Management of pinna haematoma study (MaPHaeS): A multicentre retrospective observational study

Vijendren, Ananth; Coates, Matthew M; Smith, Matthew; Ajayi, O.V.; Al-Dhahir, W.; Bewick, Jessica; Bowles, Philippe; Coyle, Peter; Davies-Husband, C R; Erskine, Sally; Halliday, Edwin; Kaleva, A; Lau, Andrew; Langstaff, Lorna; Mathew, Erwin; Meghji, Sheneen; Testera, A.; Thomas, Joe; Eisenhut, Michael

doi:10.1111/coa.12858

Cited by 6 publications

(15 citation statements)

References 8 publications

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“…Management of AH is aimed at drainage of the hematoma followed by closure of dead space to prevent reaccumulation. In our study, application of a bolster dressing significantly 7 This study also found no significant difference in AH recurrence rate between initial treatment with I&D versus NA; however, this study was conducted in the United Kingdom, and 43 of their 83 cases were drained in an operating room. Their multivariate analysis showed that drainage in an operating room was associated with a lower rate of recurrence, but in our study, the most common presentation setting was the outpatient clinic.…”

Section: Discussionsupporting

confidence: 40%

“…Bolster dressings are meant to immobilize the overlying tissue and provide consistent compression to prevent fluid accumulation. Previously, Vijendren et al did not find that compressive dressings reduced AH recurrence rate . This study also found no significant difference in AH recurrence rate between initial treatment with I&D versus NA; however, this study was conducted in the United Kingdom, and 43 of their 83 cases were drained in an operating room.…”

Section: Discussionmentioning

confidence: 51%

“…Both formal incision and drainage (I&D) and needle aspiration (NA) are widely used to treat AH . After evacuation of the hematoma, providers also must decide on the placement of a bolster pressure dressing in an effort to prevent reaccumulation.…”

Section: Introductionmentioning

confidence: 99%

“…Both formal incision and drainage (I&D) and needle aspiration (NA) are widely used to treat AH. 6,7 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.…”

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: Discussionsupporting

confidence: 40%

Section: Discussionmentioning

confidence: 51%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Risk factors for auricular hematoma and recurrence after drainage

Dalal¹,

Purkey²,

Price³

et al. 2019

The Laryngoscope

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show abstract

“…The most common treatment method for an auricular hematoma is drainage followed by techniques to prevent recurrence. 8 , 9 Common drainage techniques are scalpel incisions, aspiration, and then the placement of materials to remove the dead space. There is a large variety of postprocedural techniques for preventing recurrence.…”

Section: Introductionmentioning

confidence: 99%

Cauliflower ear – a minimally invasive treatment method in a wrestling athlete: a case report

Haik

Givol

Kornhaber

et al. 2018

IMCRJ

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Acute auricular hematoma can be caused by direct blunt trauma or other injury to the external ear. It is typically seen in those who practice full contact sports such as boxing, wrestling, and rugby. “Cauliflower ear” deformity, fibrocartilage formation during scarring, is a common complication of auricular hematomas. Therefore, acute drainage of the hematoma and postprocedural techniques for preventing recurrence are necessary for preventing the deformity. There are many techniques although no superior method of treatment has been found. In this case report, we describe a novel method using needle aspiration followed by the application of a magnet and an adapted disc to the affected area of the auricular. This minimally invasive, simple, and accessible method could potentially facilitate the treatment of cauliflower ear among full contact sports athletes.

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ENT audit and research in the era of trainee collaboratives

Smith

Hardman

Ellis

et al. 2018

Eur Arch Otorhinolaryngol

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Large surgical audits and research projects are complex and costly to deliver, but increasingly surgical trainees are delivering these projects within formal collaboratives and research networks. Surgical trainee collaboratives are now recognised as a valuable part of the research infrastructure, with many perceived benefits for both the trainees and the wider surgical speciality. In this article, we describe the activity of ENT trainee research collaboratives within the UK, and summarise how INTEGRATE, the UK National ENT Trainee Research Network, successfully delivered a national audit of epistaxis management. The prospective audit collected high-quality data from 1826 individuals, representing 94% of all cases that met the inclusion criteria at the 113 participating sites over the 30-day audit period. It is hoped that the audit has provided a template for subsequent high-quality and cost-effective national studies, and we discuss the future possibilities for ENT trainee research collaboratives.

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Management of pinna haematoma study (MaPHaeS): A multicentre retrospective observational study

Abstract: Where possible PH should be drained in an operating theatre. Multicentre randomized controlled trials are required to further investigate the impact of drainage technique and post-drainage management on outcome.

Cited by 6 publications

References 8 publications

Risk factors for auricular hematoma and recurrence after drainage

Risk factors for auricular hematoma and recurrence after drainage

Cauliflower ear – a minimally invasive treatment method in a wrestling athlete: a case report

ENT audit and research in the era of trainee collaboratives

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Management of pinna haematoma study (MaPHaeS): A multicentre retrospective observational study

Abstract: Where possible PH should be drained in an operating theatre. Multicentre randomized controlled trials are required to further investigate the impact of drainage technique and post-drainage management on outcome.

Cited by 6 publications

References 8 publications

Risk factors for auricular hematoma and recurrence after drainage

Risk factors for auricular hematoma and recurrence after drainage

Cauliflower ear &ndash; a minimally invasive treatment method in a wrestling athlete: a case report

ENT audit and research in the era of trainee collaboratives

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Product

Resources

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Cauliflower ear – a minimally invasive treatment method in a wrestling athlete: a case report