Hello, this is Dr. Kohrita from Kohrita Hiro Orthopedic and Plastic Surgery Clinic, located in Shin-Osaka, Yodogawa Ward, Osaka City.
Today, I would like to share a case where an inflamed epidermoid cyst on the neck was treated using the punch excision method, and remarkably, no visible scar remained even 4 years after surgery.
The patient, in their 30s, had visited another clinic first, where they were told, “The inflammation is too strong for surgery right now. Let’s try antibiotics first.” Unfortunately, the condition worsened despite taking the medication, causing pain and sleepless nights.
The patient then found our clinic online and visited us for surgical treatment. I explained that:
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Antibiotics are ineffective for inflamed cysts because the capsule lacks blood supply
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Surgery is still possible, even during inflammation, using the punch excision technique
We performed the surgery without prescribing antibiotics and managed the wound using Natsui-style moist wound healing — meaning no disinfection, no gauze changes, and bathing allowed from the next day.
At a follow-up visit 4 years later for an unrelated cyst, the original surgical site was examined and photographed. The patient said:
“I can’t even tell where the surgery was done. Thank you so much.”
It’s always rewarding to see such excellent long-term results.
This post was originally written in Japanese and translated into English using a translation tool.
We appreciate your understanding if some phrases are not perfectly natural.
👉 Read the full case on our blog:
