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FACP. Colegio de médicos de Tarragona Nº 4305520 / fgcapriles@gmail.com

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Cranial Nerve VI Palsy Emergency

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miércoles, 27 de julio de 2016

Auricular Hematoma Drainage

NU EM - Author: Berg A - Edited by: Byrne E - Expert Commentary: Beach C
Citation: [Peer-Reviewed, Web Publication] Berg A, Byrne E (2016, July 26). Simple Steps To Auricular Hematoma Drainage [NUEM Blog. Expert Commentary by Beach C]. Retrieved from http://www.nuemblog.com/blog/auricular-hematoma/
"Pearls
  • The term “cauliflower ear” is based on the fact that the pressure, scarring and neocartilage formation at the site of the clot creates a deformity similar to the appearance of a cauliflower. 
  • It is imperative to recognize an auricular hematoma! Early treatment of this condition will prevent permanent disfigurement and improve cosmetic outcomes. Necrosis begins within 24 hours.
  • Advise your patient to avoid contact sports until the ear has healed completely as the hematoma can reaccumulate if reinjured. 
  • Remember to place dressing both posterior and anterior to the ear to maintain pressure to prevent re-accumulation. 
  • If the injury occurred greater than 7 days after the trauma, refer your patient to an ENT for repair as the patient’s ear may require debridement. 
  • Instruct your patient to inspect the wound frequently to return for signs of vascular compromise or infection."