From the Research
The treatment for auricular hematoma involves prompt drainage of the collected blood followed by compression to prevent reaccumulation, with the most effective method being incision and drainage followed by through-and-through absorbable mattress sutures, as supported by the most recent study 1. The procedure typically begins with cleaning the ear with antiseptic solution, followed by local anesthesia using 1-2% lidocaine. A small incision is made at the site of the hematoma, and the blood is completely drained. After drainage, compression is essential and can be achieved using dental rolls or cotton bolsters placed on both sides of the ear, secured with through-and-through sutures for 7-10 days. Alternatively, pressure dressings or specialized auricular compression devices may be used. Some key points to consider in the treatment of auricular hematoma include:
- The use of antibiotics such as fluoroquinolones in adults or amoxicillin-clavulanate in children to prevent infection, as recommended by 1
- The importance of follow-up within 24-48 hours to check for reaccumulation, as emphasized by 1
- The need for patients to keep the ear dry and avoid contact sports for at least 2 weeks, as suggested by 1
- The potential complications of untreated auricular hematomas, including "cauliflower ear," a permanent deformity resulting from cartilage necrosis and fibrosis, as noted by 2, 3, 1 Overall, the goal of treatment is to prevent reaccumulation of the hematoma, promote healing, and minimize the risk of complications, with the most recent and highest quality study 1 providing the best guidance on the most effective treatment approach.