Auricular hematoma

Background

• Separation of perichondrium from underlying cartilage tears the adjoining blood vessels
  • Subperichondrial blood collection -> increased cartilage growth -> cauliflower ear

Treatment

1. Evacuate the clot
   1. Make semi-circle incision inside the inner curvature of the helix or antihelix
   2. Remove hematoma by gentle suction or curettage
2. Prevent re-bleeding
   1. Pack the helix w/ petroleum jelly-impregnated gauze
   2. Place regular gauze both in front of and behind the ear
   3. Circle the head with a compressive wrap
3. Antibiotics
   1. Only indicated for immunocompromised patients
   2. Cover pseudomonas and S. aureus

Disposition

• Discharge

Source

• Tintinalli