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Auricular Hematomas in a High-Volume Trauma Population: A Retrospective Review
Alisa L Phillips1, Jordan B Luttrell2, Joseph M Berry3
1University of Tennessee Health Science Center College of Medicine, Memphis, TN, USA.
Craniomaxillofacial Trauma & Reconstruction
|November 18, 2024
Summary
Auricular hematomas in Shelby County are most often caused by assault, not sports injuries. Facial trauma consultation and bolster placement significantly reduce recurrence rates for these ear injuries.
Area of Science:
- Otolaryngology
- Trauma Surgery
- Public Health
Background:
- Auricular hematomas are often linked to sports injuries and predominantly studied in high socioeconomic status (NSES) populations.
- Previous research in Shelby County, Tennessee, indicated socioeconomic disparities in injury patterns.
- This study investigates clinical management and outcomes of auricular hematomas within this specific county population.
Purpose of the Study:
- To determine if differences exist in the clinical management and outcomes of auricular hematomas based on patient demographics and socioeconomic status in Shelby County.
- To identify factors influencing recurrence rates of auricular hematomas.
Main Methods:
- A retrospective review of 48 patients diagnosed with auricular hematomas between 2008 and 2023 from two hospital systems.
- Inclusion criteria involved adequate follow-up, clinical description, and documentation of complications or recurrence.
Main Results:
- Assault or non-accidental trauma (NAT) was the most common cause (41.7%), distributed across all NSES levels.
- Facial trauma consultations were associated with significantly lower recurrence rates (25% vs. 62.5%, P = .003).
- Bolster placement also demonstrated a reduction in recurrence rates (23.3% vs. 58.3%, P = .030).
Conclusions:
- Assault/NAT is a more prevalent etiology for auricular hematomas in this population, irrespective of NSES.
- The findings underscore the critical role of facial trauma consultation and the use of bolster placement in minimizing auricular hematoma recurrence.
