pinna growth treatment (1)

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Pinna Growth treatment-

• Symptoms, Causes and Treatment

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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.

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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

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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.

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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.

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• 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.

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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.

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• 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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