Case and Research Letter
Compression Treatment of Auricular Pseudocyst With Thermoplastic Splinting (Aquaplast®)
Tablillas termoplásticas (Aquaplast®) como tratamiento compresivo en el pseudoquiste auricular
S. Kindem
, O. Sanmartin, C. Serra-Guillén, C. Guillén
Corresponding author
Servicio de Dermatología, Instituto Valenciano de Oncología, Valencia, Spain
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Presentación de un caso y revisión de la bibliografía" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 2908 "Ancho" => 1333 "Tamanyo" => 544372 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">A, Erythematous plaque measuring 5<span class="elsevierStyleHsp" style=""></span>cm located in the right temporal region and extending towards preauricular hairless skin, with a periphery marked by linear pigmentation. B, Plaque displaying intense red fluorescence after a 3-hour incubation period with methyl aminolevulinate. 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Kindem, O. Sanmartin, C. Serra-Guillén, C. Guillén" "autores" => array:4 [ 0 => array:4 [ "nombre" => "S." "apellidos" => "Kindem" "email" => array:1 [ 0 => "sabrinakindem@hotmail.com" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">¿</span>" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "O." "apellidos" => "Sanmartin" ] 2 => array:2 [ "nombre" => "C." "apellidos" => "Serra-Guillén" ] 3 => array:2 [ "nombre" => "C." "apellidos" => "Guillén" ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "Servicio de Dermatología, Instituto Valenciano de Oncología, Valencia, Spain" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Tablillas termoplásticas (Aquaplast<span class="elsevierStyleSup">®</span>) como tratamiento compresivo en el pseudoquiste auricular" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1125 "Ancho" => 1500 "Tamanyo" => 320872 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Nodular lesion on the upper edge of the ear which is soft to palpation.</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">Auricular pseudocyst, also known as benign idiopathic cystic chondromalacia, is a rare disorder that typically affects young men without associated comorbidities. It very often recurs within a few days after drainage of the fluid.<a class="elsevierStyleCrossRefs" href="#bib0005"><span class="elsevierStyleSup">1,2</span></a> We report a case of this disease in which compression treatment with thermoplastic splinting (Aquaplast) was performed in our department after drainage to prevent recurrence. This technique is simple and achieves a good cosmetic result.</p><p id="par0010" class="elsevierStylePara elsevierViewall">A 27-year-old man without associated comorbidities, who regularly practiced boxing with headgear, presented with a soft, painless nodular lesion on the right ear that had appeared several months earlier (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>). The patient reported previous needle aspiration that had resulted in complete remission but the lesion had recurred after a few weeks. A diagnosis of auricular pseudocyst was made and partial drainage with biopsy was performed. Histology revealed an intracartilaginous space with eosinophilic degeneration of the cartilage and perichondrial fibrosis, confirming the diagnosis of auricular pseudocyst.