A New Technique Using Fibrin Glue in the Management of Auricular Hematoma

Abstract

: This study aims to describe a new technique for the management of auricular hematoma using fibrin glue. Five difficult cases of auricular hematoma were managed using this technique, including 2 recurrent and 3 delayed presentations. After skin preparation and local anesthetic, an incision was made, the hematoma was evacuated, and the cavity was washed out with saline. Fibrin glue was applied liberally; a dental roll pressure dressing was applied and secured with a prolene bead suture. The patients were given a course of oral antibiotic and reviewed after 5 days for removal of the external dressing. They were later assessed to exclude re-accumulation of the hematoma. All patients had complete resolution of the hematoma without re-accumulation; they were satisfied with the cosmetic results and experienced no complications. This case series provides evidence that fibrin glue is effective in the management of auricular hematoma. Larger studies may provide further evidence of the effectiveness of this new technique.

Reconstructive Surgery of Auricular Defects: An Overview

“…New techniques using fibrin glue and an 18-gauge catheter with a compression dressing are recently proposed. Cost-effectiveness and efficacy of these management options remain to be confirmed by further studies ( 20 , 21 ).Use of local flaps in soft tissue defects, initial realigning of the helical rim and anatomical repair of ear lacerations should be considered in management of acute ear trauma. In cases of ear amputation, staged reconstruction or replantation techniques should be used ( 22 ).…”

Hematoma de pabellón auricular. Reporte de caso. - Auricular hematoma. Case report.

“…ello se realizará una incisión que se asentará en alguno de los surcos del pabellón en relación íntima con el acúmulo, para evitar al máximo las cicatrices no estéticas 12 .…”

Fibrin glues — the current state of knowledge

“…The study of Kram et al demonstrated that gentamicin and neomycin extend clotting time. In conclusion, the properties of the clot as well as time of clot formation should always be checked in laboratory setting before using fibrin glue as a drug delivery system [7,14,[23][24][25].…”

“…Endoscopic injections of fibrin glue were used by physicians from several Iranian centers for pharyngocutaneous fistula (PCF) removal after complete laryngectomy. Fistula closure was reported after a month which suggests that fibrin glue can be effectively used for fistula repair in otolaryngology [9,25,[39][40][41][42].…”