Presented at the Triological Society Combined Section Meeting, Scottsdale, Arizona, U.S.A., January 29, 2011, and awarded the Second Place Poster Award in the General/Plastics division of the scientific poster competition.
Facial Plastics/Reconstructive Surgery
Article first published online: 22 MAR 2012
Copyright © 2012 The American Laryngological, Rhinological, and Otological Society, Inc.
Volume 122, Issue 6, pages 1235–1237, June 2012
How to Cite
Kakarala, K. and Kieff, D. A. (2012), Bolsterless management for recurrent auricular hematomata. The Laryngoscope, 122: 1235–1237. doi: 10.1002/lary.23288
The authors have no funding, financial relationships, or conflicts of interest to disclose.
- Issue published online: 1 JUN 2012
- Article first published online: 22 MAR 2012
- Manuscript Accepted: 15 FEB 2012
- Manuscript Revised: 11 FEB 2012
- Manuscript Received: 4 JAN 2012
- Auricular hematoma;
- facial plastics;
- Level of Evidence: 4.
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.