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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 ...
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]
Attacks of skin redness and burning sensation or pain in one or both external ears are the only common symptoms. [1] Pain is often most pronounced at the ear lobe, and sometimes radiates to the jawbone and cheek. [1] The pain is normally mild, but has occasionally been described as severe. [1]
Secondary ear pain is a type of referred pain, meaning that the source of the pain differs from the location where the pain is felt. Primary ear pain is more common in children, whereas secondary (referred) pain is more common in adults. [13] Primary ear pain is most commonly caused by infection or injury to one of the parts of the ear. [3]
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]
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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]