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0015" class="elsevierStylePara elsevierViewall">It was decided to perform surgical treatment by draining the fluid content with a punch followed by compression on both sides of the ear with a thermoplastic splint (Aquaplast) using a button suture. The thermoplastic splint (<a class="elsevierStyleCrossRef" href="#fig0010">Fig. 2</a>A) must be heated to make it moldable. After heating for a few seconds it is put into place, molded to the shape of the ear on both sides (<a class="elsevierStyleCrossRef" href="#fig0010">Figs. 2</a><span class="elsevierStyleHsp" style=""></span>B and C), and then fixed with a button suture through the entire thickness of the ear (<a class="elsevierStyleCrossRef" href="#fig0010">Fig. 2</a>D). After a few minutes, the splint will have hardened in the shape of the ear and will apply constant pressure on both sides (<a class="elsevierStyleCrossRef" href="#fig0015">Fig. 3</a>).</p><elsevierMultimedia ident="fig0010"></elsevierMultimedia><elsevierMultimedia ident="fig0015"></elsevierMultimedia><p id="par0020" class="elsevierStylePara elsevierViewall">The splint and sutures were removed 10 days after surgery without patient discomfort or signs of inflammation. Today, after 1 year of follow-up, the patient has had no recurrence.</p><p id="par0025" class="elsevierStylePara elsevierViewall">A review of the literature indicates that auricular pseudocyst recurs within 4 to 5 days in practically 100% of cases if only fluid drainage is performed.<a class="elsevierStyleCrossRef" href="#bib0015"><span class="elsevierStyleSup">3</span></a> Subsequent intralesional injection of corticosteroids lowers the recurrence rate to 50% but involves the risk of causing irreversible deformity to the ear.<a class="elsevierStyleCrossRefs" href="#bib0020"><span class="elsevierStyleSup">4,5</span></a> Many authors have reported the use of subsequent compression using a variety of materials, ranging from pressure dressings to clothing button bolstering.<a class="elsevierStyleCrossRef" href="#bib0030"><span class="elsevierStyleSup">6</span></a> Thermoplastic splints provide good compression adjustment and patient comfort. They are made of gypsum and are widely used in nasal and facial plastic surgery. They have also been used in dermatologic surgery to provide stability and compression after skin graft placement.<a class="elsevierStyleCrossRef" href="#bib0035"><span class="elsevierStyleSup">7</span></a> Salgado et al.<a class="elsevierStyleCrossRef" href="#bib0040"><span class="elsevierStyleSup">8</span></a> described their use in the surgical treatment of auricular pseudocyst. They are easy to use: after heating for a few seconds they become elastic and pliable, enabling them to be shaped and sutured. After a few minutes they cool and solidify, allowing a firm compression to be applied with a perfect fit to the area treated.</p><p id="par0030" class="elsevierStylePara elsevierViewall">In conclusion, the use of thermoplastic splints for treating auricular pseudocyst is a simple procedure that employs a readily available material. It could reduce the frequent recurrence of this disease and avoid the use of more complex compression methods or more aggressive techniques.</p></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara">Please cite this article as: Kindem S, et al. Tablillas termoplásticas (Aquaplast®) como tratamiento compresivo en el pseudoquiste auricular. Actas Dermosifiliogr. 2013;104:357–9.</p>" ] ] "multimedia" => array:3 [ 0 => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1125 "Ancho" => 1500 "Tamanyo" => 320872 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Nodular lesion on the upper edge of the ear which is soft to palpation.