How I Do It: A Novel Technique Using Customised Intravenous Tube Grommets for Management of Auricular Pseudocyst
摘要
Auricular pseudocyst is a benign condition involving serous fluid accumulation between the auricular cartilage and perichondrium, with unclear etiology. It often starts as a painless swelling but can lead to complications like perichondritis and cauliflower ear if untreated. Prompt surgical management is crucial to prevent these outcomes. This article introduces a novel technique using customized IV set tubing grommets for drainage, based on 12 years of clinical experience with 45 cases.
ObjectiveTo describe a simple, cost-effective, and reproducible technique for the management of pseudocyst of the pinna using customised grommets fashioned from intravenous (IV) tubing.
MethodsA retrospective analysis of 45 male patients with pseudocyst of the pinna treated between 2012 and 2024 using a novel drainage method involving IV tube grommets. The technique involves local anaesthesia, incision, drainage of serous fluid, insertion of a customised pre-sterilised IV tube grommet, and postoperative dressing.
ResultsAll patients had rapid resolution of fluid collection, excellent skin approximation, restored vascularity, and no recurrence. No complications such as perichondritis or scarring were noted.
ConclusionThe technique described is a simple, effective, and economical alternative to traditional methods for managing auricular pseudocyst, suitable for use in resource-limited settings.