T Mahesh Bhat, Rao Vinay V, Rosario David
Associate Professor, Department of Ear, Nose and Throat, Father Muller Medical College , Mangalore, India .
Resident, Department of Ear, Nose and Throat, Father Muller Medical College , Mangalore, India .
J Clin Diagn Res. 2015 Feb;9(2):MC01-2. doi: 10.7860/JCDR/2015/11259.5545. Epub 2015 Feb 1.
Seroma of pinna have a high predisposition for recurrence. Its surgical management requires excision of cartilage and perichondrium which can cause scarring, deformity of pinna, perichondritis and abscess formation, postoperatively.The aim of the current study is to the access the outcome of a novel approach using cruciate incision for surgical treatment of seroma/ hematoma of pinna.
Study was conducted at Father Muller Medical College in the Department of Otorhinolaryngology for a period of three months between January 2014 to March 2014 during which period 30 patients with seroma of the pinna were taken up for the study. Procedure was done under local anaesthesia with all aseptic precautions. A cruciate incision was given over the most dependent part of the swelling and flaps were raised. The collection was drained and the under surface of the flap was scraped using Rosen's knife followed by pressure dressing for three days. Patients were followed up for three months.
A total of 30 patients with seroma were studied. Out of the 30 cases 24 were primary cases and 6 were recurrent cases. Majority of the patients were in the age group 41-50 y. Out of 30 patients 18 were males and 12 were females. Out of 30 patients studied, none of them had recurrence. Four patients however developed perichondrial reaction with pain and inflammation which required analgesics and antibiotics. In 6 cases a thickening of the auricle at the site of incision was noticed which resolved over a period of 4 to 5 months. Overall cosmetic deformity was negligible with most of the patients showing a negligible scar after 6 months of follow up.
Cruciate incision is a good technique for treatment of seroma and hematoma of pinna as the outcome is good with no recurrence.
耳廓血清肿极易复发。其手术治疗需要切除软骨和软骨膜，术后可能会导致瘢痕形成、耳廓畸形、软骨膜炎和脓肿形成。本研究的目的是评估一种采用十字切口手术治疗耳廓血清肿/血肿的新方法的效果。
研究在父亲穆勒医学院耳鼻喉科进行，为期三个月，时间为2014年1月至2014年3月，在此期间选取了30例耳廓血清肿患者进行研究。手术在局部麻醉下进行，并采取了所有无菌预防措施。在肿胀最下垂的部位做一个十字切口，掀起皮瓣。排出积液，用罗森刀刮去皮瓣下表面，然后加压包扎三天。对患者进行了三个月的随访。
共研究了30例血清肿患者。在这30例病例中，24例为初发病例，6例为复发病例。大多数患者年龄在41 - 50岁之间。30例患者中，18例为男性，12例为女性。在研究的30例患者中，无一例复发。然而，有4例患者出现了软骨膜反应，伴有疼痛和炎症，需要使用止痛剂和抗生素。6例患者在切口部位出现耳廓增厚，在4至5个月内消退。总体而言，美容畸形可忽略不计，大多数患者在随访6个月后瘢痕不明显。
十字切口是治疗耳廓血清肿和血肿的一种良好技术，因为效果良好且无复发。
