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Auricular Hematoma


Presentation

  • RESULTS: Twenty-two patients were found to present with auricular hematoma. One patient was lost to follow-up. Twenty-eight treatments were performed on 23 ears.[ncbi.nlm.nih.gov]
  • The authors present a case of recurrent auricular hematoma and review its pathophysiology and current therapy.[ncbi.nlm.nih.gov]
  • Criteria for enrollment included acute auricular hematoma of at least 2 cm in size with occurrence no greater than 3 weeks before presentation, and no overt signs of infection.[ncbi.nlm.nih.gov]
  • Five difficult cases of auricular hematoma were managed using this technique, including 2 recurrent and 3 delayed presentations.[ncbi.nlm.nih.gov]
  • We present five clinical cases of patients who underwent cardiac surgery and presented atrial hematoma, right atrial in four and left atrial in one. All were diagnosed by transesophageal echocardiography.[mendeley.com]
Chills
  • Specific questions which are important to ask are recent trauma, pain/tenderness of ear, previous occurrences, fevers/chills, drainage from ears, change in hearing, immunosuppression, diabetes, blood-thinning medications, and hypertension.[statpearls.com]
Severe Pain
  • A 20-year-old male was admitted to our hospital complaining of swelling and severe pain in his left auricle. Based on ENT examination, he was diagnosed as having auricle hematoma and perichondritis with auricular cartilage fracture.[ci.nii.ac.jp]
  • The patient who had I and D and stitch dressing with improvised plastic material presented with severe pains and areas of pressure necrosis in the pinna after 24 h, the stitch dressing was immediately removed and wound dressing was commenced.[amhsr.org]
Noncompliance
  • Conventional pressure dressings applied over the auricle make it impossible for the athlete to continue to train and to compete, resulting in a high degree of noncompliance.[ncbi.nlm.nih.gov]
Soft Tissue Swelling
  • Small blood vessels burst under the suddenly increased pressure, creating a bruise affect with purple discoloration and soft tissue swelling.[cornerstoneent.com]
Chest Pain
  • CME FOR EMDOCS VIA FOAMBASE Get Continuing Medical Education (CME) credit for the Free Open Access Meducation (FOAM) you already consume Popular Recent Comments FROM THE ARCHIVES ECG Pointers: A Paced STEMI EM Beats by Doge: Chest Pain Plus Normal Lactate[emdocs.net]
Angioedema
  • In addition to infectious causes, antecedent trauma, and bleeding complications, angioedema should also be considered. Although rare, acute non-traumatic auricular hematomas need urgent surgical intervention if they are large.[ncbi.nlm.nih.gov]
Facial Swelling
  • Some of the common symptoms include: Swelling and bruising of the ear Ear pain that may be mild to severe Abnormality or changes in the normal curvature of the ear Facial swelling In severe cases, the facial trauma may also cause other accompanying symptoms[medindia.net]
Psychiatric Manifestation
  • Acknowledgment as a psychiatric manifestation Before the end of World War I, the historical acknowledgment as a psychiatric manifestation has been said to be of importance to technological and scientific data in psychiatric research today. 10.[thrombocyte.com]
Meningism
  • Dangerous complications include osteomyelitis, orbital/intracranial abscess, meningitis, and cavernous sinus thrombosis PEARL: if unable to visualize a hematoma, use a gloved finger to palpate the septum for a bulging/fluctuance Incise, Drain with sxn[slideshare.net]
Neglect
  • Auricular hematoma, if neglected, results in deformities of the outer ear; the deformed ear is called cauliflower ear.[medindia.net]

Workup

  • The patient also underwent an immunologic workup that included measurements of antinuclear antibody, rheumatoid factor, erythrocyte sedimentation rate, and a complete blood count, all of which were normal. Figure 2.[shahfacialplastics.com]

Treatment

  • Twenty-eight treatments were performed on 23 ears.[ncbi.nlm.nih.gov]
  • We performed this treatment on an outpatient basis without hospitalization.[ncbi.nlm.nih.gov]
  • Traditional treatment by incision and drainage, and compression dressing technique may be inadequate in the setting of recurrent or chronic hematoma.[ncbi.nlm.nih.gov]
  • By highlighting the clinical features and treatments, the provider can be more alert to recognize and promptly treat this clinical entity.[ncbi.nlm.nih.gov]
  • […] opposite site ear after six month of treatment.[ijorl.com]

Prognosis

  • Abstract Auricular hematoma is not rare condition and its prognosis has been considered to be good in Japanese textbooks. Recurrence of the hematoma, however, frequently occurs by use of simple aspiration or incision, and a pressure dressing.[jstage.jst.go.jp]
  • Auricular hematoma is not a rare disease, and its prognosis is usually good.[ci.nii.ac.jp]

Etiology

  • 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.[journals.lww.com]
  • If the hematoma is of uncertain of etiology of ear swelling/pain, referral should be made. Proper referral to ENT or plastic surgery post-treatment.[statpearls.com]
  • If hematoma is of uncertain of etiology of ear swelling/pain, referral should be made. Proper referral to ENT or plastic surgery post treatment.[ncbi.nlm.nih.gov]

Epidemiology

  • An epidemiologic study of injuries in elite wrestling. Korean J Sport Sci 2005;16:10–17. MeSH Terms[synapse.koreamed.org]
  • It is most commonly secondary to contact sports such as wrestling, boxing, and martial arts.[1] Epidemiology The exact epidemiology has not been well studied.[statpearls.com]
Sex distribution
Age distribution

Pathophysiology

  • The authors present a case of recurrent auricular hematoma and review its pathophysiology and current therapy.[ncbi.nlm.nih.gov]
  • Wrestler's ear: pathophysiology and treatment. Ann Plast Surg 1992;28:131–139. 7. Giffin CS. The wrestler's ear (acute auricular hematoma). Arch Otolaryngol 1985;111:161–164. 8. Jones SE, Mahendran S. Interventions for acute auricular haematoma.[synapse.koreamed.org]
  • It was only in the 1970’s when the pathophysiology which results in cauliflower ear was recognized as an accumulation of blood in the subperichondrial space of the pinna.[nuemblog.com]
  • In a survey of college wrestlers, the incidence of auricular hematoma was found to be 52% for those refusing to wear headgear versus 26% who wore ear protection.[4] This places them at a higher risk of developing cauliflower ear.[5] Pathophysiology The[statpearls.com]

Prevention

  • Of course, one of the most common ways is to use thermoplastic splints, which prevent blood from re-accumulating within the ear.[drmonhian.com]
  • Prevention for cauliflower ear Because cauliflower ear is primarily caused by repeated friction and trauma to the ear, the condition can be prevented through the use of protective head gear.[sportsmd.com]
  • Herein, we review the pathogenesis of auricular hematoma, describe the various treatment modalities, and report a case in which a thermoplastic splint was used to prevent recurrence of hematoma in a patient with immune thrombocytopenic purpura.[ncbi.nlm.nih.gov]
  • The doctor may prescribe antibiotics after the procedure to prevent an infection. Injury Prevention In sports that allow headgear such as wrestling and rugby, it is important that the athletes wear their headgear at all times.[sportsmedtoday.com]
  • We injected OK-432 solution into the lesion with a 27-gauge needle to prevent the leak of the agent out of the hematoma. We performed this treatment on an outpatient basis without hospitalization.[ncbi.nlm.nih.gov]

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