Traumatic auricular hematoma
Moncef Sellami, Abdelmonem Ghorbel
The Pan African Medical Journal. 2017;26:148. doi:10.11604/pamj.2017.26.148.11372

Create an account  |  Sign in
PAMJ Conf Proceedings PAMJ Conf Proceedings
"Better health through knowledge sharing and information dissemination "

Images in medicine

Traumatic auricular hematoma

Cite this: The Pan African Medical Journal. 2017;26:148. doi:10.11604/pamj.2017.26.148.11372

Received: 08/12/2016 - Accepted: 19/02/2017 - Published: 15/03/2017

Key words: Pinna, hematoma, trauma

© Moncef Sellami et al. The Pan African Medical Journal - ISSN 1937-8688. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Available online at: http://www.panafrican-med-journal.com/content/article/26/148/full

Corresponding author: Moncef Sellami, Department of Otorhinolaryngology-Head and Neck Surgery Habib Bourguiba University Hospital, Sfax 3029, Tunisia (sellami_moncef@yahoo.fr)


Traumatic auricular hematoma

Moncef Sellami1,&, Abdelmonem Ghorbel1

 

1Department of Otorhinolaryngology-Head and Neck Surgery Habib Bourguiba University Hospital, Sfax, Tunisia

 

 

&Corresponding author
Moncef Sellami, Department of Otorhinolaryngology-Head and Neck Surgery Habib Bourguiba University Hospital, Sfax 3029, Tunisia

 

 

Image in medicine    Down

Auricular hematoma is a frequent complication of blunt trauma to the auricle. These are usually caused by sports such as boxing and wrestling. Hematoma formation is within the space between perichondrium and cartilage on the anterior ear. Because the blood supply to cartilage is dependent on the perichondrium, infection and cartilaginous necrosis often complicate untreated auricular hematomas. If auricular hematoma is not treated properly, it can progress to abscess formation, chronic scarring and fibrous organization with ear deformity "cauliflower" due to a stimulation of mesenchymal cells in the perichondrion to produce a new cartilage. After incision and evacuation of the fluid, a pressure dressings is traditionally applied to prevent reaccumulation in the resultant dead space. Optimal immobilization of the skin over underlying cartilage for 7-10 days prevent the reaccumulation of fluid with subsequent thickening and fibrosis. We report a case of a 40-year-old football coach presented to the Emergency Department with a painless right ear swelling occurred after auricular trauma during training. The clinical examination showed a right fluctuant non-inflammatory swelling of the lateral face of the pinna. Otoscopy and retroauricular region were normal. The needle puncture brought a serohematic fluid and the diagnosis of auricular hematoma was made. The collection was drained via a double anterior incision under local anesthesia and a tie through dressing was used. After 10 days, the sutures and tie through dressing were removed. One year after the operation, the ear appeared almost normal.

 

 

Figure 1: (A) the clinical examination shows a right fluctuant non-inflammatory swelling of the lateral face of the pinna; (B) the needle puncture brought a serohematic fluid

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 


The Pan African Medical Journal articles are archived on Pubmed Central. Access PAMJ archives on PMC here

Volume 27 (May - August 2017)

Article tools

PDF in process
Log in to comment
Contact the corresponding author
Download to Citation Manager
EndNote
Reference Manager
Zotero
BibTex
ProCite


This article authors

On Pubmed
On Google Scholar

Navigate this article

Rate this article

Altmetric

Popular articles in Images in medicine

PAMJ is a member of the Committee on Publication Ethics

PAMJ is published in collaboration with the African Field Epidemiology Network (AFENET)
Currently tracked by: DOAJ, AIM, Google Scholar, AJOL, EBSCO, Scopus, Embase, IC, HINARI, Global Health, PubMed Central, PubMed/Medline, Ulrichsweb, More to come . Member of COPE.

ISSN: 1937-8688. © 2017 - Pan African Medical Journal. All rights reserved