Miyamoto H, Oida M, Onuma S, Uchiyama M
Division of Dermatology, Hiratsuka Mutual Aid Hospital, Japan.
Acta Derm Venereol. 1994 Mar;74(2):140-2. doi: 10.2340/0001555574140142.
In our clinic, we encountered 8 patients with pseudocyst of the auricle during a 6-year period from 1987 to 1992 and injected steroid solution locally into the pseudocysts. Three of these patients had no recurrences and 4 were treated successfully after 1-3 recurrences. In only one case was this therapy ineffective. After 11 injections, which resulted in permanent deformity of the auricle, the patient underwent surgery. We believe that local steroid injection therapy should be the first choice method for treating auricular pseudocysts. However, frequent injections can cause auricular deformity and if there are more than 3 recurrences, the pseudocyst should be managed surgically. The lactate dehydrogenase levels of the cystic fluid were determined in 3 of the 8 patients and proved high; in only one patient was the etiology of the pseudocyst thought to be associated with minor trauma.
1987年至1992年的6年间，我们诊所共接诊了8例耳廓假性囊肿患者，并对假性囊肿局部注射了类固醇溶液。其中3例未复发，4例在复发1至3次后治疗成功。仅1例该治疗无效。在进行了11次注射导致耳廓永久性畸形后，该患者接受了手术。我们认为局部类固醇注射疗法应是治疗耳廓假性囊肿的首选方法。然而，频繁注射可导致耳廓畸形，若复发超过3次，则应采取手术治疗假性囊肿。我们测定了8例患者中3例的囊液乳酸脱氢酶水平，结果显示升高；仅1例患者的假性囊肿病因被认为与轻微创伤有关。
