{"id":596,"date":"2009-03-25T15:47:01","date_gmt":"2009-03-25T22:47:01","guid":{"rendered":"http:\/\/wp.onegoodcookie.com\/?p=596"},"modified":"2013-03-20T18:16:45","modified_gmt":"2013-03-20T22:16:45","slug":"cauliflower-ear-hematoma","status":"publish","type":"post","link":"https:\/\/insidesurgery.com\/2009\/03\/cauliflower-ear-hematoma\/","title":{"rendered":"Cauliflower Ear – Treatment of Auricular Hematoma"},"content":{"rendered":"

Indications for Cauliflower Ear Treatment<\/h4>\n

Cauliflower ear results from bleeding into the cartilage of the ear, usually from trauma.<\/p>\n

\"cauliflower<\/div>\n

Surgical Details of Procedure<\/h4>\n

1. The ear surface is swabbed with a non-chlorhexidine<\/a> antiseptic.<\/p>\n

2. A medium gauge needle (e.g., #18) on a 5-10 cc syringe is inserted into the hematoma while the surgeon aspirates.<\/p>\n

3. An antibiotic impregnated dressing is placed over the area of aspiration and secured with tape of collodion soaked gauze.<\/p>\n

4. Close observation is made to insure hematoma does not reaccumulate<\/p>\n

5. A second aspiration may be attempted in the face of a recurring hematoma.<\/p>\n

6. If the hematoma again reaccumulates, one or two mattress sutures with pledgits can be placed through the scapha to allow chronic drainage.<\/p>\n

7. If the hematoma is not adequately drained or ignored, fibrous deposits will appear in the ear cartilage requiring a surgical procedure.<\/p>\n

8. An curvilinear incision is made with a No. 15 scalpel along the medial and\/or lateral border of the antihelix depending on where the fibrous deposits are located.<\/p>\n

9. Skin flaps are raised using sharp dissection with care taken not to lacerate or tear the skin.<\/p>\n

10. The No. 10 blade is used to shave the fibrous deposits until all excess tissue has been removed.<\/p>\n

11. Meticulous attention to hemostasis (i.e., stopping the bleeding) is required to prevent another hematoma (clot) from forming.<\/p>\n

12. If needed a small drain can be placed under the skin flaps.<\/p>\n

13. The skin is then reapproximated with interrrupted 6-0 nylon sutures.<\/p>\n","protected":false},"excerpt":{"rendered":"

Indications for Cauliflower Ear Treatment Cauliflower ear results from bleeding into the cartilage of the ear, usually from trauma. Surgical Details of Procedure 1. The ear surface is swabbed with a non-chlorhexidine antiseptic. 2. A medium gauge needle (e.g., #18) on a 5-10 cc syringe is inserted into the hematoma while the surgeon aspirates. 3. […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"_genesis_hide_title":false,"_genesis_hide_breadcrumbs":false,"_genesis_hide_singular_image":false,"_genesis_hide_footer_widgets":false,"_genesis_custom_body_class":"","_genesis_custom_post_class":"","_genesis_layout":"","footnotes":""},"categories":[56],"tags":[5540,5032,5541,5286,5539,4387],"yoast_head":"\nCauliflower Ear - Treatment of Auricular Hematoma - InsideSurgery Medical Information Blog<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/insidesurgery.com\/2009\/03\/cauliflower-ear-hematoma\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Cauliflower Ear - Treatment of Auricular Hematoma - InsideSurgery Medical Information Blog\" \/>\n<meta property=\"og:description\" content=\"Indications for Cauliflower Ear Treatment Cauliflower ear results from bleeding into the cartilage of the ear, usually from trauma. 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