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Pseudocyst of the auricle, also known as auricular pseudocyst, endochondral pseudocyst, cystic chondromalacia, intracartilaginous auricular seroma cyst, and benign idiopathic cystic chondromalacia, [1] is a cutaneous condition characterized by a fluctuant, tense, noninflammatory swelling on the upper half of the ear, known as the auricle or pinna.
Preauricular sinuses and cysts result from developmental defects of the first and second pharyngeal arches. [10] This and other ear malformations are sometimes associated with renal anomalies. [ 11 ] In rare circumstances these pits may be seen in genetic conditions such as branchio-oto-renal syndrome ; however these conditions are always ...
First branchial cleft cysts - These are also known as periauricular because of their position near the ear. They are always in or adjacent to the parotid gland. These account for 8% of the sinuses and cysts of the neck. They are lateral to the facial nerve and run parallel to the external auditory canal. [9]
Pseudocysts are like cysts, but lack epithelial or endothelial cells. Initial management consists of general supportive care. Symptoms and complications caused by pseudocysts require surgery. Computed tomography (CT) scans are used for initial imaging of cysts, and endoscopic ultrasounds are used in differentiating between cysts and pseudocysts.
The cysts can be removed via excision, though conventional cyst excision techniques have proven impractical, and a specialized regimen is required. [5] Cryotherapy and electrodessication may also be tried, but since it is a genetic disorder all the modalities have very little effect. Individual cysts can be removed surgically.
Canaloplasty, where the ear canal is widened using grafts, was first proposed as the treatment for keratois obturans. However, with the migration of keratin within the canal, any amount of widening could not restore the migration of skin. Reconstruction of the bony canal with cartilage graft from temporalis fascia has showed some results. [6]
It can also cause swelling, redness, pain and numbness or tingling radiating out from the bite, MedlinePlus says. And, unlike, brown recluse bites, a black widow spider bite can cause symptoms ...
Not all middle ear epidermal cysts are congenital, as they can be acquired either by metaplasia of the middle ear mucosa or by traumatic implantation of ear canal or tympanic membrane skin. In addition, cholesteatoma inadvertently left by a surgeon usually regrows as an epidermal cyst. Some authors have also suggested hereditary factors. [9] [10]