Once the cysts get inflamed to this level, you are forced to drain them or they won't settle down. Oral or even IV antibiotics will not fix these. Unfortunately, they are also so far gone that you cannot remove the cyst capsules at this stage. The membranes are too thin and friable and some degree will be retained and the chance of recurrence is high. Therefore, these are drained in the infected stage, allowed to settle down and then removed fully and correctly about 2-3 months later. This lesion was packed overnight, but the following day this was removed and then allowed to heal by secondary intention.
