|This 5 year old kid was playing with fish hook and accidentally hit his left ear. The tip of the fish hook was cut using the wire cutter and the hook was then pulled out.|
After lips injury, ear trauma come seconds in term of difficulty in repairing the facial injury. In managing ear trauma, it is important to treat the current presenting complaint as well as preventing the complication.
The aim of managing ear trauma are as follow; 1) Maintaining the cosmesis by repairing the injury as symmetrical to the counter ear. 2) Avoidance of hematoma, and 3) Prevention of infection.
Whenever patient come with ear trauma, it is very important to rule out presence of other injury especially basal skull fracture and tympanic membrane perforation.
Superficial laceration wound can be sutured using 6-0 non absorb-able suture material for five to six days. It is very important to maintain the homeostasis in order to prevent hematoma formation.
Untreated hematoma formation may lead to abnormal cartilage production that will calcify and producing deformed ear known as cauliflower ear.
Whenever present, exposed cartilage must be covered to reduce infection, erosive chondritis and subsequent necrosis.
It is best to refer ear injury with avulsed tissue, crushed cartilage and auricular hematoma to plastic surgeon or ENT specialist.