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December 08, 2016 00:05

Atheroma of the ear

auricle entire area includes a plurality of sebaceous glands, they are in the area behind the ear, which can be formed lipoma, papilloma, fibroma, including atheroma ear.

in the ear area, the ear can be formed subcutaneous fat tumors, they are almost all characterized by slow growth and benign course.

Statistically tumor diagnosed in BTE area just 0.2% of the total number of benign tumors in the facial area.Much more common cysts and tumors of the ear, especially the lobes.This is due to the structure of the ear which primarily consists of cartilage, fat layer only in the lobe containing no cartilage.

atheroma reasons behind the ear

is believed that the main causes of atheroma outputting a blockage of the sebaceous gland duct, lie in the violation of metabolism and hormonal disruption.Indeed, the accumulation of secretions outer endocrine glands (glandulae sebacea) can be triggered by excessive production of hormones, but there are also other factors.For example, the causes of atheroma of the ea

r may be so: •

  • Sweating due to disruption of the autonomic nervous system, which regulates the excretory system and may provoke dysfunction of internal organs.
  • seborrhea, including the scalp.
  • Acne - Simple, flegmoznye, usually in the upper neck area.
  • Incorrect piercing, ear piercing and compensatory redistribution of sebaceous secretion from damaged and scar closed sebaceous glands.
  • diabetes.
  • Endocrine diseases.
  • Head injury with damage to the skin in the ear area (scar formation).
  • specific type of fat the skin.
  • excess testosterone production.
  • Hypothermia or prolonged exposure to direct sunlight.
  • Violation of rules of personal hygiene.

In general, the causes of atheroma, including emerging behind the ear, caused by narrowing of the sebaceous gland duct, changing the consistency of the sebaceous secretion, which becomes more dense, and outputting the tapered end of the obturation.In place of the blockage formed cystic cavity, which is slowly but steadily accumulated detritus (epithelial cells, cholesterol crystals, dead skin particles, fat), thus atheroma increases and becomes visible to the naked eye, that is beginning to emerge in the clinical sense.

symptoms of atheroma of the ear

atheroma, regardless of location, in the first few months of developing asymptomatic, that is not accompanied by pain or other discomfort.Symptoms of atheroma of the ear is also not specific, retention tumor grows very slowly, the sebaceous gland duct while still open, and the fat part of the secret is displayed on the skin, to the outside.Gradually accumulating detritus changes texture, becomes more dense, viscous, and it was he who clog gland itself, and then its output.

symptoms of atheroma of the ear may be as follows:

  • tumor has a rounded shape and small size.
  • strokes well be felt under the skin as a flexible, relatively tight formation, in general, are not soldered to the skin.
  • Atheroma a capsule and mushy inside the secret (detritus).
  • retention cysts of the sebaceous gland is prone to inflammation and suppuration.
  • characteristic hallmark by which atheroma distinguished from lipoma, a partial adhesion to the skin in the area of ​​increasing the oral cysts and the presence of a small, barely noticeable yield as a dark point (in the case of purulent inflammation - white, convex point).
  • Due to the partial, spot soldering skin over the cyst can not be collected in the fold palpation.
  • Increasing atheroma of the ear may be accompanied by itching, burning sensation.
  • Contaminated atheroma manifested typical symptoms of subcutaneous abscess - red skin over the cyst, a local increase in temperature, pain.
  • festering atheroma prone to spontaneous opening when pus flows outwards, but the bulk of the cyst remains inside and re-filled with detritus.
  • inflamed atheroma may be accompanied by secondary infection when symptoms become more manifest - fever, headache, fatigue, weakness, and nausea.

Despite the fact that the symptoms of atheroma of the ear are not specific and appear only in the event of a sharp increase in subcutaneous cysts, tumors can be seen in the commission of hygiene (washing).Any atypical ear seal zone, "ball" or "wen" is to show the doctor - dermatologist, cosmetologist to determine the nature of the tumors, and select the method of its treatment.

BTE BTE

atheroma atheroma cyst, like other subcutaneous tumors - is extremely rare in oral and maxillofacial surgery.This area is very poor fat layer, so the formation of a lipoma, atheroma there are no more than 0.2% of the total number of benign tumors in the head.

retention cysts sebaceous gland behind the ear may be similar to adenoma of the salivary glands, which are diagnosed much more frequently.In any case, apart from the primary inspection and palpation of the needs and X-ray, ultrasound, and nearby lymph nodes, possibly MRI or CT (computed tomography).

