External Ear Trauma: The Daily PANCE Blueprint
Which of the following is the best management option for a patient who presents with a small (1 cm) hematoma of the outer ear due to blunt trauma from 1 day ago?
A. Antibiotics
B. Compression bandage
C. Incision and drainage
D. Needle aspiration
E. Reassurance
Answer and topic summary
The answer is D. Needle aspiration
An external ear (auricular) hematoma is usually due to blunt or penetrating trauma. Clinical features include a sudden tense/tender area that is swollen on the external ear. Management depends on the size and duration of the hematoma. For small (<2 cm) and new (<2 days old) hematomas, needle aspiration is recommended. For large (>2 cm) hematomas or 2-7 days old hematomas, incision/drainage plus compression bandage/dressing is recommended. Close follow-up is needed. Hematomas that are older than 7 days warrant a referral. Complications of untreated hematoma include cauliflower ear or perichondritis.
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Smarty PANCE Content Blueprint Review:
Covered under ⇒ PANCE Blueprint EENT ⇒ ⇒
Also covered as part of the Emergency Medicine EOR Topic List
