Traumatic swelling that deforms pinna
Within 7 days of trauma
In these cases, refer to ENT due to formation of granulation tissue that may require debridement
Recurrent or chronic<unk> s
> 7 days from trauma
Option 1: Make semi-circle incision inside the inner curvature of the helix or antihelix
Make incisions along natural<unk>  crease for cosmesis
Remove<unk>  by milking of the<unk>  toward the incision.  Suction or curettage may also be helpful
Use a butterfly hemostat or suture kit needle driver to break up any<unk>  that is not easily coming out
Option 2: Use large-bore needle/syringe to aspirate<unk> 
Needle aspiration generally is not sufficient treatment, especially for larger<unk> s as clot has usually already formed and cannot be aspirated
Make incisions along natural<unk>  crease for cosmesis
Remove<unk>  by milking of the<unk>  toward the incision.  Suction or curettage may also be helpful
Use a butterfly hemostat or suture kit needle driver to break up any<unk>  that is not easily coming out
Needle aspiration generally is not sufficient treatment, especially for larger<unk> s as clot has usually already formed and cannot be aspirated
Option 1: Compression dressing
Pack the helix with petroleum jelly-impregnated gauze
Place regular gauze both in front of and behind the ear
Circle the head with a compressive wrap
Generally only moderately successful, and subject to poor compliance (especially with athletes)
Alternative to petroleum jelly gauze is to splint the ear with a molded piece of plaster  which fits better and does not need as tight of a compression dressing.
Option 2: Suture
Use fast-absorbing sutures
Place running or interrupted sutures through cartilage and both anterior and posterior skin of auricle in mattress fashion
This should reappose the perichondrium
Consider leaving incision open (with wound edges approximated by mattress sutures) to allow for continued drainage
Option 3: Bolster sutured in place- combination of the above two methods
Use non-absorbable 2-0 or 3-0 nylon
Pack the helix with petroleum jelly impregnated gauze.  Place a thick layer of gauze behind the ear
Perform a running quilt stitch through the anterior gauze, through the pinna, and through the posterior gauze
Pack the helix with petroleum jelly-impregnated gauze
Place regular gauze both in front of and behind the ear
Circle the head with a compressive wrap
Generally only moderately successful, and subject to poor compliance (especially with athletes)
Alternative to petroleum jelly gauze is to splint the ear with a molded piece of plaster  which fits better and does not need as tight of a compression dressing.
Use fast-absorbing sutures
Place running or interrupted sutures through cartilage and both anterior and posterior skin of auricle in mattress fashion
This should reappose the perichondrium
Consider leaving incision open (with wound edges approximated by mattress sutures) to allow for continued drainage
Use non-absorbable 2-0 or 3-0 nylon
Pack the helix with petroleum jelly impregnated gauze.  Place a thick layer of gauze behind the ear
Perform a running quilt stitch through the anterior gauze, through the pinna, and through the posterior gauze
Often used by our ENT colleagues in all patients though it is actually only recommended for immunocompromised patients
Cover pseudomonas and S. aureus- Cipro is the most commonly used
Auricular hematoma
Cuneiform fracture
Auricular perichondritis
Lens dislocation
Cholesteatoma
Pilon fracture
Contact dermatitis
Torus fracture