Perichondritis of the external ear is referred to inthe literature as pinna perichondritis as well as auricularperichondritis. Pinna （auricular） perichondritis is aninfection involving cartilage and subcutaneous tis...Perichondritis of the external ear is referred to inthe literature as pinna perichondritis as well as auricularperichondritis. Pinna （auricular） perichondritis is aninfection involving cartilage and subcutaneous tissue.The resulting infection produces swelling which canbe severe, and can lead to focal ear necrosis. The termperichondritis may even be considered a misnomer＂as the cartilage is almost always involved.＂[1] Pinna（auricular） perichondritis presents with signs andsymptoms that can include pain。展开更多
Seborrheic keratosis is a benign tumour of external ear originating from proliferative epithelial cells. Its most common site ranges from the retroauricular region to the helical rim. Diagnosis is made on the basis of...Seborrheic keratosis is a benign tumour of external ear originating from proliferative epithelial cells. Its most common site ranges from the retroauricular region to the helical rim. Diagnosis is made on the basis of clinical & histopathological examination. Here, we discuss the clinical presentation, differential diagnosis, pathological diagnosis and management of such a case.展开更多
Arteriovenous Malformation (AVM) is a lesion of vascular development characterized by an abnormal communication between an artery and a vein without an intervening capillary bed. AVM of the pinna is very rare with ver...Arteriovenous Malformation (AVM) is a lesion of vascular development characterized by an abnormal communication between an artery and a vein without an intervening capillary bed. AVM of the pinna is very rare with very few reported cases in Africa. Management of an AVM is often daunting, most especially in a resource challenged centre like ours where facilities for super selective embolization are not available. We present the case of a 17-year-old female with a pulsatile swelling of the left pinna since childhood. Clinical and radiological diagnosis of arteriovenous malformation was made. She was managed surgically with left external carotid artery ligation, partial auricular resection and postauricular scalp rotation flap cover of the cartilage remnant. The aetiopathogenesis, clinical presentation, diagnostic confirmation and treatment options are discussed. We also discuss the challenges of managing AVM in poor resource settings like ours.展开更多
Neurofibromas are relatively common lesions of the nervous system, but only a few cases involving the pinna have been reported. Isolated neurofibroma of pinna without neurofibromatosis has not been reported in the lit...Neurofibromas are relatively common lesions of the nervous system, but only a few cases involving the pinna have been reported. Isolated neurofibroma of pinna without neurofibromatosis has not been reported in the literature so far. Neurofibromas may develop anywhere in the body, including cranial and peripheral nerves. The type of impairment associated with neurofibromas depends largely on the site of the lesion. Cutaneous lesions, especially in the head and neck, generally cause deformity, whereas lesions that affect deeper systems (e.g., the auditory and ocular systems) are more likely to cause functional impairment. Usually found in individuals with neurofibromatosis, we report a case of neurofibroma of pinna in a patient without展开更多
Background and objectives:An auricular pseudocyst is not uncommon in routine ENT clinical practice,it occurs when fluid accumulates between the intracartilaginous spaces of the auricle.Many treatment modalities have b...Background and objectives:An auricular pseudocyst is not uncommon in routine ENT clinical practice,it occurs when fluid accumulates between the intracartilaginous spaces of the auricle.Many treatment modalities have been proposed such as incision and drainage of the cyst,simple needle aspiration,tight bandaging with dental rolls,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 with marsupialisation,deroofing and anterior cartilage leaflet removal along with compression suture therapy.Materials and methods:Twenty patients were included in the study conducted at ENT department,Sur Ministry of Health Hospital between January 2012 and January 2014 after prior consent and ethical approval.Those following trauma and other pinna conditions like relapsing polychondritis were excluded from our study.The clinical appearances were noted and all patients underwent surgical deroofing with removal of anterior cartilage leaflet and compression suture therapy using buttons for two weeks.Results and observations:There were 8 males and 12 females out of the 20 and right sided pinna(n Z 14)involvement in the region of the scaphoid fossa(n Z 12)was more than the triangular fossa(n Z 3)or conchal bowl involvement(n Z 5).Mostly patients between 30 and 40 years of age were affected(Mean age of 37 years and standard deviation of 8).The overall success rate with deroofing and compression suture therapy was 98%.Conclusions:Auricular pseudocysts are not an uncommon condition affecting middle aged patients without identifiable etiology.Conservative modalities may be the first choice of treatment for auricular pseudocysts although varied recurrence and failure rates have been published in the literature.However,the deroofing surgical technique with anterior cartilage leaflet removal with compression suture therapy is a reliable and easy procedure which can achieve an acceptable appearance of the pinna without recurrence when conservative management fails or is refused by the patient.展开更多
文摘Perichondritis of the external ear is referred to inthe literature as pinna perichondritis as well as auricularperichondritis. Pinna （auricular） perichondritis is aninfection involving cartilage and subcutaneous tissue.The resulting infection produces swelling which canbe severe, and can lead to focal ear necrosis. The termperichondritis may even be considered a misnomer＂as the cartilage is almost always involved.＂[1] Pinna（auricular） perichondritis presents with signs andsymptoms that can include pain。
文摘Seborrheic keratosis is a benign tumour of external ear originating from proliferative epithelial cells. Its most common site ranges from the retroauricular region to the helical rim. Diagnosis is made on the basis of clinical & histopathological examination. Here, we discuss the clinical presentation, differential diagnosis, pathological diagnosis and management of such a case.
