Iverson scrutinized outcomes among patients who were treated three difference methods of treating auricular hematomas: In his retrospective five-year chart review covering the period from September 2001 to September 2006, Mr. Incision and drainage followed by drain placement, button compression with through-and-through sutures thermal plastic splinting dental roll bolsters with mattress sutures. Needle aspiration followed by casting or molding or use of absorbable mattress sutures. “It is very painful and has poor cosmetic results.”Ī number of other procedures have also been tried with varying degrees of success, Mr. “Repeated needling was one of the earlier methods employed in the treatment of auricular hematoma,” he said. He said that treatment options in the past have been less than optimal. With the space compressed, the recurrence of the hematoma is thwarted, he suggested. The elimination of dead space is accomplished through a compression method. Evacuation of the hematoma also allows for the stimulation of perichondrial mesenchymal cells. The goal of treatment, he said, is to evacuate the hematoma in order to remove the nidus for neocartilage formation. He said that patients often exhibit what appears to be a disproportionate amount of pain.
Iverson said the diagnosis is made on the observation of the loss of landmarks to the injured ear, due to swelling.
“It is a relatively simple technique it has a low recurrence rate and has desirable cosmetic outcome,” he said. He said his chart review study showed that incision and drainage with absorbable mattress sutures is a superior technique to other methods. “Auricular hematomas require early and effective management,” Mr. “Complications that can arise from these injuries include infection, cartilage necrosis, and the dreaded cauliflower ear,” he said in an oral presentation. Kenneth Iverson, BS, a medical student at the University of South Carolina School of Medicine in Columbia, said that hematomas form in the ears generally due to blunt trauma-the kind of trauma that is associated with contact sports injuries, accidents, or barroom discussions gone bad.
0 kommentar(er)
