An auricular pseudocyst is a rare and benign cystic swelling resulting from intracartilaginous accumulation of fluid within the pinna.
While it can occur at any age and in either gender, it typically presents in middle aged males with a mean age of presentation being around 35-40 years 1.
Typically presents as a painless auricular swelling (typically develops over a period of 4 to 12 weeks). Minor discomfort and mild inflammatory signs could be occasionally present 1.
The exact aetiology is not well known while some consider a repeated minor injury playing a role in its development.
- most lesions are unilateral.
- involvement is usually seen in scaphoid, triangular fossa, and antihelix.
May show a fluctuant cystic lesion involving the auricle.
Treatment and prognosis
Treatment options can be variable with surgical options comprising of excision of the anterior cartilage with compression buttoning (showing excellent results without recurrence)4.
History and etymology
It is thought to have been first described by D Engel in 1966 5.
As a clinical differential consider
- 1. Khan NA, Ul Islam M, Ur Rehman A et-al. Pseudocyst of pinna and its treatment with surgical deroofing: an experience at tertiary hospitals. J Surg Tech Case Rep. 2013;5 (2): 72-7. doi:10.4103/2006-8808.128728 - Free text at pubmed - Pubmed citation
- 2. Lazar RH, Heffner DK, Hughes GB et-al. Pseudocyst of the auricle: a review of 21 cases. Otolaryngol Head Neck Surg. 1986;94 (3): 360-1. Pubmed citation
- 3. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2654821
- 4. Lim CM, Goh YH, Chao SS et-al. Pseudocyst of the auricle. Laryngoscope. 2002;112 (11): 2033-6. doi:10.1097/00005537-200211000-00022 - Pubmed citation
- 5. Engel D. Pseudocysts of the auricle in Chinese. Arch Otolaryngol. 1966;83 (3): 197-202. Pubmed citation
- 6. Cohen PR, Grossman ME. Pseudocyst of the auricle. Case report and world literature review. Arch. Otolaryngol. Head Neck Surg. 1990;116 (10): 1202-4. Pubmed citation