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
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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. 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| año/Mes | Html | Total | |
|---|---|---|---|
| 2024 Noviembre | 17 | 8 | 25 |
| 2024 Octubre | 99 | 58 | 157 |
| 2024 Septiembre | 116 | 28 | 144 |
| 2024 Agosto | 121 | 66 | 187 |
| 2024 Julio | 128 | 48 | 176 |
| 2024 Junio | 128 | 63 | 191 |
| 2024 Mayo | 77 | 46 | 123 |
| 2024 Abril | 90 | 26 | 116 |
| 2024 Marzo | 88 | 33 | 121 |
| 2024 Febrero | 74 | 35 | 109 |
| 2024 Enero | 67 | 34 | 101 |
| 2023 Diciembre | 112 | 27 | 139 |
| 2023 Noviembre | 111 | 79 | 190 |
| 2023 Octubre | 103 | 46 | 149 |
| 2023 Septiembre | 104 | 33 | 137 |
| 2023 Agosto | 86 | 29 | 115 |
| 2023 Julio | 110 | 70 | 180 |
| 2023 Junio | 97 | 60 | 157 |
| 2023 Mayo | 125 | 77 | 202 |
| 2023 Abril | 125 | 73 | 198 |
| 2023 Marzo | 91 | 60 | 151 |
| 2023 Febrero | 71 | 40 | 111 |
| 2023 Enero | 66 | 59 | 125 |
| 2022 Diciembre | 61 | 42 | 103 |
| 2022 Noviembre | 45 | 24 | 69 |
| 2022 Octubre | 60 | 41 | 101 |
| 2022 Septiembre | 44 | 34 | 78 |
| 2022 Agosto | 65 | 13 | 78 |
| 2022 Julio | 47 | 35 | 82 |
| 2022 Junio | 42 | 22 | 64 |
| 2022 Mayo | 108 | 37 | 145 |
| 2022 Abril | 119 | 41 | 160 |
| 2022 Marzo | 103 | 51 | 154 |
| 2022 Febrero | 95 | 39 | 134 |
| 2022 Enero | 99 | 37 | 136 |
| 2021 Diciembre | 78 | 49 | 127 |
| 2021 Noviembre | 94 | 46 | 140 |
| 2021 Octubre | 110 | 63 | 173 |
| 2021 Septiembre | 116 | 64 | 180 |
| 2021 Agosto | 93 | 33 | 126 |
| 2021 Julio | 108 | 39 | 147 |
| 2021 Junio | 102 | 48 | 150 |
| 2021 Mayo | 75 | 42 | 117 |
| 2021 Abril | 163 | 49 | 212 |
| 2021 Marzo | 84 | 32 | 116 |
| 2021 Febrero | 112 | 24 | 136 |
| 2021 Enero | 57 | 20 | 77 |
| 2020 Diciembre | 49 | 18 | 67 |
| 2020 Noviembre | 43 | 19 | 62 |
| 2020 Octubre | 42 | 13 | 55 |
| 2020 Septiembre | 38 | 12 | 50 |
| 2020 Agosto | 25 | 27 | 52 |
| 2020 Julio | 46 | 21 | 67 |
| 2020 Junio | 37 | 27 | 64 |
| 2020 Mayo | 27 | 14 | 41 |
| 2020 Abril | 41 | 30 | 71 |
| 2020 Marzo | 32 | 20 | 52 |
| 2020 Febrero | 6 | 5 | 11 |
| 2020 Enero | 4 | 7 | 11 |
| 2019 Diciembre | 8 | 7 | 15 |
| 2019 Noviembre | 4 | 5 | 9 |
| 2019 Octubre | 0 | 7 | 7 |
| 2019 Septiembre | 4 | 9 | 13 |
