48 results match your criteria Drainage Auricular Hematoma

A Novel Task Trainer for Auricular Hematoma Repair.

Cureus 2022 Jan 25;14(1):e21600. Epub 2022 Jan 25.

Department of Emergency Medicine, Madigan Army Medical Center, Tacoma, USA.

Auricular hematoma drainage is a crucial skill that emergency medicine providers must be proficient in to prevent complications including permanent deformity of the ear. We aimed to develop and evaluate a cost-effective task trainer to allow emergency medicine (EM) residents to practice the key skills of auricular hematoma drainage and pressure dressing application. After creating a task trainer out of a bell pepper, we implemented this training during our EM simulation conference with a total of 20 PGY 1-3 EM residents. Read More

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January 2022

Auricular haematoma an avoidable cosmetic deformity: A chance or negligence.

Am J Otolaryngol 2022 Jan-Feb;43(1):103232. Epub 2021 Sep 15.

Department of Otolaryngology & Head and Neck Surgery, Datta Meghe Medical College (DMIMS), Shalinitai Meghe Hospital And Research Centre, Wanadongri, Hingna, Nagpur, Maharashtra 441110, India.

Purpose: This study highlights the importance of immediate intervention needed in cases of auricular trauma cases so as to prevents complications leading to cauliflower ear, loss of cartilage, necrosis.

Materials & Methods: Total 10 cases of primary haematoma & recurrent cases were included in the study. A detailed history was entered in proforma. Read More

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January 2022

A novel technique: Use of finger splint as compression device for post auricular hematoma drainage.

Am J Emerg Med 2022 Jun 21;56:286-287. Epub 2021 Jul 21.

Dignity Health - Ear, Nose and Throat (ENT), Henderson, NV 89052, United States of America.

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Use of Thermoplastic Splint for the Treatment of Auricular Hematoma.

J Craniofac Surg 2020 Nov/Dec;31(8):2310-2312

Otolaryngology Department, Ankara Training and Research Hospital, Health Science University, Ankara, Turkey.

Auricular hematoma is commonly seen in ear nose and throat clinical practice and mostly caused by blunt trauma as a result of traffic accident, wrestling, boxing etc. If hematoma does not discharge, blood supply of the cartilage fails and this results with the necrosis of the auricular cartilage. Incision and drainage of the hematoma is the cornerstone of the surgical treatment and simple compression methods are limited in terms of their ability to eliminate the empty space. Read More

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Preventing Cauliflower Ear.

Michael D Gooch

Adv Emerg Nurs J 2020 Jul/Sep;42(3):204-209

School of Nursing, Vanderbilt University, Nashville, Tennessee and Vanderbilt University Medical Center, Nashville, Tennessee.

Traumatic auricular hematomas may be encountered in emergency care settings due to blunt trauma such as assaults or contact sports. Emergency nurse practitioners should be able to recognize and treat this injury to prevent complications. Treatment usually consists of evacuation of the hematoma by aspiration or incision and drainage using local or regional anesthesia, followed by the application of a pressure dressing or suturing. Read More

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Risk factors for auricular hematoma and recurrence after drainage.

Laryngoscope 2020 03 17;130(3):628-631. Epub 2019 Oct 17.

Department of Otolaryngology-Head and Neck Surgery, Feinberg School of Medicine, Chicago, Illinois, U.S.A.

Objectives/hypothesis: To review an institutional experience with auricular hematoma across all clinical settings including the emergency department (ED) and outpatient clinics at an urban tertiary care academic hospital, characterize practice patterns across setting and specialty, and assess for factors predictive of treatment success.

Methods: Patients presenting to the ED, admitted to an inpatient ward, or seen in the outpatient setting between 2000 and 2017 with a diagnosis of auricular hematoma were reviewed. A number of relevant patient features including demographic factors, medications, and social risk factors were analyzed, as were several factors related to the presentation and management of the hematoma to identify variables of clinical significance. Read More

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Treatment of Auricular Hematomas by OK-432: How and Why It Works.

Otol Neurotol 2019 09;40(8):e820-e823

Division of Medical Biochemistry, Department of Biomolecular Sciences, Saga Medical School, Saga, Japan.

Objectives: The aim of this article was to investigate the effectiveness and underlying mechanisms of OK-432 therapy in patients with auricular hematomas.

