Auricular hematoma: Difference between revisions

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==Disposition==
==Disposition==
*Discharge
*Discharge
==See Also==
[[Maxillofacial Trauma]]


== Source ==
== Source ==

Revision as of 08:37, 21 November 2011

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

See Also

Maxillofacial Trauma

Source

  • Tintinalli