Acute Management of Auricular Hematoma

Brickman, K.; Adams, Daniel Z.; Akpunonu, Peter; Adams, Samuel S.; Zohn, Stephen; Guinness, Michael

doi:10.1097/jsm.0b013e31825c4623

Cited by 16 publications

(5 citation statements)

References 5 publications

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“…The current management of auricular hematoma mainly depends on its size; while smaller hematomas should be aspirated; larger ones require open surgical drainage. Further studies are required to elucidate the efficacy of post-drainage interventions including splinting or bandaging ( 19 , 20 ). New techniques using fibrin glue and an 18-gauge catheter with a compression dressing are recently proposed.…”

Section: Resultsmentioning

confidence: 99%

“…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 ).…”

Section: Resultsmentioning

confidence: 99%

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Reconstructive Surgery of Auricular Defects: An Overview

et al. 2015

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Context:Despite the ongoing advances in surgical procedures and promising progress in bioengineering techniques, auricular reconstruction remains a significant challenge in plastic surgery. There are different causes for acquired auricular defects, including trauma, tumor ablation and burns. The management options for upper, middle and lower third auricular defects are briefly reviewed in the current paper.Evidence Acquisition:Original research papers investigating the plastic surgeons, otolaryngologists and maxillofacial surgeons in approaching the complicated issue of auricular reconstruction published from January 1995 to December 2014 were aggregated and used in the current study.Results:Utilizing autologous stem cell populations to treat craniofacial defects is a promising field of ongoing investigations. Studies show that cartilage stem/progenitor cells (CSPCs) are highly chondrogenic and can produce elastic reconstructive material with long-term tissue restoration.Conclusions:Auricular reconstruction surgery is a challenging plastic procedure that requires great expertise and expert knowledge of the various techniques available. Novel techniques in the fields of reconstructive bioengineering and regenerative medicine are promising but further research is required before widespread clinical application.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Reconstructive Surgery of Auricular Defects: An Overview

et al. 2015

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“…En el caso presentado, el hematoma incluyó varias regiones del pabellón auricular como el antihélix, incluida su rama inferior, fosa escafoidea o navicular y concha, siendo este aspecto infrecuente, pero que en el caso descrito si se presentó 8 . El hematoma auricular se presenta como una tumoración de aspecto azulado, blando, fluctuante y doloroso a la palpación, que desfigura la morfología normal del pabellón debido al borramiento de sus relieves 7,8 .…”

Section: Discussionunclassified

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

Zurita-Orrego,

Andrade-Pobea

2023

Rev Fac Cien Med (Quito)

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Introducción: El hematoma auricular es la acumulación de sangre en el pabellón auricular como consecuencia del desprendimiento del pericondrio del plano condral auricular subyacente, posterior a trauma cerrado por golpes directos. En este caso en particular el tamaño del hematoma es significativo y aporta consideraciones importantes en casos similares a futuro como fuente de consulta. Objetivo: Describir el caso clínico de un paciente que presentó un hematoma auricular, así como la importancia de su diagnóstico y manejo oportunos. Presentación del caso: Se trata de un paciente masculino de 93 años, que presentó un trauma contuso sobre región auricular izquierda que dio como resultado una lesión grave, la misma que fue manejada clínica y quirúrgicamente, con evolución favorable. Discusión: El hematoma auricular se produce después de un traumatismo directo en el oído, casi exclusivamente en la cara anterior del pabellón auricular. Por lo general, una vez drenado el otohematoma y aplicadas las medidas de compresión, la evolución es favorable. Estudios recientes sugieren nuevas técnicas para su manejo y para la prevención de recidivas. Conclusiones: El hematoma auricular es una entidad frecuente en otorrinolaringología por lo cual requiere un diagnóstico oportuno y un manejo adecuado, tanto clínico como quirúrgico, para prevenir secuelas futuras.

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“…The perichondral blood vessel tears as a result, and blood accumulates between the perichondrium and cartilage. The hematoma obstructs blood flow, mechanically causes cartilage infection and necrosis 12 . The presence of necrosis around the cartilage will further inhibit the normal ossification process of the cartilage that lives above the defect 13 .…”

Section: Discussionmentioning

confidence: 99%

The Use of Hyperbaric Oxygen Therapy for Ear Reconstruction: A Case Series

Tulong¹,

Oley

et al. 2021

J Plast Rekons

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Introduction: The unique anatomy of the ear makes the reconstruction more challenging. Microtia and auricula hematomas are deformities or defects that can occur in the ear. Treating traumatic injury and congenital malformations of the ears needs some technique and expertise. Hyperbaric Oxygen Therapy is an additional therapy that makes a significant contribution and is effective in wound healing. Case Series: In our first case, a 52-year-old man presented with a traumatic right cauliflower ear due to a traffic accident two weeks before hospital admission. The second case involves a boy 14-year-old who has a Microtia in the right ear with total ear construction performed using autologous costochondral cartilage techniques in a two-stage. Results: Both cases following hyperbaric oxygen therapy, yield good results with good scars, no sign of infection nor tissue necrosis Summary: The combination therapy of reconstructive surgery and administration of oxygen therapy gave satisfactory results in both cases. Five sessions of hyperbaric treatment showed promising results. There is no infection, rapid wound healing, and cessation of flap compromise.

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Acute Management of Auricular Hematoma

Cited by 16 publications

References 5 publications

Reconstructive Surgery of Auricular Defects: An Overview

Reconstructive Surgery of Auricular Defects: An Overview

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

The Use of Hyperbaric Oxygen Therapy for Ear Reconstruction: A Case Series

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