Original article | Volume 26, Article 148, 15 Mar 2017 | 10.11604/pamj.2017.26.148.11372

Traumatic auricular hematoma

Moncef Sellami, Abdelmonem Ghorbel

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

Received: 08 Dec 2016 - Accepted: 19 Feb 2017 - Published: 15 Mar 2017

Domain: Clinical medicine

Keywords: Pinna, hematoma, trauma

©Moncef Sellami et al. Pan African Medical Journal (ISSN: 1937-8688). This is an Open Access article distributed under the terms of the Creative Commons Attribution International 4.0 License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Cite this article: Moncef Sellami et al. Traumatic auricular hematoma. Pan African Medical Journal. 2017;26:148. [doi: 10.11604/pamj.2017.26.148.11372]

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

Home | Volume 26 | Article number 148

Original article

Traumatic auricular hematoma

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

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Original article

Traumatic auricular hematoma

Original article

Traumatic auricular hematoma

Original article

Traumatic auricular hematoma

Volume 41 (Jan - Apr 2022)
This article authors
On Pubmed
On Google Scholar
Citation [Download]
Zotero
EndNote XML
Reference Manager
BibTex
ProCite

Navigate this article
Similar articles in
Key words

Pinna

Hematoma

Trauma

Article metrics
Countries of access