Hematoma of the Auricle - Yola：耳廓血肿-约拉.ppt

Hematoma of the Auricle Beth Burlage Normal Auricle Definition Hematoma - a mass of usually clotted blood that occurs in a tissue, organ or body space as a result of a broken blood vessel, in this case, on the auricle Causes Auricular hematomas can occur due to blunt trauma to the auricle; commonly among athletes such as football players or wrestlers The underlying pathophysiology of the hematoma is due to the separation of the perichondrial tissue from the cartilage in the ear. This causes tearing of the blood vessels in the tissue Examples Some kid Some rat Diagnosis History Visual Inspection Report of pain Treatment The blood may reabsorb on its own If not, medical treatment should be sought The goal of treatment is: To completely drain the blood of the lesion To prevent re-accumulation Two routes: Needle Aspiration Incision and Drainage Needle Aspiration Commonly used, no longer recommended due to frequency of recurrence An 18/20 gauge needle is used to aspirate blood from the area that appears to be most filled with blood Patient then must hold cotton to ear for 20 minutes to absorb the blood and fluid Incision and Drainage A small cut is made on the hematoma along a natural landmark of the ear Skin and perichondial tissue is pulled back, and the hematoma is sucked out Consequences If left untreated (unabsorbed) : A hematoma in this area can lead to the formation of new cartilage This new cartilage can cause a deformity of the ear commonly known as “Cauliflower Ear” This is mostly a cosmetic condition and can only be treated with surgery However, continued growth can continue into the ear canal and may cause a conductive loss Cauliflower Ear Hematoma and Hearing Loss The initial hematoma will not cause hearing loss However, the impact of the blow can cause other damage to the ear, causing hearing loss Some sources cite that pressure can build on the ear and cause the TM to rupture Prevention Prevention is simple: If involved in contact sports,