From the Guidelines
Management of ear canal lacerations should prioritize immediate cleaning, bleeding control, and antibiotic application to prevent infection, with referral to an otolaryngologist for moderate to severe cases. When managing ear canal lacerations, it is essential to consider the potential complications, such as infection, hematoma formation, or canal stenosis, as noted in the context of ear piercings and trauma 1. For minor lacerations, cleaning the area gently with sterile saline or a mild antiseptic solution is recommended. Applying direct pressure with sterile gauze to control bleeding and then applying antibiotic ointment, such as bacitracin or polymyxin B-bacitracin-neomycin (Neosporin), can help prevent infection.
Key Considerations
- Cleaning and dressing the wound
- Controlling bleeding
- Applying antibiotic ointment
- Pain management with acetaminophen or ibuprofen
- Keeping the ear dry for 7-10 days
- Avoiding insertion of objects into the ear canal
Referral and Follow-Up
For moderate to severe lacerations, especially those involving the deeper canal or tympanic membrane, immediate referral to an otolaryngologist is necessary, as these may require specialized repair, debridement, or packing 1. Follow-up should occur within 48-72 hours to assess healing and rule out complications. The management approach should be cautious, considering the potential for complications like auricular perichondritis and perichondrial abscess, which can occur after ear piercings and may be relevant in the context of lacerations 1.