前後縫合加捆綁壓迫治療耳郭假性囊腫

"Through and Through Suture" with "Tie-over Compression" for Treating Pseudocyst of the Auricle

李學禹(Hsueh-Yu Li) ； 江耀煌(Yao-Huang Chiang) ； 黃俊生(Tsun-Sheng Huang)

《中華民國耳鼻喉科醫學會雜誌》 30卷3期 (1995/06) Pp. 225-229

https://doi.org/10.6286/1995.30.3.225

摘要

耳郭假性囊腫乃是一種在耳郭軟骨內空隙自然形成無上皮排列的漿液性囊腫。其形成原因未明，推論可能病因為胚胎發育缺陷、外傷及軟骨分泌酵素等學說。治療方法則包羅萬象而成功率互異。長庚耳鼻喉科在此提出一新的方法，於1992年6月至1994年6月間，運用在22例病人上。全部病例皆使用局部麻醉，切開引流後再以2-0 Dexon 直針作前後縫合加捆綁壓迫。術後病患無併發症，經兩個月至半年追蹤，皆無復發且耳郭都能維持正常外觀。

關鍵字

耳郭假性囊腫 ； 術後縫合 ； 捆綁壓迫

並列摘要

Auricular pseudocyst is an asymptomatic, usually unilateral cystic swelling of the upper anthelix of the ear, resulting from the accumulation of fluid within an unlined intracartilaginous cavity. The etiology is still unknown. However, numerous therapeutic approaches had been used with a variety of successful rate in the past.
Twenty-two patients with pseudocyst of the auricle were treated at the Department of Otolaryngology of the Chang-Gung Memorial Hospital, Taipei, from June 1992 to June 1994. There were 20 males and 2 females. The age at onset ranged from 22 to 56 years. The history of the cysts before clinical diagnosis was about 1 to 2 weeks. In this report, we performed the surgical procedure that includes techniques of “incision and drainage” of the auricular pseudocyst, “through and through suture” and “tie-over compression”. The method is simple to perform. It has produced a satisfactory cosmetic result with no complication after two to six months follow-up

並列關鍵字

Pseudocyst of the auricle ； through and through suture ； tie-over compression