</p>" ] ] 1 => array:7 [ "identificador" => "fig0010" "etiqueta" => "Figure 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 1617 "Ancho" => 2167 "Tamanyo" => 332556 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">A, Thermoplastic splint of 1.6<span class="elsevierStyleHsp" style=""></span>mm thickness before placing in hot water. B, Splint trimmed to size. C, The splint is placed on either side of the ear and manual compression is applied for a few seconds until it hardens. D, Button suture on both sides of the ear.</p>" ] ] 2 => array:7 [ "identificador" => "fig0015" "etiqueta" => "Figure 3" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr3.jpeg" "Alto" => 1120 "Ancho" => 1500 "Tamanyo" => 287146 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Final result after placement of the splint on both sides of the ear.</p>" ] ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:8 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Pseudocyst of the auricle: case reports and its biochemical characteristics" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "S. Ichioka" 1 => "A. 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Aslan" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.3109/09546631003762662" "Revista" => array:6 [ "tituloSerie" => "J Dermatolog Treat" "fecha" => "2011" "volumen" => "22" "paginaInicial" => "285" "paginaFinal" => "287" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/20809872" "web" => "Medline" ] ] ] ] ] ] ] ] 6 => array:3 [ "identificador" => "bib0035" "etiqueta" => "7" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Surgical pearl: thermoplastic bolster dressing for full-thickness skin grafts" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "S.B. Meads" 1 => "H.T. Greenway" 2 => "J.S. Eaton" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.jaad.2005.06.029" "Revista" => array:6 [ "tituloSerie" => "J Am Acad Dermatol" "fecha" => "2006" "volumen" => "54" "paginaInicial" => "152" "paginaFinal" => "153" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/16384774" "web" => "Medline" ] ] ] ] ] ] ] ] 7 => array:3 [ "identificador" => "bib0040" "etiqueta" => "8" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Treatment of auricular pseudocyst with aspiration and local pressure" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "C.J. Salgado" 1 => "J.E. Hardy" 2 => "S. Mardini" 3 => "J.M. Dockery" 4 => "M.S. Matthews" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.bjps.2006.01.029" "Revista" => array:6 [ "tituloSerie" => "J Plast Reconstr Aesthet Surg" "fecha" => "2006" "volumen" => "59" "paginaInicial" => "1450" "paginaFinal" => "1452" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/17113540" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/15782190/0000010400000004/v1_201304291101/S1578219013000747/v1_201304291101/en/main.assets" "Apartado" => array:4 [ "identificador" => "6157" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Case and Research Letters" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/15782190/0000010400000004/v1_201304291101/S1578219013000747/v1_201304291101/en/main.pdf?idApp=UINPBA000044&text.app=https://actasdermo.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1578219013000747?idApp=UINPBA000044" ]
| Year/Month | Html | Total | |
|---|---|---|---|
| 2024 November | 16 | 8 | 24 |
| 2024 October | 99 | 58 | 157 |
| 2024 September | 116 | 28 | 144 |
| 2024 August | 121 | 66 | 187 |
| 2024 July | 128 | 48 | 176 |
| 2024 June | 128 | 63 | 191 |
| 2024 May | 77 | 46 | 123 |
| 2024 April | 90 | 26 | 116 |
| 2024 March | 88 | 33 | 121 |
| 2024 February | 74 | 35 | 109 |
| 2024 January | 67 | 34 | 101 |
| 2023 December | 112 | 27 | 139 |
| 2023 November | 111 | 79 | 190 |
| 2023 October | 103 | 46 | 149 |
| 2023 September | 104 | 33 | 137 |
| 2023 August | 86 | 29 | 115 |
| 2023 July | 110 | 70 | 180 |
| 2023 June | 97 | 60 | 157 |
