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Pseudocyst of the auricle: diagnosis and management with a punch biopsy
Abstract:
A case of pseudocyst of the ear diagnosed and treated with a punch biopsy is reported. Pseudocyst of the ear is considered to be a benign, asymptomatic condition seen infrequently in clinical practice. Our patient is a 45-year-old white man who presented with a 5-month history of a painless nodule on his left auricle without any preceding history of trauma. Although many treatments have been reported, none appear satisfactory, and many surgical treatment modalities are cumbersome. This is the first report, to our knowledge, of a case of a pseudocyst of the ear confirmed and treated with a 3-mm punch biopsy of the inferior border of the pseudocyst, followed by a pressure bolster.
Insights
A painless ear nodule, known as a pseudocyst of the ear, was successfully treated using a minimally invasive punch biopsy technique. This case highlights an effective and straightforward method for managing this rare auricular condition.
Area of Science:
- Otolaryngology
- Dermatology
- Plastic Surgery
Background:
- Pseudocyst of the ear is a rare, benign auricular condition often presenting as an asymptomatic nodule.
- Existing treatment modalities for ear pseudocysts are frequently unsatisfactory or surgically cumbersome.
Observation:
- A 45-year-old male presented with a 5-month history of a painless nodule on his left auricle.
- No preceding history of trauma was reported for the auricular nodule.
Findings:
- The case successfully utilized a 3-mm punch biopsy of the inferior border of the pseudocyst for diagnosis and treatment.
- A pressure bolster was applied post-biopsy to manage the pseudocyst.
Implications:
- This report introduces a novel, minimally invasive approach for managing pseudocyst of the ear.
- Punch biopsy offers a potentially simpler and more effective treatment option compared to traditional methods for auricular pseudocysts.

