Auricular hematoma: Difference between revisions
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Revision as of 18:24, 26 May 2015
Background
- Separation of perichondrium from underlying cartilage tears the adjoining blood vessels
- Subperichondrial blood collection -> increased cartilage growth -> cauliflower ear
Clinical Features
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
Diagnosis
- 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