The Outcome of Intralesional Steroid Injection for Ganglion Cyst compared to surgery
Publiée 2021-09-21
Mots-clés
- Ganglion cyst,
- triamcinolone,
- intralesional injection
(c) Copyright The Planet 2018
Ce travail est disponible sous la licence Creative Commons Attribution 4.0 International .
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Résumé
Background: Ganglia are the most common benign cystic swellings found over both the dorsal and volar aspects of the wrist. In spite of technical advancement, both operative and non-operative interventions achieve more or less similar results. Complete evacuation of gelatinous fluid followed by intralesional injection of Triamcinolone gives encouraging results. This study was done to explore the outcome of intralesional steroid injection compared to surgery for the management of ganglion cyst. Materials and Methods: A prospective study was conducted on patients with simple ganglion cysts on the wrist. Total of 100 patients underwent this study. Out of this, 45 patients underwent aspiration of the cyst fluid followed by intracystic instillation of triamcinolone, and 55 patients underwent surgical excision of wrist ganglia. Two years follow up was done for evaluation of outcome. Result: Most ganglia of wrist occurred in the extensor aspect. Complications noted among the surgically excised group were post operative pain and restricted mobility of wrist with a recurrence rate of 21.5%. Instillation of triamcinolone into the ganglion yielded early resolution with a low recurrence rate of 8.4%. Conclusion: Recurrence is the most common complication of management of ganglion cyst & its incidence is less following intralesional triamcinolone injection compared to surgical excision.
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