MDT EAR Auricular Hematoma

Question 1

_______ refers to the accumulation of blood in the subperichondrial space, usually secondary to blunt trauma

Answer 1

Auricular hematoma

Question 2

The cartilage depends on the perichondrial blood vessels for viability. Any separation can result in what?

Answer 2

Necrosis

Question 3

The resultant deformed auricle has been referred to as ________
-which is commonly associated with Who?

Answer 3

Cauliflower ear

boxers and wrestlers

Question 4

What would you suspect from these issues?
(1) History of auricular trauma
(2) Edematous, fluctuant, and ecchymotic pinna with loss of normal cartilaginous
landmarks

Answer 4

Auricular Hematoma

Question 5

What are some DDX for Auricular hematoma?

Answer 5

(1) Relapsing Polychondritis
(2) Cellulitis of the auricle
(3) Auricular Laceration

Question 6

What labs would you do for auricular hematoma?

Answer 6

None needed

Question 7

How would dress this?
(1) History of auricular trauma
(2) Edematous, fluctuant, and ecchymotic pinna with loss of normal cartilaginous
landmarks

Answer 7

A dental roll or a firm sterile pledget can then be placed over the restored site with through-and-through sutures connected to a similar bolster on the
opposite side.

Question 8

How would you treat this?
(1) History of auricular trauma
(2) Edematous, fluctuant, and ecchymotic pinna with loss of normal cartilaginous
landmarks

Answer 8

-Local anesthesia
-Semicircular incision (using sterile technique) should be made through the skin with caution not to violate the underlying perichondrium
-Irrigations

Question 9

What antibiotics would you give for this after draining the hematoma?
(1) History of auricular trauma
(2) Edematous, fluctuant, and ecchymotic pinna with loss of normal cartilaginous
landmarks

Answer 9

Neomycin-bacitracin-polymyxin B (Neosporin)
Apply one application twice daily

Question 10

What is the goal of treatment for this after removing the fluid collection?
(1) History of auricular trauma
(2) Edematous, fluctuant, and ecchymotic pinna with loss of normal cartilaginous
landmarks

Answer 10

maintain pressure in the area for several days to prevent reaccumulation of fluid.

Question 11

True/False
A auricular hematoma pt needs prophylactic oral antibiotics

Answer 11

False
Patient DOES NOT need prophylactic oral antibiotics

Question 12

True/False
A non-pressure dressing with antibiotic ointment should then be applied.

Answer 12

True

Question 13

WHat is the goal of treatment