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Open surgical management of auricular haematoma: incision, evacuation and mattress sutures

Published online by Cambridge University Press:  21 May 2015

M Shakeel ,
V Vallamkondu ,
R Mountain  and
A Hussain
M Shakeel
Affiliation:
Department of Otolaryngology–Head and Neck Surgery, Ninewells Hospital, Dundee, Scotland, UK
V Vallamkondu
Affiliation:
Department of Otolaryngology–Head and Neck Surgery, Aberdeen Royal Infirmary, Scotland, UK
R Mountain
Affiliation:
Department of Otolaryngology–Head and Neck Surgery, Ninewells Hospital, Dundee, Scotland, UK
A Hussain*
Affiliation:
Department of Otolaryngology–Head and Neck Surgery, Aberdeen Royal Infirmary, Scotland, UK
*
Address for correspondence: Mr A Hussain, Department of Otolaryngology–Head and Neck Surgery, Ward 210, Level 5, Aberdeen Royal Infirmary, Aberdeen, Scotland, UK Fax: +441224554569 E-mail: [email protected]
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Abstract

Objective:

A large variety of techniques have been used for auricular haematoma management. The open surgical management of auricular haematoma involves incision, evacuation and the obliteration of dead space using biodegradable mattress sutures. Our goal was to describe open surgical management for primary, recurrent and spontaneous auricular haematoma.

Methods:

Auricular haematoma patients who underwent open surgical management were prospectively audited (2010–2013). Information was collected on demographics, clinical presentation, aetiology, examination findings, previous interventions, details of open surgical management and post-operative follow up.

Results:

In all, 12 male and 3 female patients with a mean age of 33 years (range 16–86 years) were evaluated. Contact sport injury was the most common aetiology. Ten patients had undergone previous unsuccessful interventions to treat auricular haematoma before open surgical management was performed. All patients were managed successfully without significant recurrence. One patient had a minor local reaccumulation which required reinsertion of a mattress suture. One elderly patient developed localised cellulitis which responded well to antibiotics.

Conclusion:

Open surgical management of auricular haematoma has been successful. The technique is simple and reliable, and can be accomplished in a clinical setting under local anaesthesia.

Keywords

Ear AuricleDeformitiesHematomaSurgeryDrainage
Type
Short Communications
Information
The Journal of Laryngology & Otology , Volume 129 , Issue 5 , May 2015 , pp. 496 - 501
Copyright
Copyright © JLO (1984) Limited 2015 

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Footnotes

Presented as a podium talk at the 54th annual conference of the Irish Otolaryngology–Head and Neck Society, 11–12 October 2013, Cong, Co. Mayo, Ireland, and at the Winter ENT Scotland meeting, 29 November 2013, Stirling, Scotland, UK.

References

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