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Interventions for acute auricular haematomaJones SEM, Mahendran S
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SummaryThere is no good evidence to suggest which method of treatment is best in the treatment of acute auricular haematoma.Acute auricular haematoma is a condition where a collection of blood forms in the pinna, often following blunt trauma. If untreated it will result in the 'cauliflower ear' or 'wrestler's ear' deformity. The review found no trials of good quality to demonstrate that any one technique, which removes the haematoma and prevents its recurrence, gives the best cosmetic outcome. The literature however generally suggests that treatment is better than leaving a haematoma untreated. Well designed studies are required.
This is a Cochrane review abstract and plain language summary, prepared and maintained by The Cochrane Collaboration, currently published in The Cochrane Database of Systematic Reviews 2008 Issue 3, Copyright © 2008 The Cochrane Collaboration. Published by John Wiley and Sons, Ltd.. The full text of the review is available in The Cochrane Library (ISSN 1464-780X).
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April 19. 2004 AbstractBackgroundAcute haematoma of the pinna is a condition where a collection of blood forms beneath the perichondrial layer of the pinna. It is usually caused by blunt trauma, and if untreated will ultimately result in a deformity commonly known as 'cauliflower ear' or 'wrestler's ear'. Various treatments are employed to relieve the haematoma but no clear consensus exists on the best way to do so in order to produce the best cosmetic result with the least permanent deformity. ObjectivesTo assess the effectiveness of treatment options in acute auricular haematoma. Search strategyWe searched the Cochrane Central Register of Controlled Trials (CENTRAL) (Cochrane Library Issue 2, 2003), MEDLINE (1966 - 2003) and EMBASE (1966 - 2003) with pre-specified terms. The search was run again on all databases in November 2005. Selection criteriaRandomised controlled trials, case controlled trials and cohort studies including children and adults undergoing any intervention for acute auricular haematoma. Data collection and analysisFifty-nine references were identified from the searches. Forty-eight were retrieved and assessed for eligibility by the authors. None met the inclusion criteria. No further studies were identified when the search was updated in November 2005. Main resultsDue to the lack of data from trials fulfilling selection criteria no results could be presented. Authors' conclusionsThere is no clearly defined best treatment for acute auricular haematoma. There are no good quality data to determine either the optimal management strategy or even whether post-drainage intervention (such as splinting or bandaging) is necessary. Further research is required before any specific treatment may be recommended. |