Pinna Growth treatment:-

Symptoms, Causes and Treatment

 Introduction :

Pseudocyst of pinna is an uncommon condition

hardly encountered in routine ENT practice.
The involvement is usually seen in scaphoid,
triangular fossa, and antihelix. Medical
treatment is ineffective. Various treatments are
suggested in the literature. The aims of the
paper were to study the clinical characteristic
of patients with pseudocysts and to share our
experience with surgical deroofing and
buttoning as a definitive treatment.
 Symptoms :

 Dizziness or balance problems.
 Ear bleeding or discharge.
 Ear pain.
 Headaches.
 Hearing loss.
 Nonhealing wound or sore.
 Skin discoloration, new moles or changes to a mole.
 Swollen lymph nodes.
 Tinnitus (ringing in the ear).
 Weak facial muscles
 Types :

 Myringoplasty: It is a surgery to repair a hole in the eardrum.

 Ossiculoplasty: It involves rectification of the middle ear bone
problems. These bones are responsible for transmitting sound from
the eardrum to the inner ear.
 Causes :

 Eustachian tube dysfunction: The eustachian tube balances the

pressure between the middle ear and outside pressure. Damage to the
eustachian tube can damage the eardrum and affect the hearing.
 Ear infections: Middle ear infections may cause pressure, pain, 
hearing loss, rupture of the eardrum, and ear discharge.
 Tympanic membrane perforation: It refers to a hole in the eardrum,
leading to hearing loss, drainage, and pain.
 Cholesteatoma: It is characterized by abnormal skin growth in the middle ear.
 Conductive hearing loss: It results when the sound waves do not transmit to the inner ear.
 Treatment :

Pinna was cleaned with Savlon and Betadine and draped. About 0.1-0.2
mL of fluid was aspirated from all groups by a 1-mL syringe which was
physically inspected and sent for culture. Xylocaine with adrenaline is
infiltrated locally. An incision was given superiorly over the swelling,
and the skin was elevated beyond the margin of the cyst . The anterior
lining of the cyst was removed in piecemeal. The posterior cartilage
lining of the cyst wall was usually left intact. When the swelling was
seen to extend to posterior aspect of pinna, we removed a small window
cartilage posteriorly.
The incision was closed with 5-0 prolene, and buttons of appropriate site
were applied on the anterior and posterior aspect and tied with through
and through 4-0 silk sutures. No external bandage was applied.
Anti-inflammatory and antibiotics drugs were prescribed for 5 days, and the buttons were removed after 12 days.
Rebuttoning was done in cases who failed primary butting after a gap of 1 month.
Patients were followed for 2 months after completion of successful treatment.
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