Page 71 - Revista Portuguesa - SPORL - Vol 62. Nº2

One week after excision of the lesion, there was shows that, depending on the location of the
a small scab in the excision area (Figure 1C). Six
months after excision, she did not present any
aesthetic changes or signs of local recurrence
(Figure 1D).
Discussion
Pyogenic granuloma of the ear is a rare lesion.
The most affected site that has been reported
in the literature is the head and neck region, as
described in the review of 408 cases published
by Giblin and colleagues ; in their work, 36% of
2
cases relate to this region, with the lips (23.2%),
cheek (18%), intraoral (17.4%) and neck (13%)
reflecting most cases; the ear represented
only 3% of cases related to this region. Koo and
colleagues also did a retrospective analysis of
155 cases and found that 30% of the lesions
were located on various regions of the face;
they do not describe any lesions in the ear
region . Although some etiological associations
9
have been suggested, our case, like most cases
described in the literature, appears to have
none. Differential diagnosis includes many other
lesions (such as spitz naevus, common warts,
true haemangiomas, amelanotic melanoma,
squamous cell carcinoma, spindle cell tumours,
amongst others) , but this case demonstrates
2
that, with a high index of suspicion, the diagnosis
must be made based on an excisional.
PG is a lesion that grows rapidly, and failure
to remove it from the ear region can lead
to functional changes, such as conductive
hearing loss due to obstruction of the external
auditory canal, as well as hemorrhage and
aesthetic changes. Several treatments have
been proposed for the treatment of these
injuries, with different success rates . The main
2
objectives should be complete removal of the
lesion and an aesthetically acceptable result.
Pagliai and colleagues contacted the parents
of 76 children previously treated for pyogenic
granulomas with different treatments (surgical
excision, cauterization, laser) and between
33 and 55% reported some subtle scarring,
depending on the technique used; however,
regardless of the technique used, 100% were
satisfied with the cosmetic result . Our case
10
lesion, an excellent functional and aesthetic
result can be obtained with a simple surgical
procedure, under local anesthesia.
Conflict of interest
The authors declare that they have no conflict
of interest regarding this article.
Data confidentiality
The authors declare that they followed their
work protocols when publishing patient data.
People and animals’ protection
The authors declare that the procedures
followed are in accordance with the regulations
established by the directors of the Committee
for Clinical Research and Ethics and in
accordance with the Declaration of Helsinki of
the World Medical Association.
Privacy policy, informed consent and Ethics
Committee Authorization
Os autores declaram que têm o consentimento
por escrito para o uso de fotografias dos
pacientes neste artigo.
Financing
This work did not receive any contribution,
funding or scholarship.
Availability of scientific data
There are no publicly available datasets related
to this work.
Bibliographic references
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Case Rep. 2016 Feb 16:2016:bcr2015213673. doi: 10.1136/bcr-
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2. Giblin AV, Clover AJ, Athanassopoulos A, Budny PG.
Pyogenic granuloma - the quest for optimum treatment:
audit of treatment of 408 cases. J Plast Reconstr Aesthet
Surg. 2007;60(9):1030-5. doi: 10.1016/j.bjps.2006.10.018.
3. Song K, Lee J, Park MJ, Lee HY. A case of bilateral
external auditory canal pyogenic granuloma in a pregnant
woman. J Audiol Otol. 2018 Oct;22(4):244-247. doi: 10.7874/
jao.2018.00010.
4. Huang TR, Lin YJ, Chen HC. Pyogenic granuloma of the
auricle. Ear Nose Throat J. 2022 Nov;101(9):NP373-NP374.
doi: 10.1177/0145561320968924.
5. Hsu CH, Chen HC, Wang CH. Bilateral external auditory
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