Pseudocyst of the Auricle: Post-Surgery Care and Concerns - Otolaryngology

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Pseudocyst of the auricle


Hello Doctor, I underwent surgery for a pseudocyst of the auricle, and postoperatively, the suturing and pressure method involved placing a sterile gauze in front of the auricle, with sutures passing through the gauze, the front of the auricle, and the back of the ear for pressure application.
I searched online for postoperative photos of others with pseudocysts, and most show white strips used for pressure suturing on the front and back of the auricle.
However, there is no material used at the suture site on the back of my ear.
I mean no disrespect; I am just concerned because the pain at the suture site on the back of my ear has made it impossible for me to sleep.
The sutures feel embedded in my flesh, and any touch causes pain.
Additionally, I have a slight numbness above my ear, similar to the sensation of a rubber band being tied around a finger for too long.
I inquired during my follow-up appointment and was told this is normal and that the sutures would be removed in two weeks.
I was given stronger pain medication, but my pain is not from the surgical site; it is from the sutures digging into the flesh of my ear.
I would like to ask you if it is okay not to change the gauze for two weeks? If the gauze accidentally gets wet, does it need to be changed? If I go to another hospital for an appointment in a week, will other doctors be willing to remove the sutures? I apologize for the lengthy message, and I thank you in advance for your response.

Niming, 30~39 year old female. Ask Date: 2021/08/06

Dr. Ji Zhaoyun reply Otolaryngology


Hello, after surgery for a pseudocyst of the auricle, pressure should be applied using pressure plates, cotton balls, or gauze, as recommended by some physicians.
If symptoms persist, it is best to return for a follow-up consultation.
Other non-surgical physicians can generally assist with suture removal if there are no obvious wound issues, but it is still advisable to return to the original surgeon for management, as they are more familiar with the situation.
Wishing you a speedy recovery.

Reply Date: 2021/08/06

More Info


Hello! Thank you for sharing your concerns regarding your post-surgery experience with the pseudocyst of the auricle. It’s understandable to feel anxious about your recovery, especially when dealing with pain and discomfort after a surgical procedure. Let’s address your questions and provide some insights into post-operative care for auricular surgeries.


Post-Surgery Pain and Discomfort
1. Pain from Sutures: It’s not uncommon to experience pain at the suture site, especially if the sutures feel tight or if they seem to be digging into the skin. This can happen if the sutures are placed under tension or if the surrounding tissue is sensitive. The sensation of numbness you described could be due to nerve irritation or compression from the sutures. While your doctor mentioned that this is normal, it’s essential to communicate the severity of your pain. If the pain is unbearable and affecting your ability to sleep, you may need to discuss alternative pain management options with your healthcare provider.

2. Suture Removal: Typically, sutures are removed within 1 to 2 weeks post-surgery, depending on the healing process. If you feel that your current provider is not addressing your concerns adequately, seeking a second opinion is a reasonable step. Most doctors will be willing to remove sutures if they believe it is in the best interest of the patient, especially if you are experiencing significant discomfort.


Wound Care and Hygiene
3. Dressing Changes: Regarding the sterile gauze that has not been changed for two weeks, it is generally advisable to change dressings if they become wet, soiled, or if there is any sign of infection (such as increased redness, swelling, or discharge). If your dressing remains clean and dry, it may not need to be changed, but you should follow your surgeon's specific instructions. If you accidentally get the dressing wet, it’s best to consult your doctor about whether it should be replaced.

4. Follow-Up Care: If you decide to visit another hospital for a follow-up, ensure that you bring your medical records and any relevant information about your surgery. This will help the new physician understand your situation better. They should be able to assess your condition and provide the necessary care, including suture removal if appropriate.


Additional Considerations
- Monitoring for Infection: Keep an eye on the surgical site for any signs of infection, such as increased redness, swelling, warmth, or discharge. If you notice any of these symptoms, contact your healthcare provider immediately.

- Managing Pain: If the prescribed pain medication is not effective, discuss this with your doctor. They may adjust your medication or suggest alternative pain relief methods.

- Numbness and Sensation Changes: The numbness you are experiencing may improve over time as the nerves heal. However, if it persists or worsens, it’s important to bring this up with your healthcare provider.

In summary, while some discomfort and pain are expected after surgery, it’s crucial to communicate openly with your healthcare provider about your symptoms. If you feel that your concerns are not being addressed, seeking a second opinion can provide you with the reassurance and care you need. Remember to monitor your surgical site closely and maintain good hygiene practices to promote healing. Wishing you a smooth recovery!

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