Cruciate Incision For Treatment of Primary/Recurrent Cases of Seroma/ Hematoma of Pinna : A Novel Approach
Introduction: Seroma of pinna have a high predisposition for recurrence. Its surgical management requires excision of cartilage and perichondrium which can cause scarring, deformity of pinna, perichondritis and abscess formation, postoperatively. The aim of the current study is to the access the...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
JCDR Research and Publications Private Limited
2015-02-01
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| Series: | Journal of Clinical and Diagnostic Research |
| Subjects: | |
| Online Access: | https://jcdr.net/articles/PDF/5545/11259_CE[Ra]_F(P)_PF1(NJAK)_PFA(P)_PF2(PAG).pdf |
| _version_ | 1811267941837045760 |
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| author | Mahesh Bhat T Vinay V Rao David Rosario |
| author_facet | Mahesh Bhat T Vinay V Rao David Rosario |
| author_sort | Mahesh Bhat T |
| collection | DOAJ |
| description | Introduction: Seroma of pinna have a high predisposition
for recurrence. Its surgical management requires excision of
cartilage and perichondrium which can cause scarring, deformity
of pinna, perichondritis and abscess formation, postoperatively.
The aim of the current study is to the access the outcome of a
novel approach using cruciate incision for surgical treatment of
seroma/ hematoma of pinna.
Materials and Methods: Study was conducted at Father Muller
Medical College in the Department of Otorhinolaryngology
for a period of three months between January 2014 to March
2014 during which period 30 patients with seroma of the pinna
were taken up for the study. Procedure was done under local
anaesthesia with all aseptic precautions. A cruciate incision
was given over the most dependent part of the swelling and
flaps were raised. The collection was drained and the under
surface of the flap was scraped using Rosen’s knife followed by
pressure dressing for three days. Patients were followed up for
three months.
Results: A total of 30 patients with seroma were studied. Out
of the 30 cases 24 were primary cases and 6 were recurrent
cases. Majority of the patients were in the age group 41-50 y.
Out of 30 patients 18 were males and 12 were females. Out
of 30 patients studied, none of them had recurrence. Four
patients however developed perichondrial reaction with pain
and inflammation which required analgesics and antibiotics. In
6 cases a thickening of the auricle at the site of incision was
noticed which resolved over a period of 4 to 5 months. Overall
cosmetic deformity was negligible with most of the patients
showing a negligible scar after 6 months of follow up.
Conclusion: Cruciate incision is a good technique for treatment
of seroma and hematoma of pinna as the outcome is good with
no recurrence. |
| first_indexed | 2024-04-12T21:11:59Z |
| format | Article |
| id | doaj.art-b3ad06753c8e4424922e13158e8769ec |
| institution | Directory Open Access Journal |
| issn | 2249-782X 0973-709X |
| language | English |
| last_indexed | 2024-04-12T21:11:59Z |
| publishDate | 2015-02-01 |
| publisher | JCDR Research and Publications Private Limited |
| record_format | Article |
| series | Journal of Clinical and Diagnostic Research |
| spelling | doaj.art-b3ad06753c8e4424922e13158e8769ec2022-12-22T03:16:34ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2015-02-0192MC01MC0210.7860/JCDR/2015/11259.5545Cruciate Incision For Treatment of Primary/Recurrent Cases of Seroma/ Hematoma of Pinna : A Novel ApproachMahesh Bhat T0Vinay V Rao1David Rosario2Associate Professor, Department of Ear, Nose and Throat, Father Muller Medical College, Mangalore, India.Assistant Professor, Department of Ear, Nose and Throat, Father Muller Medical College, Mangalore, India.Resident, Department of Ear, Nose and Throat, Father Muller Medical College, Mangalore, India.Introduction: Seroma of pinna have a high predisposition for recurrence. Its surgical management requires excision of cartilage and perichondrium which can cause scarring, deformity of pinna, perichondritis and abscess formation, postoperatively. The aim of the current study is to the access the outcome of a novel approach using cruciate incision for surgical treatment of seroma/ hematoma of pinna. Materials and Methods: Study was conducted at Father Muller Medical College in the Department of Otorhinolaryngology for a period of three months between January 2014 to March 2014 during which period 30 patients with seroma of the pinna were taken up for the study. Procedure was done under local anaesthesia with all aseptic precautions. A cruciate incision was given over the most dependent part of the swelling and flaps were raised. The collection was drained and the under surface of the flap was scraped using Rosen’s knife followed by pressure dressing for three days. Patients were followed up for three months. Results: A total of 30 patients with seroma were studied. Out of the 30 cases 24 were primary cases and 6 were recurrent cases. Majority of the patients were in the age group 41-50 y. Out of 30 patients 18 were males and 12 were females. Out of 30 patients studied, none of them had recurrence. Four patients however developed perichondrial reaction with pain and inflammation which required analgesics and antibiotics. In 6 cases a thickening of the auricle at the site of incision was noticed which resolved over a period of 4 to 5 months. Overall cosmetic deformity was negligible with most of the patients showing a negligible scar after 6 months of follow up. Conclusion: Cruciate incision is a good technique for treatment of seroma and hematoma of pinna as the outcome is good with no recurrence.https://jcdr.net/articles/PDF/5545/11259_CE[Ra]_F(P)_PF1(NJAK)_PFA(P)_PF2(PAG).pdfhematoma aurisperichondriumseroma |
| spellingShingle | Mahesh Bhat T Vinay V Rao David Rosario Cruciate Incision For Treatment of Primary/Recurrent Cases of Seroma/ Hematoma of Pinna : A Novel Approach Journal of Clinical and Diagnostic Research hematoma auris perichondrium seroma |
| title | Cruciate Incision For Treatment of Primary/Recurrent Cases of Seroma/ Hematoma of Pinna : A Novel Approach |
| title_full | Cruciate Incision For Treatment of Primary/Recurrent Cases of Seroma/ Hematoma of Pinna : A Novel Approach |
| title_fullStr | Cruciate Incision For Treatment of Primary/Recurrent Cases of Seroma/ Hematoma of Pinna : A Novel Approach |
| title_full_unstemmed | Cruciate Incision For Treatment of Primary/Recurrent Cases of Seroma/ Hematoma of Pinna : A Novel Approach |
| title_short | Cruciate Incision For Treatment of Primary/Recurrent Cases of Seroma/ Hematoma of Pinna : A Novel Approach |
| title_sort | cruciate incision for treatment of primary recurrent cases of seroma hematoma of pinna a novel approach |
| topic | hematoma auris perichondrium seroma |
| url | https://jcdr.net/articles/PDF/5545/11259_CE[Ra]_F(P)_PF1(NJAK)_PFA(P)_PF2(PAG).pdf |
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