Ear bolster button

Garcia‐Rodriguez, Laura; Jones, Lamont

doi:10.1002/lary.26664

Cited by 5 publications

(10 citation statements)

References 14 publications

(20 reference statements)

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“…This suggests significant practice pattern differences between the two study populations. Furthermore, a number of different bolster materials and techniques have been proposed in the literature including dental rolls, Silastic splints, Xeroform, and buttons, and it has been thought that obliteration of the dead space by bolster dressing placement can prevent AH reaccumulation …”

Section: Discussionmentioning

confidence: 99%

“…Furthermore, a number of different bolster materials and techniques have been proposed in the literature including dental rolls, Silastic splints, Xeroform, and buttons, and it has been thought that obliteration of the dead space by bolster dressing placement can prevent AH reaccumulation. 1,[8][9][10][11][12][13][14][15][16][17][18][19] There are several limitations of this study. First, this study only included adult patients.…”

Section: Discussionmentioning

confidence: 99%

“…After evacuation of the hematoma, providers also must decide on the placement of a bolster pressure dressing in an effort to prevent reaccumulation. Several methods of preparing and applying a bolster dressing have been described in the literature, including the use of dental rolls, Silastic splints, Xeroform, and buttons, though none have definitely been found to be superior . Similar to a formal bolster dressing, the absorbable mattress suture technique can also be used to apply consistent compression to minimize reaccumulation .…”

Section: Introductionmentioning

confidence: 99%

“…Several methods of preparing and applying a bolster dressing have been described in the literature, including the use of dental rolls, Silastic splints, Xeroform, and buttons, though none have definitely been found to be superior. [8][9][10][11][12][13][14][15][16][17][18][19] Similar to a formal bolster dressing, the absorbable mattress suture technique can also be used to apply consistent compression to minimize reaccumulation. 9,17 A 2004 Cochrane review concluded that although there was insufficient evidence to recommend an optimal treatment strategy, the literature supported early identification and drainage of AH over no treatment.…”

Section: Introductionmentioning

confidence: 99%

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Risk factors for auricular hematoma and recurrence after drainage

Dalal¹,

Purkey²,

Price³

et al. 2019

The Laryngoscope

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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. Results A total of 87 individual cases were identified. Auricular hematomas most commonly occurred in males after sports‐related trauma (e.g., martial arts, wrestling, boxing). Factors associated with lower rates of recurrence included initial treatment by or in consultation with an otolaryngologist and application of a bolster dressing. Conclusions In our cohort, initial management of auricular hematoma by an otolaryngologist or with an otolaryngology consultation and placement of a bolster dressing was associated with lower rates of hematoma recurrence. Level of Evidence 2b Laryngoscope, 130:628–631, 2020

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Risk factors for auricular hematoma and recurrence after drainage

Dalal¹,

Purkey²,

Price³

et al. 2019

The Laryngoscope

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“…Button bolsters, in particular, have been used by otolaryngologists to prevent auricular hematomas and seromas. [ 1 ] They also have the advantage of redistributing tension applied by the reconstruction to the surrounding native skin. Yet, there is a paucity of dermatology literature describing the usefulness of this technique.…”

Section: B Ackgroundmentioning

confidence: 99%

Maintenance of the anatomic contours in auricular reconstruction: The button technique

Worley

Cohen²

2018

J Cutan Aesthet Surg

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Background and Objective:Reconstructing the contours of the auricle is a unique challenge. Various bolster techniques have been tried to help prevent complications such as hematoma, seroma, and morbidity. Here, we describe a simple technique using a button to maintain the natural ear contour when it is at risk of a poor aesthetic outcome.Materials and Methods:A 77-year-old man underwent resection of a squamous cell carcinoma of the postauricular skin on the right ear, which involved the helical margin. A skin graft was chosen to close the defect. However, on initial inspection of the repair, buckling of the scaphoid fossa, collapse of the antihelical fold, and notching of the helix were observed. When these buckling changes persisted even after the anesthesia-related swelling resolved the following day, a button bolster was placed for 2.5 weeks to provide support for the cartilage.Results:Standardized digital imaging revealed maintenance of the original contours and sulci of the ear with an excellent cosmetic result.Conclusion:Recreation of the auricular contours is critical for an excellent cosmetic outcome. Using a button bolster is worth considering as it is of low cost, can easily fit into the natural ear contours, and can provide a rigid structure to ensure maintenance of the ear shape.

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