From the Research
Management of a forehead hematoma involves initial application of cold compresses for 15-20 minutes every 1-2 hours during the first 24-48 hours to reduce swelling and pain. Gentle pressure can help limit bleeding. Over-the-counter pain medications like acetaminophen (Tylenol) at 325-650 mg every 4-6 hours or ibuprofen (Advil, Motrin) at 400-600 mg every 6-8 hours can manage pain and inflammation, but avoid aspirin as it may increase bleeding 1. After 48 hours, switch to warm compresses to promote healing. Most forehead hematomas resolve spontaneously within 1-2 weeks. Medical attention is necessary for severe pain, vision changes, confusion, persistent headache, or if the hematoma is rapidly expanding, as these may indicate a more serious injury like a skull fracture or intracranial bleeding. For children, closer monitoring is recommended as they may have difficulty communicating symptoms. The body naturally reabsorbs the collected blood over time through phagocytosis and enzymatic breakdown, with the bruise changing colors from red-purple to green-yellow as healing progresses. It's worth noting that the use of NSAIDs, such as ibuprofen, has been studied in the context of perioperative bleeding, and a systematic review and meta-analysis found no significant increase in the risk of bleeding complications 1. However, the provided evidence does not directly address the management of forehead hematomas, and the recommendations are based on general principles of wound care and pain management. In the absence of specific guidelines, it is essential to prioritize caution and monitor patients closely for any signs of complications. The studies provided, such as 2, 3, 4, and 5, do not offer direct guidance on the management of forehead hematomas, but they do highlight the importance of considering the risk of infection and bleeding in patients with various conditions. Ultimately, the management of a forehead hematoma should focus on reducing swelling and pain, promoting healing, and monitoring for potential complications.