The Experience of Reliable Surgical Management for Intractable Auricular Pseudocysts

treatment methods have been proposed, however recurrence and cosmetic problems are still noted in some cases. The aim of this article was to discuss our experience of surgical treatment of intractable auricular pseudocysts. Methods: Fourteen patients with auricular pseudocysts who were unresponsive to simple aspiration followed by intralesional steroid injections or who declined conservative treatment were reviewed in the Department of Otolaryngology, Kaohsiung Municipal Ta-Tung Hospital from December 2010 to May 2013. Deroofing surgical management under local anesthesia was performed in all 14 patients. The epidemiological profiles of the auricular pseudocysts and postoperative results including recurrence rate and complications of the lesions were reviewed. Results: All patients had acceptable cosmetic result and no recurrence except for one patient who had the complication of a perichondrial reaction. Conclusions: The deroofing surgical method by removing the anterior cartilaginous leaflet of the lesion followed by compression dressing is a reliable procedure for intractable auricular pseudocysts.