| 2023 May | 125 | 77 | 202 |
| 2023 April | 125 | 73 | 198 |
| 2023 March | 91 | 60 | 151 |
| 2023 February | 71 | 40 | 111 |
| 2023 January | 66 | 59 | 125 |
| 2022 December | 61 | 42 | 103 |
| 2022 November | 45 | 24 | 69 |
| 2022 October | 60 | 41 | 101 |
| 2022 September | 44 | 34 | 78 |
| 2022 August | 65 | 13 | 78 |
| 2022 July | 47 | 35 | 82 |
| 2022 June | 42 | 22 | 64 |
| 2022 May | 108 | 37 | 145 |
| 2022 April | 119 | 41 | 160 |
| 2022 March | 103 | 51 | 154 |
| 2022 February | 95 | 39 | 134 |
| 2022 January | 99 | 37 | 136 |
| 2021 December | 78 | 49 | 127 |
| 2021 November | 94 | 46 | 140 |
| 2021 October | 110 | 63 | 173 |
| 2021 September | 116 | 64 | 180 |
| 2021 August | 93 | 33 | 126 |
| 2021 July | 108 | 39 | 147 |
| 2021 June | 102 | 48 | 150 |
| 2021 May | 75 | 42 | 117 |
| 2021 April | 163 | 49 | 212 |
| 2021 March | 84 | 32 | 116 |
| 2021 February | 112 | 24 | 136 |
| 2021 January | 57 | 20 | 77 |
| 2020 December | 49 | 18 | 67 |
| 2020 November | 43 | 19 | 62 |
| 2020 October | 42 | 13 | 55 |
| 2020 September | 38 | 12 | 50 |
| 2020 August | 25 | 27 | 52 |
| 2020 July | 46 | 21 | 67 |
| 2020 June | 37 | 27 | 64 |
| 2020 May | 27 | 14 | 41 |
| 2020 April | 41 | 30 | 71 |
| 2020 March | 32 | 20 | 52 |
| 2020 February | 6 | 5 | 11 |
| 2020 January | 4 | 7 | 11 |
| 2019 December | 8 | 7 | 15 |
| 2019 November | 4 | 5 | 9 |
| 2019 October | 0 | 7 | 7 |
| 2019 September | 4 | 9 | 13 |
| 2019 August | 4 | 5 | 9 |
| 2019 July | 4 | 12 | 16 |
| 2019 June | 4 | 23 | 27 |
| 2019 May | 6 | 16 | 22 |
| 2019 April | 2 | 18 | 20 |
| 2019 March | 4 | 9 | 13 |
| 2019 February | 0 | 4 | 4 |
| 2019 January | 4 | 1 | 5 |
| 2018 December | 2 | 6 | 8 |
| 2018 November | 2 | 0 | 2 |
| 2018 October | 3 | 0 | 3 |
| 2018 September | 3 | 0 | 3 |
| 2018 May | 0 | 1 | 1 |
| 2018 March | 15 | 1 | 16 |
| 2018 February | 109 | 9 | 118 |
| 2018 January | 136 | 7 | 143 |
| 2017 December | 139 | 9 | 148 |
| 2017 November | 88 | 11 | 99 |
| 2017 October | 131 | 3 | 134 |
| 2017 September | 113 | 14 | 127 |
| 2017 August | 92 | 19 | 111 |
| 2017 July | 143 | 8 | 151 |
| 2017 June | 114 | 39 | 153 |
| 2017 May | 80 | 5 | 85 |
| 2017 April | 52 | 10 | 62 |
| 2017 March | 55 | 4 | 59 |
| 2017 February | 122 | 14 | 136 |
| 2017 January | 88 | 16 | 104 |
| 2016 December | 105 | 14 | 119 |
| 2016 November | 146 | 21 | 167 |
| 2016 October | 160 | 18 | 178 |
| 2016 September | 227 | 23 | 250 |
| 2016 August | 125 | 13 | 138 |
| 2016 July | 70 | 6 | 76 |
| 2016 June | 9 | 25 | 34 |
| 2016 May | 10 | 8 | 18 |
| 2016 April | 7 | 12 | 19 |
| 2016 March | 4 | 10 | 14 |
| 2016 February | 3 | 3 | 6 |
| 2016 January | 8 | 22 | 30 |
| 2015 December | 12 | 1 | 13 |
| 2015 November | 21 | 21 | 42 |
| 2015 October | 21 | 19 | 40 |
| 2015 September | 12 | 18 | 30 |
| 2015 August | 11 | 6 | 17 |
| 2015 July | 183 | 124 | 307 |
| 2015 June | 118 | 13 | 131 |
| 2015 May | 165 | 21 | 186 |
| 2015 April | 73 | 13 | 86 |
| 2015 March | 79 | 11 | 90 |
| 2015 February | 90 | 11 | 101 |
| 2015 January | 120 | 4 | 124 |
| 2014 December | 91 | 7 | 98 |
| 2014 November | 65 | 0 | 65 |
| 2014 October | 83 | 5 | 88 |
| 2014 September | 69 | 5 | 74 |
| 2014 August | 65 | 3 | 68 |
| 2014 July | 55 | 5 | 60 |
| 2014 June | 74 | 4 | 78 |
| 2014 May | 81 | 9 | 90 |
| 2014 April | 77 | 8 | 85 |
| 2014 March | 57 | 9 | 66 |
| 2014 February | 53 | 7 | 60 |
| 2014 January | 55 | 12 | 67 |
| 2013 December | 60 | 10 | 70 |
| 2013 November | 49 | 10 | 59 |
| 2013 October | 36 | 1 | 37 |
| 2013 September | 32 | 2 | 34 |
| 2013 August | 35 | 5 | 40 |
| 2013 July | 26 | 4 | 30 |
| 2013 June | 14 | 3 | 17 |
| 2013 May | 6 | 1 | 7 |
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