Abstract: Objective To evaluate the effects of surgical excision with compression buttoning on pseudocysts of the auricle. Methods 30 patients were selected for surgery during the past two years. A helical incision was made and a skin flap was well raised beyond the boundary of the raised anterior cartilage segment of the pseudocyst. The affected perichondrium was carefully excised along the margins. The skin flap was returned to its original position and closed with simple running 5/0 Vicryl(r) rapide sutures. A pair of sterilized buttons on the anterior and posterior surfaces of the auricle was used to sandwich the raised skin flap onto the cartilage. The buttons and sutures were removed on the fifth and eighth postoperative days. Results All recovered well following excisions and compression buttonings of the pseudocyst. No recurrence and complications developed. Conclusion Treatment options are varied. Surgical excision with compression buttoning yields an excellent result without recurrence. It is advised to be the first choice in the management of pseudocysts of the auricle.

Key words: Pseudo-cyst of auricle, Compression buttoning, Auricular cartilage