“…Cold packs initially for 24 hours every 15 minutes helps to reduce pain and inflammation for first 24 hours; 10 followed by warm compression to shorten the clearing time of massive ecchymosis by increasing the circulation of the involved area. Prophylactic antibiotic coverage for 7 to 14 days is an essential as the extensive necrotic tissue in the dead space provides a medium good enough for secondary infection 4 steroid therapy with methyl prednisolone for 2 to 3 days has also been used in such cases to control inflammatory reaction. But contrary to this, we decided to treat the patient without using steroid based medications as even short-term administration of steroids can lead to aggravation of hypertension, fluid retention, stress ulcers, GI bleeding, silent perforation, psychiatric disturbances, delayed and abnormal wound healing, hypokalemia, osteoporosis, increased susceptibility to infection, and decreased glucose tolerance.…”