If your doctor suggests that the patient develops BTE atheroma having a benign course, a cyst was excised, without waiting for the inflammation or pus.During the operation, the fabric material is compulsorily sent to histology, which confirms or disproves the initial diagnosis.

On the external signs to distinguish from a lipoma atheroma is difficult for the ear, both growths are painless, have a dense structure and is almost identical in visual symptoms.The only exception may be barely noticeable point of outputting the sebaceous gland duct, especially if its obturation occurred closer to the skin.More specific BTE inflamed atheroma, which is manifested by pain, local temperature rise.When a large, festering cyst may increase the overall temperature of the body and manifest symptoms typical of subcutaneous abscesses or abscesses.Contaminated atheroma may itself become evident inside, in the subcutaneous tissue, the condition is extremely dangerous not only for health (spill the pus into the internal auditory canal, in the cartilaginous shell fabric) of the patient, but sometimes for life, as the face of systemic intoxication, sepsis.

Removal of atheroma of the ear has its difficulties, because in this area a lot of the large blood vessels and lymph nodes.Operate a cyst in the so-called "cold period", that is, when the tumor has grown, but not inflamed, and has no signs of joining a secondary infection.The procedure for removal does not take much time, new medical technologies, such as laser or radiowave excision of tumors, it is absolutely painless and avoids rough scar on the skin, and recurrence.

Atheroma earlobe

sebaceous cyst may be formed only in a zone rich in glandulae sebaseae - alveolar glands secrete sebum (sebum) or greasy, fat secret that protects the skin, giving it elasticity.Ear almost everything is made of cartilage and only his earlobe has similar internal glands and subcutaneous fat.Thus, in this zone can develop retention neoplasm or atheroma earlobe.

cyst develops without overt clinical manifestations, as in the ducts of the prostate lobe is very narrow, and the iron itself is not very actively produces sebum.The most common reason for the formation of atheroma is considered bad earlobe puncture or injury to this area (laceration, other injuries).Ear is not a hormone-portion of the body, so the usual precipitating factors atheroma (metabolic disorder, puberty or menopause) affect its appearance a little.

reasons for the formation of atheroma lobe:

  • infection at puncture piercing (badly treated skin or tools), inflammation of the sebaceous gland.
  • inflammatory process at the site of the ear lobe piercing, microabscesses which compresses excretory ducts of the sebaceous gland.
  • incomplete healing of the puncture site and increasing granulation cells, tissue, compressing the duct of the sebaceous gland.
  • Rupture lobe with a head injury, a bruise, keloid scar compresses the sebaceous glands, disrupting the normal allocation of sebaceous secretion.
  • Hormonal disorders (rare).
  • Heredity (genetic tendency to obstruction of sebaceous glands).

symptoms that may signal a subcutaneous cyst itself may be as follows:

  1. appearance of a small seal on the lobe.
  2. cyst did not ache and cause discomfort, the only thing that it can be placed - is an external, cosmetic defect.
  3. Atheroma often inflamed, especially in women who wear jewelery on the ear (earrings, clips).Often secondary infection joins the cyst, bacteria penetrate into the small opening of the sebaceous gland, which is already clogged with detritus, eventually evolving into the lobe abscess.
  4. subcutaneous cyst in this area is rarely large, most of its maximum - is 40-50 millimeters.Larger cysts - is ulcers, which are almost always opened on their own, with the expiry of the pus out.Despite the reduction in atheroma size, it remains in a devastated capsule, capable of re-accumulate and recur sebaceous

Treat atheroma always surgically, earlobe cyst should be removed as early as possible, small-sized tumors excised for 10-15 minutesthe whole operation is performed on an outpatient basis.A small scar after enucleation atheroma virtually invisible and can not be considered a cosmetic defect as opposed to really big, inflamed cysts, which among other things tend to fester and poses a potential threat to the development of an abscess of the ear lobe.

