Okolugbo Ne
Department of Surgery, Delta State University, Abraka, Delta State, Nigeria.
Ann Med Health Sci Res. 2013 Jul;3(3):447-9. doi: 10.4103/2141-9248.117930.
Hematoma of the auricle which is a collection of blood beneath the perichondrial layer of the pinna usually poses a challenge to the otolaryngologist due to its high rate of recurrence after treatment and lack of appropriate material for use as stitch dressing especially, in the developing world. This is a Pilot study in which corrugated rubber drain was used as a stitch dressing after routine incision and drainage (I and D) in patients who presented with auricular hematoma.
To determine the effectiveness of corrugated rubber drain in the treatment of auricular hematoma.
A total of seven patients were seen within a 2 year period in an ENT Ear, nose and throat clinic. Two patients had simple I and D done, one patient had suturing of the auricle between improvised plastic material used for stitch dressing after I and D, while four patients had I and D done and subsequently, a corrugated rubber drain was used as the stitch dressing.
Two patients treated with simple I and D had recurrence of hematoma, the patient treated with improvised plastic material had pressure necrosis of areas of the pinna which however improved when dressing was removed as soon as symptoms were noticed 2 days post-operatively. Four patients who had I and D and subsequent use of rubber-drain as stitch dressing, had un-eventful recoveries.
Corrugated rubber tubing drains which are readily available in a developing country like ours has been found very useful as stitch dressing in the management of auricular hematoma.
耳廓血肿是耳廓软骨膜下的血液积聚，由于治疗后复发率高，且缺乏合适的材料用作缝线敷料，这对耳鼻喉科医生来说通常是一个挑战，尤其是在发展中国家。这是一项试点研究，在患有耳廓血肿的患者进行常规切开引流（I和D）后，使用波纹橡胶引流管作为缝线敷料。
确定波纹橡胶引流管在治疗耳廓血肿中的有效性。
在两年期间，耳鼻喉科诊所共诊治了7例患者。2例患者进行了单纯的切开引流，1例患者在切开引流后使用临时塑料材料进行耳廓缝合作为缝线敷料，而4例患者进行了切开引流，随后使用波纹橡胶引流管作为缝线敷料。
2例接受单纯切开引流治疗的患者血肿复发，使用临时塑料材料治疗的患者耳廓部分区域出现压迫性坏死，但在术后2天症状一出现就拆除敷料后情况有所改善。4例进行了切开引流并随后使用橡胶引流管作为缝线敷料的患者恢复顺利。
在我们这样的发展中国家很容易获得的波纹橡胶管引流管，已被发现作为缝线敷料在耳廓血肿的管理中非常有用。
