手术联合耳模加压治疗耳廓假性囊肿56例

作     者：彭梅君 尹娇 俞德顺 张海玲 

作者机构：大理大学第一附属医院耳鼻咽喉科云南 大理 

出 版 物：《临床医学进展》 (Advances in Clinical Medicine)

年 卷 期：2025年第15卷第1期

页      面：1795-1799页

学科分类：1006[医学-中西医结合] 1005[医学-中医学] 100502[医学-中医临床基础] 100602[医学-中西医结合临床] 10[医学] 

主　　题：耳廓假性囊肿 外科手术 耳模加压 

摘      要：目的:探讨手术治疗联合耳模加压辅助治疗耳廓假性囊肿的效果。方法:回顾性分析2020年3月~2024年11月我科共收集56例耳廓假性囊肿患者临床资料,全部病例均行囊肿前壁软骨切除,后壁软骨粗糙化,以及用自制塑料耳模加压片,压迫囊肿区前、后皮肤,贯穿耳廓软骨缝扎囊肿区前、后皮肤的方法治疗耳廓假性囊肿,术后随访观察耳廓的恢复情况。结论:采用耳廓假性囊肿前壁软骨切除,后壁软骨粗糙化,以及用自制塑料耳模加压片,压迫囊肿区前、耳后皮肤,贯穿耳廓软骨缝扎囊肿区前、后皮肤的方法治疗耳廓假性囊肿,术后局部创面加压患者无明显的疼痛,肿胀。极大减少复发,术后外观恢复好,治疗效果好,疗程短,患者满意,疗效确切。Objective: To explore the effect of surgical treatment combined with ear mold pressure-assisted treatment of auricular pseudocyst. Methods: A retrospective analysis of the clinical data of 56 patients with auricular pseudocyst collected in our department from March 2020 to November 2024 was performed. All cases underwent anterior wall cartilage resection, posterior wall cartilage roughening, and self-made plastic ear mold pressure sheet to compress the anterior and posterior skin of the cyst area, and penetrate the auricular cartilage to sew the anterior and posterior skin of the cyst area to treat auricular pseudocyst. The recovery of the auricle was observed after follow-up. Conclusion: The treatment of auricular pseudocyst by resection of the anterior wall cartilage, roughening of the posterior wall cartilage, and using a homemade plastic ear mold pressure sheet to compress the skin in front of and behind the cyst area, and suturing the skin in front of and behind the cyst area through the auricular cartilage, can greatly reduce the recurrence, with good treatment effect, short treatment course and definite efficacy.