Aural haemotoma

AURAL HAEMOTOMA

Etiology

  • Causes are inflammations, parasites, allergy, and foreign bodies common physical injury of the ear flap, self inflicted by scratching and head shaking

Symptoms

  • Swelling of the flap is more evident on the concave surface

Treatment

  • Conservative therapy
  • Simple aspiration 2 – 3 times weekly
    • Aspiration may be combined with the daily systemic administration of proteolytic enzymes is an attempt to liquefy the blood clot. Protective bandage in the form of pressure bandages. Recurrence is the major disadvantage.
  • Surgical incision for drainage and obliteration of the dead space
  • Aseptic incision in the form of straight, S shaped or cruciate are placed to open and remove the blood clots.
 haematoma_incising haematoma_ear_incision   haematoma_drained
  • Suturing is done  to oblitrate the dead space eiether by through and through matteress suture or partial thickness suture on the inner side of the pinna .
  • Application of enough pressure by application of bandage to maintain the tissue in position so that scarring is minimal. Best results are obtained if surgery is performed in 3-4  days after the formation of the haematoma.

Last modified: Tuesday, 5 June 2012, 7:05 AM