How do you fix auricular hematoma?

Auricular hematomas are treated by either needle aspiration or incision and drainage. Both techniques should be performed under sterile conditions after adequate analgesia with either a regional auricular block or local infiltration.

What causes auricular hematoma?

Physical trauma is the most common cause of auricular hematoma. Repeated injuries to the ear are the most common reasons for the formation of ear hematoma. Injuries to the auricle are common because of its exposed position and lack of protection from the surrounding structures.

What is the common name for auricular hematoma?

An auricular hematoma is a collection of blood underneath the perichondrium of the ear and typically occurs secondary to trauma. Auricular deformity, commonly known as “cauliflower ear” is the result of untreated or inadequately treated auricular hematoma.

How long does auricular hematoma take to heal?

Recommend your patient to follow up in 24-48 hours to evaluate for hematoma reaccumulation. Typically the compression dressing must stay until ear is fully healed, which can be anywhere from 7-10 days or more.

When should a hematoma be drained?

Sometimes, a hematoma may require surgical drainage. Surgery may be more likely if the blood is putting pressure on the spinal cord, brain, or other organs. In other cases, doctors may want to drain a hematoma that is at risk of infection.

How do you drain an ear hematoma?

Gently separate the skin and overlying perichondrium from the hematoma and underlying cartilage using the hemostat or other tool. Evacuate the hematoma completely. Irrigate the hematoma pocket with sterile normal saline. Dry the area using gauze.

Is an ear hematoma an emergency?

While a hematoma isn’t an emergency, it should be addressed as soon as possible. Faster treatment will minimize scar formation and prevent the discomfort of pressure and a heavy ear flap.