원저

이수부 표피낭종 감염에 대한 임상적 고찰

문인환1, 이우현1, 이창훈1, 주준범1, 조주은1,*, 이효진2
In Hwan Moon1, Woo Hyun Lee1, Chang Hoon Lee1, Joon Bum Joo1, Ju Eun Cho1,*, Hyo Jin Lee2
Author Information & Copyright
1국립경찰병원 이비인후과
2병리과
1Department of Otolaryngology, National Police Hospital, Seoul, Korea
2Pathology, National Police Hospital, Seoul, Korea
*교신저자: 조주은, 138-708 서울 송파구 가락본동 58 국립경찰병원 이비인후과 전화: (02) 3400-1274·전송: (02) 400-0287 E-mail: jechoent@yahoo.co.kr

© Copyright 2004 The Busan, Ulsan, Gyeoungnam Branch of Korean Society of Otolaryngology-Head and Neck Surgery. This is an Open-Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Received: Oct 17, 2004; Accepted: Nov 23, 2004

Published Online: May 31, 2020

ABSTRACT

Background and Objectives: Epidermal cyst is intradermal or subcutaneous sac-like structure which is lined with squamous epithelium containing keratohyalin granules. The incidence of epidermal cysts on ear lobe is increasing due to piercing for earrings. Also infection and inflammation of the cyst is frequently seen. The purpose of this study is to report clinical and microbiological features of infected epidermal cysts on ear lobe and to set a better strategy for preventing recurrent infection and inflammation. Subjects and Method: We clinically reviewed 34 cases of infected epidermal cyst on ear lobe in 28 patients that were treated at the national police hospital from August 2001 to August 2004. We described about the frequency of infection, duration of treatment, cultured organisms, antibiotic sensitivity of cultured strains and result of treatment. Results: All cases were treated with surgical drainage & antibiotics, and mean period of treatment was 8.6 days. Among 34 cases, 4 strains of aerobic bacteria were isolated in 29 culture-positive cases. Among the cultured organisms, Coagulase-negative staphylococcus was the most common. There was no recurrence after surgical excision. Conclusion: Epidermal cyst on ear lobe requires complete surgical excision to prevent repeated infection and inflammation. Cephalosporin or quinolone may be the preferred choice of drug. The role of anaerobes needs further investigation. (J Clinical Otolaryngol 2004;15:256–260)

Keywords: 표피낭종; 감염; 외이
Keywords: Epidermal cyst; Infection; Ear external