Intralesional Triamcinolone after Needle Aspiration in Auricular Pseudocyst: A Series of Seven Cases

IntroductionAuricular pseudocyst is an uncommon, benign cartilaginous condition that often recurs after simple aspiration.MethodsWe reviewed seven patients treated at a single clinic with complete aspiration followed by injection of a fixed volume of 1 mL intralesional triamcinolone (40 mg/mL) into the evacuated cavity, without local anesthesia or pressure dressings, and with routine oral ciprofloxacin. The series included six men and one woman aged 9 to 46 years. All lesions involved the scaphoid and/or triangular fossa. Patients received two or three weekly injections.ResultsTwo patients who developed late recurrence at six months received one additional supportive injection each. Over follow-up periods ranging from four months to one year, all seven patients achieved complete resolution. Mild skin laxity occurred in two patients, but no perichondritis, cauliflower deformity, or other major complications were observed.ConclusionOur findings suggest that aspiration followed by intralesional triamcinolone without compression is a simple and well-tolerated outpatient treatment for selected auricular pseudocysts. Patients should be advised to avoid ongoing trauma to minimize late recurrence. Larger comparative studies are warranted.