文摘Arteriovenous Malformation (AVM) is a lesion of vascular development characterized by an abnormal communication between an artery and a vein without an intervening capillary bed. AVM of the pinna is very rare with very few reported cases in Africa. Management of an AVM is often daunting, most especially in a resource challenged centre like ours where facilities for super selective embolization are not available. We present the case of a 17-year-old female with a pulsatile swelling of the left pinna since childhood. Clinical and radiological diagnosis of arteriovenous malformation was made. She was managed surgically with left external carotid artery ligation, partial auricular resection and postauricular scalp rotation flap cover of the cartilage remnant. The aetiopathogenesis, clinical presentation, diagnostic confirmation and treatment options are discussed. We also discuss the challenges of managing AVM in poor resource settings like ours.
文摘Neurofibromas are relatively common lesions of the nervous system, but only a few cases involving the pinna have been reported. Isolated neurofibroma of pinna without neurofibromatosis has not been reported in the literature so far. Neurofibromas may develop anywhere in the body, including cranial and peripheral nerves. The type of impairment associated with neurofibromas depends largely on the site of the lesion. Cutaneous lesions, especially in the head and neck, generally cause deformity, whereas lesions that affect deeper systems (e.g., the auditory and ocular systems) are more likely to cause functional impairment. Usually found in individuals with neurofibromatosis, we report a case of neurofibroma of pinna in a patient without
文摘Background and objectives:An auricular pseudocyst is not uncommon in routine ENT clinical practice,it occurs when fluid accumulates between the intracartilaginous spaces of the auricle.Many treatment modalities have been proposed such as incision and drainage of the cyst,simple needle aspiration,tight bandaging with dental rolls,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 with marsupialisation,deroofing and anterior cartilage leaflet removal along with compression suture therapy.Materials and methods:Twenty patients were included in the study conducted at ENT department,Sur Ministry of Health Hospital between January 2012 and January 2014 after prior consent and ethical approval.Those following trauma and other pinna conditions like relapsing polychondritis were excluded from our study.The clinical appearances were noted and all patients underwent surgical deroofing with removal of anterior cartilage leaflet and compression suture therapy using buttons for two weeks.Results and observations:There were 8 males and 12 females out of the 20 and right sided pinna(n Z 14)involvement in the region of the scaphoid fossa(n Z 12)was more than the triangular fossa(n Z 3)or conchal bowl involvement(n Z 5).Mostly patients between 30 and 40 years of age were affected(Mean age of 37 years and standard deviation of 8).The overall success rate with deroofing and compression suture therapy was 98%.Conclusions:Auricular pseudocysts are not an uncommon condition affecting middle aged patients without identifiable etiology.Conservative modalities may be the first choice of treatment for auricular pseudocysts although varied recurrence and failure rates have been published in the literature.However,the deroofing surgical technique with anterior cartilage leaflet removal with compression suture therapy is a reliable and easy procedure which can achieve an acceptable appearance of the pinna without recurrence when conservative management fails or is refused by the patient.
