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March 1991

Pseudocyst of the Auricle

Author Affiliations

Honolulu, Hawaii

Arch Otolaryngol Head Neck Surg. 1991;117(3):341. doi:10.1001/archotol.1991.01870150109022

To the Editor.—The article by Cohen and Grossman1 on the "Pseudocyst of the Auricle" was very good. However, their conclusion that "corticosteroids do not play a role in the management of pseudocyst of the auricle" based on two cases, one by systemic treatment and another by intralesional injection, seems to be contrary to my experience with the latter. The technique used is to first cleanse the area with an antiseptic, then inject a local anesthetic with epinephrine into the skin overlying the swelling. A 22-gauge needle is then inserted into the pseudocyst and the fluid is aspirated. The first syringe is removed and a second syringe with the steroid is attached. The cavity is then flushed with triamcinolone acetonide suspension (10 mg/mL) (Kenalog 10) through the same needle that was left in place. The cavity is then aspirated once more to remove the excess steroid. Occasionally, pressure may

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