Atheroma ear canal

external auditory meatus of the ear is made up of cartilage and bone tissue in the skin located sulfur and sebaceous glands, so the ear canal atheroma in patients diagnosed quite often.This area is difficult to access for daily hygiene, occlusion of the excretory ducts of a sebaceous secretion and released cerumen (sulfur).Subcutaneous tumors develop in the auditory canal due to the specific localization glands.Passage covered integuments, which grow tiny hairs, which in turn is closely associated with numerous sebaceous gland.Under alveolar glands located glandula ceruminosa - tseruminoznye ducts, producing sulfur.Some of these glands ducts are connected to ducts leading out glandulae sebaseae (sebaceous glands), thus their anyway obturation occurs periodically as a necessary condition of the hearing aid.However, for the formation of retention cysts, sebaceous cysts that is needed, and other factors such as these:

  • Infectious diseases ear inflammation.
  • ear injuries.
  • Endocrine dysfunction.
  • metabolic disorders.
  • Disorders of the autonomic nervous system.
  • Hormonal disorders.
  • Violations of personal hygiene or injury to the auditory canal with independent attempts to remove sulfuric cork.Diagnosis

atheroma external auditory canal needs differentiation, since in this zone can be detected, and other tumor formation, including inflammatory nature or substandard.Atheroma should be separated from the following pathologies ear canal:

  • Furuncle.
  • Acute otitis external auditory canal (mainly staphylococcal nature).
  • fibroma.
  • gland tumor tseruminoznoy - ceruminoma or atenoma.
  • Capillary hematoma (Angioma).
  • Cavernous hemangioma.
  • dermoid cyst (usually in infants).
  • lymphangioma.
  • Hondrodermatit.
  • Adenoma of the ear canal.
  • Lipoma.
  • myxoma.
  • fibroids.
  • xanthoma.
  • epidermoid cholesteatoma (keratosis obturans).

diagnosis but anamnesis and initial inspection, may include such methods:

  • X-ray examination.
  • CT skull.
  • Dermatoscopy.
  • Ultrasonography.
  • cytology smear from the ear.
  • Otoscopy (examination of the internal auditory canal with the help of a special device).
  • pharyngoscope (if indicated).
  • Mikrolaringoskopiya (if indicated).
  • Angiography (if indicated).
  • When symptoms of hearing loss is carried out audiometry.
  • is mandatory histological examination of tissue taken during surgery atheroma.

Symptoms retention tumors sebaceous glands in the ear canal are more specific than the usual manifestations of atheroma in another area of ​​the body.Even a small cyst can cause pain, affect the parameters of audiometric hearing provoke headaches.Especially dangerous inflamed atheroma prone to fester.Spontaneous dissection of purulent education somehow infect the ear canal and carries a risk of infection of the deeper structures of the hearing aid, so any atypical tumor in this area needs immediate medical attention.

Removal of atheroma ear canal is considered a fairly simple procedure, usually cyst localized in an accessible place surgical instruments.atheroma enucleation is performed within 20-30 minutes under local anesthesia and often does not require sutures as a cyst in this area are not able to grow to giant size, that is, do not require a large incision for husking.

Atheroma behind the ear of the child

Atheroma child may have a congenital neoplasm, which usually has a benign character.Also, quite often the cysts sebaceous glands confused with lipoma, subcutaneous boils, dermoid cyst or enlarged lymph nodes.

emergence of true atheroma in children is associated with increased production of sebaceous secretion, which is normal for 5-6 years, then at puberty can re hypersecretion of sebaceous glands, ducts occurs when the accumulation of detritus (cholesterol crystals, fat).Less commonly, the cause of formation of atheroma of the ear, a child may be elementary poor care in the hygienic sense.And very rarely provoking factor is the attempt alone to "do hair" baby, that is botched haircut to damage hair follicles.

Atheroma behind the ear, like a child, and an adult does not show pain or other discomfort, except in cases of inflammation and suppuration.Then the cyst looks like an abscess, often very large.Ulcer may reveal to the outside but remains inside the capsule atheroma, so the only way only operation can be rid of it.

If atheroma is small, it is observed until the child reaches 3-4 years, then the cyst to be husking.Children under 7 years of all surgical procedures of this kind is carried out under general anesthesia, a patient adult cyst removal is performed under local anesthesia.The operation itself lasts no more than 30-40 minutes and is not considered difficult or dangerous.Moreover, this treatment eliminates the child not only from a cosmetic defect, but on the risk of suppuration atheroma and possible complications of this process - the internal infection of soft tissues of the head, ear infections and cellulitis in general.The most effective new method - radiowave "evaporation" atheromas, where tissue dissection is not performed, respectively, does not remain on the skin scar, a reliable method is considered in the sense of excluding the slightest chance of recurrence cysts therefore guarantees and effectiveness of treatment.