COMPARISON BETWEEN POSTERIOR CARTILAGE WINDOW AND ASPIRATION AND QUILTING TECHNIQUE IN TREATMENT OF PSEUDOCYST OF PINNA K KOIRALA, S RAI, S CHHETRI, R SHAH

Abstract

Objective:

To compare the outcome of posterior cartilage window with aspiration and quilting technique in treatment of pseudocyst pinna.

Materials and Methods:

A retrospective study of patients of pseudocyst pinna undergoing posterior cartilage window technique and aspiration and quilting technique as the treatment modalities in Department of ENT, MCOMS, Pokhara from Sept 2007 to Aug 2011. No recurrence of disease for at least a month was taken as the main outcome of treatment.

Results:

Seventeen patients who underwent posterior cartilage window technique and next seventeen  patients who underwent wide bore needle aspiration and quilting technique were followed up for a period of at least one month. None of the patients had recurrence of the disease till minimum of 1 month in posterior cartilage window technique group but seven patients had recurrence in wide bore needle aspiration and quilting technique group .Two patients had minor complication of the surgery which were subsequently treated in the former group. One patient had perichondritis of pinna in the later group as a major complication. No major complications was noted in the posterior cartilage window technique.

Conclusion:

Posterior cartilage window technique as the treatment modality for pseudocyst pinna is an easier, safer and more reliable technique to decrease the risk of recurrence of disease.

Keywords: aspiration and quilting, posterior cartilage window, pseudocyst pinna, surgical treatment