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Splint Versus Quilting Sutures In Treating Pinna Haematoma | ||
| Medical Journal of Babylon | ||
| Article 1, Volume 14, Issue 2, 2017, Pages 0-0 | ||
| Author | ||
| Rahi kalef Mahdi | ||
| Abstract | ||
| This study was done on outpatient clinic E.N.T department in Al-Diwanyah teaching hospital and private clinic. Total number of patients 30 divided into two groups group A 15 patient treated with incision, drainage and silicon splint while group B treated with incision, drainage and through and through quilting absorbable sutures, patients included in study suffering from haematomaauris from different etiology (trauma or spontaneous). Local anesthesia with lidocaine 1% infiltrated directly into the area to be incised, under aseptic technique incision and haematoma evacuated and silicon splint with trough and trough suture in group A and multiple quilting absorbable sutures (4-5) where applied to group B fellow after one week for removal of splint in group A and for fellow up for both groups, factors included in fellow up recurrence (reaccumulation), infection and cosmetic appearance. A total of 30 patients (27 male & 3 female) with ratio 9:1. Out of 15 patients in group A, one patient developed recurrence of hematoma, one developed soft tissue infection, one developed perichondritis (both respond to antibiotics) and no one developed cosmetic deformity. Out of 15 patients in group B one developed recurrence, and no other complications where observed in those patients. Conclusions: For the treatment of hematoma auris, most of techniques are associated with pitfalls like reaccumulation, perichondrial inflammation and formation of an abscess, thickening of pinna and cosmetic deformity. Our study showed minimal recurrence which is equal to splint method, no cosmetic deformity and no perichondrial inflammation and thickening making it one of the effective techniques for treating haenatomaauris. | ||
| Keywords | ||
| hematoma auris; splint; drainage | ||
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