A new technique using fibrin glue in the management of auricular hematoma.
: This study aims to describe a new technique for the management of auricular hematoma using fibrin glue. Five difficult cases of auricular hematoma were managed using this technique, including 2 recurrent and 3 delayed presentations. After skin preparation and local anesthetic, an incision was made, the hematoma was evacuated, and the cavity was washed out with saline. Fibrin glue was applied liberally; a dental roll pressure dressing was applied and secured with a prolene bead suture. The patients were given a course of oral antibiotic and reviewed after 5 days for removal of the external dressing. They were later assessed to exclude re-accumulation of the hematoma. All patients had complete resolution of the hematoma without re-accumulation; they were satisfied with the cosmetic results and experienced no complications. This case series provides evidence that fibrin glue is effective in the management of auricular hematoma. Larger studies may provide further evidence of the effectiveness of this new technique.
*ENT Department, Monklands Hospital, North Lanarkshire, United Kingdom; †ENT Department, Rhinology and Anterior Skull Base Fellow, North Shore Hospital, Auckland, Australia; ‡ENT Consultant, ENT Department, Ninewells Hospital, Dundee, Scotland; and §ENT Consultant, ENT Department, St Andrew's Hospital, Toowoomba, Australia.
Shwan H
SH
Mohamad
Martyn
M
Barnes
Stephen
S
Jones
Suresh
S
Mahendran
D000293:Adolescent; D000328:Adult; D003131:Combined Modality Therapy; D054644:Ear Auricle / Q000601:surgery; D004427:Ear Diseases / Q000188:drug therapy* / Q000601:surgery; D015718:Fibrin Tissue Adhesive / Q000627:therapeutic use*; D006406:Hematoma / Q000188:drug therapy* / Q000601:surgery; D006490:Hemostatics / Q000627:therapeutic use*; D006801:Humans; D008297:Male; D012008:Recurrence; D013536:Suture Techniques
D015718:Fibrin Tissue Adhesive; D006490:Hemostatics