Auricular hematoma: Difference between revisions
m (Rossdonaldson1 moved page Auricular Hematoma to Auricular hematoma) |
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*Separation of perichondrium from underlying cartilage tears the adjoining blood vessels | *Separation of perichondrium from underlying cartilage tears the adjoining blood vessels | ||
**Subperichondrial blood collection -> increased cartilage growth -> cauliflower ear | **Subperichondrial blood collection -> increased cartilage growth -> cauliflower ear | ||
==Diagnosis== | |||
==Differential Diagnosis== | |||
{{Ear DDX}} | |||
==Workup== | |||
*Clinical diagnosis | |||
==Treatment== | ==Treatment== | ||
#Evacuate the clot | #Evacuate the clot | ||
# | #*Make semi-circle incision inside the inner curvature of the helix or antihelix | ||
# | #*Remove hematoma by gentle suction or curettage | ||
#Prevent re-bleeding | #Prevent re-bleeding | ||
# | #*Pack the helix w/ petroleum jelly-impregnated gauze | ||
# | #*Place regular gauze both in front of and behind the ear | ||
# | #*Circle the head with a compressive wrap | ||
#Antibiotics | #Antibiotics | ||
# | #*Only indicated for immunocompromised patients | ||
# | #*Cover [[pseudomonas]] and [[S. aureus]] | ||
==Disposition== | ==Disposition== | ||
Revision as of 22:18, 1 March 2015
Background
- Separation of perichondrium from underlying cartilage tears the adjoining blood vessels
- Subperichondrial blood collection -> increased cartilage growth -> cauliflower ear
Diagnosis
Differential Diagnosis
Ear Diagnoses
External
- Auricular hematoma
- Auricular perichondritis
- Cholesteatoma
- Contact dermatitis
- Ear foreign body
- Herpes zoster oticus (Ramsay Hunt syndrome)
- Malignant otitis externa
- Otitis externa
- Otomycosis
- Tympanic membrane rupture
Internal
- Acute otitis media
- Chronic otitis media
- Mastoiditis
Inner/vestibular
Workup
- Clinical diagnosis
Treatment
- Evacuate the clot
- Make semi-circle incision inside the inner curvature of the helix or antihelix
- Remove hematoma by gentle suction or curettage
- Prevent re-bleeding
- Pack the helix w/ petroleum jelly-impregnated gauze
- Place regular gauze both in front of and behind the ear
- Circle the head with a compressive wrap
- Antibiotics
- Only indicated for immunocompromised patients
- Cover pseudomonas and S. aureus
Disposition
- Discharge
See Also
Source
- Tintinalli