Department of Otolaryngology, Massachusetts Eye and Ear Infirmary, Boston, Massachusetts 02114, USA.
Laryngoscope. 2012 Jun;122(6):1235-7. doi: 10.1002/lary.23288. Epub 2012 Mar 22.
OBJECTIVES/HYPOTHESIS: The objectives were to describe our experience with a bolsterless technique for the management of auricular hematomata and discuss the management options for auricular hematomata and the comparative benefits of the bolsterless technique.
Retrospective case series.
Patients presented with recurrent auricular hematomata following traditional treatment with incision and drainage and bolster placement. Revision incision and drainage were performed, and then auricular skin was stabilized using through-and-through absorbable horizontal mattress sutures. Patients were seen in follow-up to evaluate for recurrence and assess cosmetic results.
Twenty-eight patients were treated for recurrent auricular hematomata using the bolsterless technique. There were no recurrences in follow-up, and cosmetic results were judged to be excellent by both patient and surgeon.
Bolsterless management for auricular hematomata using absorbable mattress sutures has been described intermittently in the otolaryngology literature since 1991 but is not widely utilized. In this series, patients presenting with recurrent auricular hematomata following failure of traditional bolster management were effectively managed with the bolsterless technique. This technique is well tolerated by patients and allows for early return to athletic activity.
目的/假设：目的是描述我们在处理耳廓血肿时使用无支撑技术的经验，并讨论耳廓血肿的处理选择以及无支撑技术的比较优势。
回顾性病例系列。
患者在传统的切开引流和填塞治疗后出现复发性耳廓血肿。进行了修正切开引流，然后使用贯穿式可吸收水平褥式缝线稳定耳廓皮肤。对患者进行随访以评估复发情况并评估美容效果。
28 例患者采用无支撑技术治疗复发性耳廓血肿。随访中无复发，患者和外科医生均认为美容效果极佳。
自 1991 年以来，耳鼻喉科文献中间歇性地描述了使用可吸收褥式缝线的无支撑管理耳廓血肿的方法，但并未广泛应用。在本系列中，传统填塞治疗失败后出现复发性耳廓血肿的患者通过无支撑技术得到了有效治疗。该技术患者耐受性良好，可及早恢复运动活动。