Study Design And Setting: Case series with planned data collection.

Subjects And Methods: We tried this therapy in 47 patients with auricular hematoma between April 2008 and August 2018. Read More

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September 2019

Cauliflower ear - a minimally invasive treatment method in a wrestling athlete: a case report.

Int Med Case Rep J 2018 18;11:5-7. Epub 2018 Jan 18.

Department of Plastic and Reconstructive Surgery, Sheba Medical Center, Tel Hashomer, Ramat Gan.

Acute auricular hematoma can be caused by direct blunt trauma or other injury to the external ear. It is typically seen in those who practice full contact sports such as boxing, wrestling, and rugby. "Cauliflower ear" deformity, fibrocartilage formation during scarring, is a common complication of auricular hematomas. Read More

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January 2018

Auricular haematoma.

Tidsskr Nor Laegeforen 2017 01 24;137(2):105-107. Epub 2017 Jan 24.

Avdeling for plastikk- og rekonstruktiv kirurgi Oslo universitetssykehus.

Auricular haematomas typically occur as a result of the auricle being pulled or subjected to blunt trauma in association with contact sports, accidents or violence. An auricular haematoma requires prompt surgical intervention to avoid cauliflower ear, also known as «wrestler’s ear». A cauliflower ear is a permanent deformity made up of connective tissue and cartilage. Read More

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January 2017

Current Treatment Options for Auricular Hematomas.

Vet Clin North Am Small Anim Pract 2016 Jul 21;46(4):635-41. Epub 2016 Mar 21.

Department of Clinical Sciences, College of Veterinary Medicine and Biomedical Sciences, 1678 Campus Delivery, Colorado State University, Fort Collins, CO 80523-1678, USA. Electronic address:

Ear disease, such as otitis externa, resulting in aggressive head shaking or ear scratching, is the most common cause of the development of aural hematomas in dogs and cats. An underlying immunologic cause has also been proposed to explain cartilage and blood vessel fragility. Numerous options exist for management of aural hematomas, from medical management alone with corticosteroids, to simple hematoma centesis, to surgical intervention. Read More

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Open surgical management of auricular haematoma: incision, evacuation and mattress sutures.

J Laryngol Otol 2015 May;129(5):496-501

Department of Otolaryngology-Head and Neck Surgery,Aberdeen Royal Infirmary,Scotland,UK.

Objective: A large variety of techniques have been used for auricular haematoma management. The open surgical management of auricular haematoma involves incision, evacuation and the obliteration of dead space using biodegradable mattress sutures. Our goal was to describe open surgical management for primary, recurrent and spontaneous auricular haematoma. Read More

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Treatment outcomes of auricular hematoma using corrugated rubber drains: a pilot study.

Ne Okolugbo

Ann Med Health Sci Res 2013 Jul;3(3):447-9

Department of Surgery, Delta State University, Abraka, Delta State, Nigeria.

Background: Hematoma of the auricle which is a collection of blood beneath the perichondrial layer of the pinna usually poses a challenge to the otolaryngologist due to its high rate of recurrence after treatment and lack of appropriate material for use as stitch dressing especially, in the developing world. This is a Pilot study in which corrugated rubber drain was used as a stitch dressing after routine incision and drainage (I and D) in patients who presented with auricular hematoma.

Aim: To determine the effectiveness of corrugated rubber drain in the treatment of auricular hematoma. Read More

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Managing auricular haematoma to prevent 'cauliflower ear'.

Anthony Summers

Emerg Nurse 2012 Sep;20(5):28-30

Emergency Department, Redlands Hospital, Cleveland, Queensland.

This article describes the typical signs of auricular haematoma, how people who have the condition should be treated in emergency departments and the problems that can arise if they are managed inappropriately. Read More

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September 2012

Acute management of auricular hematoma: a novel approach and retrospective review.

Clin J Sport Med 2013 Jul;23(4):321-3

Department of Emergency Medicine, University of Toledo College of Medicine, Toledo, OH, USA.

This retrospective case series is used to describe a refined technique for the aspiration and drainage of auricular hematoma that is simple, cost-effective, and allows for rapid recovery. Patients, all high school males participating in competitive wrestling, were enrolled voluntarily after risks and benefits were discussed, and consent was obtained. Criteria for enrollment included acute auricular hematoma of at least 2 cm in size with occurrence no greater than 3 weeks before presentation, and no overt signs of infection. Read More

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Finesse in otoplasty in four steps.

