Trick of the Trade: Splinting the ear

Aug 10, 11
Trick of the Trade: Splinting the ear

EarHematomaDressing

One of the hardest bandages to apply well is one for auricular hematomas. After drainage, how would you apply a bandage to prevent the re-accumulation of blood in the perichondrial space?

Traditionally, one can wedge xeroform gauze or a moistened ribbon (used for I&D’s) in the antihelical fold. Behind the ear, insert several layers of gauze, which have been slit half way to allow for easier molding around the ear. Anterior to the ear, apply several layers of gauze to complete the “ear sandwich”. Finally, secure the sandwich in place with an ACE wrap, which ends up being quite challenging because of the shape of the head.

I’m just not sure how much direct pressure to the hematoma is applied using this technique, because the xeroform and ribbon gauze are so soft.

Trick of the Trade

Splinting the ear by using plaster

 
1. Create a plaster roll to appropriately fit the patient’s ear and soak it in water.
 
EarSplint1
 
EarSplint2
 
EarSplint3
 
2. Wrap with just one layer of padding so that the plaster does not stick to the patient’s ear.
 
EarSplint4
 
EarSplint5
 
3. Wedge the ear splint firmly in place and apply gauze behind the ear.
 
EarSplint6sm
 
4. