Auricular hematoma: Difference between revisions
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== Background == | == Background == | ||
*Separation of perichondrium from underlying cartilage tears the adjoining blood vessels | |||
**Subperichondrial blood collection -> increased cartilage growth -> cauliflower ear | |||
== Diagnosis == | == Diagnosis == | ||
Insert | Insert | ||
==Treatment== | ==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== | ==Disposition== | ||
*Discharge | |||
== Source == | == Source == | ||
*Tintinalli | |||
[[Category:ENT]] | [[Category:ENT]] | ||
Revision as of 04:43, 5 November 2011
Background
- Separation of perichondrium from underlying cartilage tears the adjoining blood vessels
- Subperichondrial blood collection -> increased cartilage growth -> cauliflower ear
Diagnosis
Insert
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
Source
- Tintinalli