Aesthetic Plast Surg 2012 Aug 8;36(4):846-52. Epub 2012 Jun 8.

Clínica Stédile de Cirurgia Plástica e Otorrinolaringologia, Av. Nilo Peçanha 2825 cj 1403, Porto Alegre, RS, CEP 91330-001, Brazil.

Background: This report describes the authors' personal experience with an otoplasty technique used to correct several deformities of the auricular cartilage in prominent ears using a single surgical procedure.

Methods: This technique allows for correction of all alterations in prominent ears by acting on four basic sites of the auricular cartilage using incisions, microincisions, and microresections that shape the curvature of the auricular cartilage. This, combined with elliptical resection of the retroauricular skin, provides prompt reshaping of the ear, conferring a natural appearance. Read More

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Bolsterless management for recurrent auricular hematomata.

Laryngoscope 2012 Jun 22;122(6):1235-7. Epub 2012 Mar 22.

Department of Otolaryngology, Massachusetts Eye and Ear Infirmary, Boston, Massachusetts 02114, USA.

Objectives/hypothesis: The objectives were to describe our experience with a bolsterless technique for the management of auricular hematomata and discuss the management options for auricular hematomata and the comparative benefits of the bolsterless technique.

Study Design: Retrospective case series.

Methods: Patients presented with recurrent auricular hematomata following traditional treatment with incision and drainage and bolster placement. Read More

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Evaluation of surgical treatment in mandibular condyle fractures.

J Craniomaxillofac Surg 2012 Dec 12;40(8):647-53. Epub 2011 Nov 12.

Department of Maxillofacial and Oral Surgery, University Medical Centre Ljubljana, Zaloška 2, SI-1000 Ljubljana, Slovenia.

Aim: In the past, fractures of the mandibular condylar process were, as a rule, treated conservatively. At the Department of Maxillofacial and Oral Surgery of the University Medical Centre Ljubljana, Slovenia, our doctrine was changed in 2002 on the basis of preliminary results and reports in the literature, and these fractures were started to be treated surgically by open reduction and internal fixation with miniplates and screws, which led to good results and a shorter rehabilitation period. The goal of this study was to determine the safety and efficiency of surgical treatment, as well as to compare long-term results of surgical and conservative treatment, as objectively as possible. Read More

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December 2012

Management of auricular hematoma and the cauliflower ear.

Facial Plast Surg 2010 Dec 17;26(6):451-5. Epub 2010 Nov 17.

Department of Otolaryngology, Thomas Jefferson University, Philadelphia, PA, USA.

Acute auricular hematoma is common after blunt trauma to the side of the head. A network of vessels provides a rich blood supply to the ear, and the ear cartilage receives its nutrients from the overlying perichondrium. Prompt management of hematoma includes drainage and prevention of reaccumulation. Read More

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December 2010

Treatments of various otolaryngological cystic diseases by OK-4321: its indications and limitations.

Laryngoscope 2010 Nov;120(11):2193-6

Department of Otolaryngology, Yamagata University School of Medicine, Yamagata, Japan.

Objectives/hypothesis: The aim of this study was to evaluate the indications for, and outcomes and limitations of, OK-432 therapy in various otolaryngological cystic diseases.

Study Design: A retrospective clinical study at Yamagata University School of Medicine and the Fukase Clinic in Japan.

Methods: Between April 1996 and November 2009 we tried OK-432 therapy in 148 patients with otolaryngological cystic diseases. Read More

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November 2010

A novel technique for treating auricular hematomas in mixed martial artists (ultimate fighters).

Am J Otolaryngol 2010 Jan-Feb;31(1):21-4. Epub 2009 Mar 26.

Department of Otolaryngology, Leonard M. Miller School of Medicine, University of Miami, Miami, FL 33136, USA.

Purpose: This study aimed to describe a "bolsterless" technique for managing auricular hematomas in professional fighters.

Methods: Eight auricular hematomas were drained under local anesthesia by incising along an anatomical auricular crease. After evacuation of the hematoma and copious irrigation, the resultant skin flap was replaced in anatomical position, and through-and-through absorbable mattress sutures were used to secure the flap in place. Read More

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February 2010

Auricular hematoma and cauliflower deformation of the ear: from art to medicine.

