A case of auricular hematoma with auricular cartilage fracture

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  • 耳介軟骨骨折を合併した亜急性耳介血腫症例

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Auricular hematoma is not a rare disease, and its prognosis is usually good. This disease results from trauma producing a soft, smooth, doughy, rounded swelling of the auricle that is tender and shows size changes, often obliterating the anatomic contours of the auricle. Auricular hematoma is considered to occur between the perichondrium and cartilage, or within the cartilage. Various techniques have been applied to treat auricular hematoma without auricular cartilage fracture, such as fine needle aspiration, incision and drainage, pressure dressing with a splinting mold, mattress suture, or injection of OK-432 and continuous portable vacuum drainage.<br>A 20-year-old male was admitted to our hospital complaining of swelling and severe pain in his left auricle. Based on ENT examination, he was diagnosed as having auricle hematoma and perichondritis with auricular cartilage fracture. Following emergency hospitalization, we incised the auricular skin and drained it, then treated it with antibiotic therapy. After suppressing the inflammation, he received auricular plasty. This is a good course after an operation, and he was discharged after 15 postoperative days.

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