonunu takiben baskılı sargı en sık uygulanan metodlardan biridir, fakat bu metodun rekürrens oranları yüksektir. Önceki çalış-malarda belirtildiği gibi kavitenin kimyasal veya mekanik obliterasyonu tedavinin başarısı için gereklidir. Rekürren vakalara, anterior duvar eksizyonu gibi daha invaziv cerrahi yaklaşımlar gerekmektedir. Burada non-rekürren ve nontravmatik aurikular psödokistin iğne aspirasyonu ve intralezyonel steroid enjeksiyonu ile tedavisini sunduk. İntralezyonel steroid, minimal invaziv bir teknik olup ofis ortamında kolaylıkla uygulanabilen ve steroide bağlı komplikasyonların olmadığı başarılı kozmetiksonuçlar veren bir uygulamadır.

Aurikuler psödokist tedavisinde aspirasyon ve intralezyoner steroid enjeksiyonu

The pseudocyst of auricle is a rare and a benign condition of the ear that is located in the anterior aspect of the auricle. Clinically, this condition presents as a painless, prominent, fluctuant swelling on the upper anterior surface of the auricle. Although etiology is unclear, low-grade minor trauma was blamed as an inducing factor of this condition. In the literature treatment of this condition varies widely. Incisional drainage or needle aspiration followed by a compressive dressing is one of the most commonly applied methods but, this method of treatment has high recurrence rates. Chemical or mechanical obliteration of the cavity is necessary for a successfull treatment as reported in the previous studies. At recurrent cases more invasive surgical approaches such as anterior wall excision are necessary. We present a treatment of a non-traumatic and non-recurrent auricular pseudocyst by needle aspiration and intralesional steroid injection therapy. This minimally invasive technique is easy to apply in an office setting and give a good cosmetic outcome without complications associated with intralesional steroid administration.

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