| 2019 Agosto | 4 | 5 | 9 |
| 2019 Julio | 4 | 12 | 16 |
| 2019 Junio | 4 | 23 | 27 |
| 2019 Mayo | 6 | 16 | 22 |
| 2019 Abril | 2 | 18 | 20 |
| 2019 Marzo | 4 | 9 | 13 |
| 2019 Febrero | 0 | 4 | 4 |
| 2019 Enero | 4 | 1 | 5 |
| 2018 Diciembre | 2 | 6 | 8 |
| 2018 Noviembre | 2 | 0 | 2 |
| 2018 Octubre | 3 | 0 | 3 |
| 2018 Septiembre | 3 | 0 | 3 |
| 2018 Mayo | 0 | 1 | 1 |
| 2018 Marzo | 15 | 1 | 16 |
| 2018 Febrero | 109 | 9 | 118 |
| 2018 Enero | 136 | 7 | 143 |
| 2017 Diciembre | 139 | 9 | 148 |
| 2017 Noviembre | 88 | 11 | 99 |
| 2017 Octubre | 131 | 3 | 134 |
| 2017 Septiembre | 113 | 14 | 127 |
| 2017 Agosto | 92 | 19 | 111 |
| 2017 Julio | 143 | 8 | 151 |
| 2017 Junio | 114 | 39 | 153 |
| 2017 Mayo | 80 | 5 | 85 |
| 2017 Abril | 52 | 10 | 62 |
| 2017 Marzo | 55 | 4 | 59 |
| 2017 Febrero | 122 | 14 | 136 |
| 2017 Enero | 88 | 16 | 104 |
| 2016 Diciembre | 105 | 14 | 119 |
| 2016 Noviembre | 146 | 21 | 167 |
| 2016 Octubre | 160 | 18 | 178 |
| 2016 Septiembre | 227 | 23 | 250 |
| 2016 Agosto | 125 | 13 | 138 |
| 2016 Julio | 70 | 6 | 76 |
| 2016 Junio | 9 | 25 | 34 |
| 2016 Mayo | 10 | 8 | 18 |
| 2016 Abril | 7 | 12 | 19 |
| 2016 Marzo | 4 | 10 | 14 |
| 2016 Febrero | 3 | 3 | 6 |
| 2016 Enero | 8 | 22 | 30 |
| 2015 Diciembre | 12 | 1 | 13 |
| 2015 Noviembre | 21 | 21 | 42 |
| 2015 Octubre | 21 | 19 | 40 |
| 2015 Septiembre | 12 | 18 | 30 |
| 2015 Agosto | 11 | 6 | 17 |
| 2015 Julio | 183 | 124 | 307 |
| 2015 Junio | 118 | 13 | 131 |
| 2015 Mayo | 165 | 21 | 186 |
| 2015 Abril | 73 | 13 | 86 |
| 2015 Marzo | 79 | 11 | 90 |
| 2015 Febrero | 90 | 11 | 101 |
| 2015 Enero | 120 | 4 | 124 |
| 2014 Diciembre | 91 | 7 | 98 |
| 2014 Noviembre | 65 | 0 | 65 |
| 2014 Octubre | 83 | 5 | 88 |
| 2014 Septiembre | 69 | 5 | 74 |
| 2014 Agosto | 65 | 3 | 68 |
| 2014 Julio | 55 | 5 | 60 |
| 2014 Junio | 74 | 4 | 78 |
| 2014 Mayo | 81 | 9 | 90 |
| 2014 Abril | 77 | 8 | 85 |
| 2014 Marzo | 57 | 9 | 66 |
| 2014 Febrero | 53 | 7 | 60 |
| 2014 Enero | 55 | 12 | 67 |
| 2013 Diciembre | 60 | 10 | 70 |
| 2013 Noviembre | 49 | 10 | 59 |
| 2013 Octubre | 36 | 1 | 37 |
| 2013 Septiembre | 32 | 2 | 34 |
| 2013 Agosto | 35 | 5 | 40 |
| 2013 Julio | 26 | 4 | 30 |
| 2013 Junio | 14 | 3 | 17 |
| 2013 Mayo | 6 | 1 | 7 |
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