Interventions for acute auricular haematoma

Jones, Stephen; Mahendran, S.

doi:10.1002/14651858.cd004166.pub2

Cited by 37 publications

(32 citation statements)

References 41 publications

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“…Compression dressings and bolsters vary widely and have included the use of through-and-through suturing, tie-over dressing, thermoplastic splints, silicone splints, and plaster of paris dressing (7). The durability of the PVS bolster allowed the patient to resume his martial arts sparring activity during the immediate post-operative period.…”

Section: Discussionmentioning

confidence: 99%

An Auricular Bolster Dressing Using Polyvinylsiloxane (PVS) Impression Material

Chark¹,

Brunworth²,

Kim³

2009

The Laryngoscope

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Section: Discussionmentioning

confidence: 99%

An Auricular Bolster Dressing Using Polyvinylsiloxane (PVS) Impression Material

Chark¹,

Brunworth²,

Kim³

2009

The Laryngoscope

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“…Nevertheless, and due to lack of good-quality data, today, there is no clearly defined optimal management strategy for auricular hematoma. Furthermore, the question of a postdrainage dressing is questionable (35). However, the most effective prevention of auricular hematoma is to protect the recovering ears from blunt trauma, particularly in sports such as wrestling, boxing, and rugby.…”

Section: Medical Therapymentioning

confidence: 99%

Auricular Hematoma and Cauliflower Deformation of the Ear

Mudry¹,

Pirsig²

2009

Otology &Amp; Neurotology

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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. It was first thought to be associated with mental disease, but by the beginning of the 20th century, its etiology was recognized as being caused by trauma and was then named auricular hematoma. The second step in the understanding of this affliction was the observation that auricular hematoma progresses toward cauliflower deformation of the ear, which was named cauliflower ear. Recognition of this evolution led to the development of therapies. During the second half of the 20th century, different treatments were developed. They included various hematoma drainage techniques with special bandages to prevent hematoma recurrence and ensuing progression to cauliflower ear. In summary, cauliflower deformation of the ear is an old artistic affliction that has only recently received medical attention.

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“…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%

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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Interventions for acute auricular haematoma

Cited by 37 publications

References 41 publications

An Auricular Bolster Dressing Using Polyvinylsiloxane (PVS) Impression Material

An Auricular Bolster Dressing Using Polyvinylsiloxane (PVS) Impression Material

Auricular Hematoma and Cauliflower Deformation of the Ear

Risk factors for auricular hematoma and recurrence after drainage

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