Auricular Hematoma

Blunt auricular trauma, most commonly in wrestlers and boxers, may shear the perichondrium from the underlying cartilage, leading to a hematoma. The presence of a fluctuant swelling with loss of normal auricular landmarks helps to distinguish a hematoma from ecchymosis. If left untreated, an auricular hematoma may cause fibrosis and neocartilage formation, leading to a deformity of the auricle termed cauliflower ear. Therefore, treatment in a timely manner is recommended.

Although a Cochrane review could not define the best treatment for an acute auricular hematoma, a frequently successful treatment involves incision and drainage with dental rolls sutured to the anterior and posterior auricle (Fig. 19-5). Needle aspiration alone will often lead to recurrences. The bolster is usually left in place for 4 to 7 days, with the patient permitted to return to wrestling or boxing with headgear. Prophylactic antistaphylococcal antibiotics are given. For a long-standing hematoma or a cauliflower ear, debridement of fibrosis and cartilage is necessary (Jones and Mahendran, 2008).

Figure 19-5 Photograph of 16-year-old boy who sustained auricular hematoma in wrestling match. He underwent incision and drainage with placement of dental rolls.
Natural Treatments For Psoriasis

Natural Treatments For Psoriasis

Do You Suffer From the Itching and Scaling of Psoriasis? Or the Chronic Agony of Psoriatic Arthritis? If so you are not ALONE! A whopping three percent of the world’s populations suffer from either condition! An incredible 56 million working hours are lost every year by psoriasis sufferers according to the National Psoriasis Foundation.

Get My Free Ebook

Post a comment