Department of Otolaryngology-Head and Neck Surgery, Feinberg School of Medicine, Chicago, Illinois, U.S.A.
Laryngoscope. 2020 Mar;130(3):628-631. doi: 10.1002/lary.28310. Epub 2019 Oct 17.
OBJECTIVES/HYPOTHESIS: To review an institutional experience with auricular hematoma across all clinical settings including the emergency department (ED) and outpatient clinics at an urban tertiary care academic hospital, characterize practice patterns across setting and specialty, and assess for factors predictive of treatment success.
Patients presenting to the ED, admitted to an inpatient ward, or seen in the outpatient setting between 2000 and 2017 with a diagnosis of auricular hematoma were reviewed. A number of relevant patient features including demographic factors, medications, and social risk factors were analyzed, as were several factors related to the presentation and management of the hematoma to identify variables of clinical significance.
A total of 87 individual cases were identified. Auricular hematomas most commonly occurred in males after sports-related trauma (e.g., martial arts, wrestling, boxing). Factors associated with lower rates of recurrence included initial treatment by or in consultation with an otolaryngologist and application of a bolster dressing.
In our cohort, initial management of auricular hematoma by an otolaryngologist or with an otolaryngology consultation and placement of a bolster dressing was associated with lower rates of hematoma recurrence.
2b Laryngoscope, 130:628-631, 2020.
目的/假设：回顾一家市级三级保健学术医院在所有临床环境（包括急诊科 [ED] 和门诊诊所）中治疗耳廓血肿的机构经验，描述各治疗环境和专业的治疗模式，并评估预测治疗成功的因素。
对 2000 年至 2017 年间在 ED 就诊、住院或在门诊就诊的被诊断为耳廓血肿的患者进行回顾性研究。分析了许多相关的患者特征，包括人口统计学因素、药物和社会风险因素，以及与血肿表现和管理相关的几个因素，以确定有临床意义的变量。
共确定了 87 个单独的病例。耳廓血肿最常发生在男性运动相关创伤（如武术、摔跤、拳击）后。复发率较低的相关因素包括最初由耳鼻喉科医生治疗或咨询治疗以及使用支撑敷料。
在我们的队列中，由耳鼻喉科医生或通过耳鼻喉科会诊进行的耳廓血肿初始管理，以及使用支撑敷料，与血肿复发率较低相关。
2b Laryngoscope, 130:628-631, 2020.
