Recurrent auricular haematoma following nocturnal headphone compression: a case report

Auricular hematoma typically follows blunt trauma and requires early evacuation and compression to prevent fibrocartilage deformity. Non-traumatic etiologies are uncommon. We report a 33-year-old male smoker who presented with a 1-week history of progressive left auricular swelling after sleeping overnight while wearing headphones, without any history of direct or repetitive trauma. Incision and drainage with bolster compression dressing were performed, evacuating serosanguinous fluid with minimal purulent component. Early recurrence occurred on Days 2 and 6 after the initial procedure, requiring repeat evacuation and reinforced compression dressings on both occasions. The recurrence was likely related to persistent dead space and delayed presentation. By Day 10, only minimal residual deformity remained, which remained stable at 1-year follow-up without progression. This case highlights prolonged nocturnal headphone compression as a possible non-traumatic mechanism for auricular hematoma and emphasizes the importance of close follow-up because early recurrence may occur despite appropriate management.