The Wrestler's Ear (Acute Auricular Hematoma)

Giffin, Charles S.

doi:10.1001/archotol.1985.00800050055006

Cited by 24 publications

(9 citation statements)

References 7 publications

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“…In treating these lesions, careful dissection of this tissue prior to the application of an appropriate pressure dressing must be carried out to prevent the deformity of cauliflower ear. Various types of pressure dressings have proved effective in preventing the reaccumulation of the hematoma, including compression sutures, 6,7 several types of cotton bolsters, 5,8 silicone rubber splints, 9 and a removable auricular stent. 3 …”

Section: Discussionmentioning

confidence: 99%

The Surgical Treatment of Traumatic Hematoma of the Auricle

O’Donnell

Mat

Eliezri

1999

Dermatologic Surgery

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Section: Discussionmentioning

confidence: 99%

The Surgical Treatment of Traumatic Hematoma of the Auricle

O’Donnell

Mat

Eliezri

1999

Dermatologic Surgery

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“…Unfortunately, this technique was not efficient, which was the reason why varied other techniques began to appear in medical journals. Some of these included the window operation (24), aspiration and plaster molding of the auricle (25), ultraviolet exposition (26), continuous portable vacuum drainage (27), button technique (28), and drainage and excision of the fibroneocartilage (29). The management of auricular hematoma has always been a challenge for physicians.…”

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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“…8,9,11 Treatment goals for the management of auricular hematoma include adequate removal of the hematoma, a simple and effective method of maintaining pressure to prevent reaccumulation of fluid, satisfactory aesthetics, appropriate follow-up, and minimal impact on patient activity. 1,7,13,14 In the case reported herein, several things were considered to achieve these goals. Based on the patient's underlying blood dyscrasia, it was considered imperative to maintain adequate pressure over a broad area to prevent reaccumulation of the hematoma.…”

Section: Commentmentioning

confidence: 99%

“…An incision was made to gain access to the hematoma because aspiration alone is seldom complete and is often associated with a reaccumulation of blood or seroma, even in the presence of a pressure dressing. 1,8,9,11,14,15 Also, in light of the patient's easy bruisibility and thrombocytopenia, it was thought that the potential for repeated aspirations represented a contraindication to this technique. The splint used in this case also fulfilled the treatment objectives of cosmesis and function.…”

Section: Commentmentioning

confidence: 99%