Mohamad Shwan H, Barnes Martyn, Jones Stephen, Mahendran Suresh
*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.
Clin J Sport Med. 2014 Nov;24(6):e65-7. doi: 10.1097/JSM.0000000000000095.
: 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.
本研究旨在描述一种使用纤维蛋白胶治疗耳廓血肿的新技术。采用该技术治疗了5例难治性耳廓血肿病例，其中包括2例复发性和3例延迟性病例。在皮肤准备和局部麻醉后，做一个切口，排空血肿，并用盐水冲洗腔隙。大量涂抹纤维蛋白胶；应用牙卷压力敷料并用普理灵珠缝线固定。给予患者口服抗生素疗程，并在5天后复查以去除外部敷料。随后对他们进行评估以排除血肿再次积聚。所有患者的血肿均完全消退，无再次积聚；他们对美容效果满意，且未出现并发症。该病例系列提供了证据表明纤维蛋白胶在治疗耳廓血肿方面是有效的。更大规模的研究可能会为这项新技术的有效性提供进一步的证据。
