Management of auricular hematoma using a thermoplastic splint

Area of Science:

• Otolaryngology
• Dermatology
• Plastic Surgery

Background:

• Acute auricular hematoma, often caused by trauma, can lead to significant cartilage damage and deformity if not managed promptly.
• Current literature presents diverse treatment strategies for auricular hematomas, each with varying success rates and complication profiles.

Observation:

• A case of auricular hematoma in a patient with immune thrombocytopenic purpura (ITP) presented unique challenges due to the patient's bleeding diathesis.
• The recurrence of hematoma post-initial drainage was observed, necessitating an innovative approach to ensure sustained compression and healing.

Findings:

• A comprehensive review of auricular hematoma pathogenesis and current treatment modalities is provided.
• The successful application of a custom-molded thermoplastic splint is detailed as an effective method for maintaining post-operative compression and preventing hematoma recurrence in high-risk patients.

Implications:

• This case suggests that thermoplastic splinting may be a valuable adjunct in managing auricular hematomas, particularly in patients with coagulopathies or those prone to recurrence.
• Further research into standardized splinting techniques could optimize outcomes for auricular hematoma treatment, minimizing long-term cosmetic and functional sequelae.