Management of Auricular Hematoma and the Cauliflower Ear

 

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ABSTRACT

Acute auricular hematoma is common after blunt trauma to the side of the head. A network of vessels provides a rich blood supply to the ear, and the ear cartilage receives its nutrients from the overlying perichondrium. Prompt management of hematoma includes drainage and prevention of reaccumulation. If left untreated, an auricular hematoma can result in complications such as perichondritis, infection, and necrosis. Cauliflower ear may result from long-standing loss of blood supply to the ear cartilage and formation of neocartilage from disrupted perichondrium. Management of cauliflower ear involves excision of deformed cartilage and reshaping of the auricle.

REFERENCES

• 1 Lee D, Sperling N. Initial management of auricular trauma.  Am Fam Physician. 1996;  53 2339-2344
  PubMedSearch in Google Scholar
• 2 Beahm E K, Walton R L. Auricular reconstruction for microtia: part I. Anatomy, embryology, and clinical evaluation.  Plast Reconstr Surg. 2002;  109 2473-2482, quiz 2482
  CrossrefPubMedSearch in Google Scholar
• 3 Park C, Lineaweaver W C, Rumly T O, Buncke H J. Arterial supply of the anterior ear.  Plast Reconstr Surg. 1992;  90 38-44
  CrossrefPubMedSearch in Google Scholar
• 4 Pandya N J. Experimental production of “cauliflower ear” in rabbits.  Plast Reconstr Surg. 1973;  52 534-537
  CrossrefPubMedSearch in Google Scholar
• 5 Ohlsén L, Skoog T, Sohn S A. The pathogenesis of cauliflower ear. An experimental study in rabbits.  Scand J Plast Reconstr Surg. 1975;  9 34-39
  CrossrefPubMedSearch in Google Scholar
• 6 Mudry A, Pirsig W. Auricular hematoma and cauliflower deformation of the ear: from art to medicine.  Otol Neurotol. 2009;  30 116-120
  CrossrefPubMedSearch in Google Scholar
• 7 Kelleher J C, Sullivan J G, Baibak G J, Dean R K. The wrestler's ear.  Plast Reconstr Surg. 1967;  40 540-546
  CrossrefPubMedSearch in Google Scholar
• 8 Cochran Jr J H. “How I do it”—otology and neurotology. A specific issue and its solution. Treatment of acute auricular hematoma.  Laryngoscope. 1980;  90(6 Pt 1) 1063-1064
  PubMedSearch in Google Scholar
• 9 Talaat M, Azab S, Kamel T. Treatment of auricular hematoma using button technique.  ORL J Otorhinolaryngol Relat Spec. 1985;  47 186-188
  CrossrefPubMedSearch in Google Scholar
• 10 Vuyk H D, Bakkers E J. Absorbable mattress sutures in the management of auricular hematoma.  Laryngoscope. 1991;  101 1124-1126
  PubMedSearch in Google Scholar
• 11 Eliachar I, Golz A, Joachims H Z, Goldsher M. Continuous portable vacuum drainage of auricular hematomas.  Am J Otolaryngol. 1983;  4 141-143
  CrossrefPubMedSearch in Google Scholar
• 12 Bull P D, Lancer J M. Surgeon's workshop. Treatment of auricular haematoma by suction drainage.  Clin Otolaryngol Allied Sci. 1984;  9 355-360
  PubMedSearch in Google Scholar
• 13 Giles W C, Iverson K C, King J D, Hill F C, Woody E A, Bouknight A L. Incision and drainage followed by mattress suture repair of auricular hematoma.  Laryngoscope. 2007;  117 2097-2099
  CrossrefPubMedSearch in Google Scholar
• 14 Roy S, Smith L P. A novel technique for treating auricular hematomas in mixed martial artists (ultimate fighters).  Am J Otolaryngol. 2010;  31 21-24
  CrossrefPubMedSearch in Google Scholar
• 15 Nahl S S, Kent S E, Curry A R. Treatment of auricular haematoma by silicone rubber splints.  J Laryngol Otol. 1989;  103 1146-1149
  PubMedSearch in Google Scholar
• 16 Quine S M, Roblin D G, Cuddihy P J, Tomkinson A. Treatment of acute auricular haematoma.  J Laryngol Otol. 1996;  110 862-863
  PubMedSearch in Google Scholar
• 17 Choung Y H, Park K, Choung P H, Oh J H. Simple compressive method for treatment of auricular haematoma using dental silicone material.  J Laryngol Otol. 2005;  119 27-31
  PubMedSearch in Google Scholar
• 18 Biedenbach P, Steehler K W, Anon J B. Management of auricular hematoma using aquaplast pressure dressing: operative techniques.  Otolaryngol Head Neck Surg. 1997;  8 114-115
  CrossrefPubMedSearch in Google Scholar
• 19 Henderson J M, Salama A R, Blanchaert Jr R H. Management of auricular hematoma using a thermoplastic splint.  Arch Otolaryngol Head Neck Surg. 2000;  126 888-890
  PubMedSearch in Google Scholar
• 20 Ghanem T, Rasamny J K, Park S S. Rethinking auricular trauma.  Laryngoscope. 2005;  115 1251-1255
  CrossrefPubMedSearch in Google Scholar
• 21 Jones S E, Mahendran S. Interventions for acute auricular haematoma.  Cochrane Database Syst Rev. 2004;  (2) CD004166
  PubMedSearch in Google Scholar
• 22 Vogelin E, Grobbelaar A O, Chana J S, Gault D T. Surgical correction of the cauliflower ear.  Br J Plast Surg. 1998;  51 359-362
  CrossrefPubMedSearch in Google Scholar
• 23 Yotsuyanagi T, Yamashita K, Urushidate S, Yokoi K, Sawada Y, Miyazaki S. Surgical correction of cauliflower ear.  Br J Plast Surg. 2002;  55 380-386
  CrossrefPubMedSearch in Google Scholar

Howard KreinM.D. Ph.D. 

Assistant Professor, Department of Otolaryngology–Head and Neck Surgery, Thomas Jefferson University

925 Chestnut Street, Philadelphia, PA 19107

Email: howard.krein@jefferson.edu