Otol Neurotol 2009 Jan;30(1):116-20

Auricular hematoma and cauliflower deformation of the ear are unique in several respects. Knowledge about it began, in antiquity, through artists, particularly Greek and Roman, and then Japanese in the 18th century with their representation of cauliflower deformation of the ear on sculptures and paintings of pugilists and wrestlers. It is only in the 19th century that physicians began to make substantive progress in understanding this abnormality. Read More

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January 2009

Incision and drainage followed by mattress suture repair of auricular hematoma.

Laryngoscope 2007 Dec;117(12):2097-9

CENTA Medical Group, Department of Surgery and Department of Pediatrics, University of South Carolina School of Medicine, Columbia, SC 29203, USA.

Objective: Auricular hematoma is a condition requiring early and effective management to prevent pathogenesis of the unsightly cauliflower ear. The objective of this study is to review cases of auricular hematoma and present incision and drainage followed by through-and-through whip-type absorbable mattress sutures without bolsters as an effective treatment.

Study Design: Retrospective chart review of auricular hematoma cases. Read More

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December 2007

[Management of operative complications in acoustic neuroma surgery].

Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2006 Jan;41(1):26-30

Department of Otorhinolaryngology Head & Neck Surgery, Otorhinolaryngology Institute, General Hospital of Chinese People's Liberation Army, Beijing 100853, China.

Objective: To explore the common complications related to acoustic neuromas and to search methods for preventing from them.

Methods: One hundred and five patients with acoustic neuromas underwent 110 operations with the retrosigmoid approach, middle cranial fossa approach and labyrinth approach. All cases were followed up more than 1 month after surgery. Read More

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January 2006

Rethinking auricular trauma.

Laryngoscope 2005 Jul;115(7):1251-5

Department of Otolaryngology-Head and Neck Surgery, University of Virginia, Charlottesville, Virginia 22908, USA.

Objectives/hypothesis: An unrecognized auricular hematoma can lead to a disfiguring deformity, the cauliflower ear, but it can be prevented with prompt and comprehensive management. Fine needle aspiration with pressure bandages remains the mainstay treatment but will occasionally fail. We review our experience with recurrent or recalcitrant auricular hematomas in terms of their pathophysiology and revision surgery. Read More

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Simple compressive method for treatment of auricular haematoma using dental silicone material.

J Laryngol Otol 2005 Jan;119(1):27-31

Department of Otolaryngology, Ajou University School of Medicine, Suwon 442-721, Republic of Korea.

Most of the previous treatment methods for auricular haematoma are inconvenient for both patients and doctors because they are time-consuming and complex and must be performed under sterile conditions. The purpose of this study was to evaluate the effectiveness of a simple compressive method using a dental (silicone) impression material and comparing it with other methods for treatment of auricular haematomas. The authors aspirated a haematoma and then placed a mixed base and catalyst of silicone putty material on the anterior and posterior surfaces of the auricle in the shape of an inverted U for seven days. Read More

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January 2005

Interventions for acute auricular haematoma.

Cochrane Database Syst Rev 2004 (2):CD004166

Department of Otolaryngology, Addenbrooke's Hospital, Hill's Road, Cambridge, Cambridgeshire, UK, CB2 2QQ.

Background: Acute haematoma of the pinna is a condition where a collection of blood forms beneath the perichondrial layer of the pinna. It is usually caused by blunt trauma, and if untreated will ultimately result in a deformity commonly known as 'cauliflower ear' or 'wrestler's ear'. Various treatments are employed to relieve the haematoma but no clear consensus exists on the best way to do so in order to produce the best cosmetic result with the least permanent deformity. Read More

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Prevention of haematomas after auricular injuries.

Br J Oral Maxillofac Surg 2000 Jun;38(3):238-40

Oral Surgical Institute and Oral Facial Surgery Center, Nashville, TN 37203, USA.

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The surgical treatment of traumatic hematoma of the auricle.

Dermatol Surg 1999 Oct;25(10):803-5

Department of Dermatology, Columbia University, College of Physicians and Surgeons, New York, USA.

Background: The auricular hematoma occurs secondary to trauma and can present a therapeutic dilemma for clinicians. Early intervention can be limited to simple incision and drainage. Delay in treatment may allow the growth of ectopic fibroneocartilage derived from the damaged perichondrium. Read More

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October 1999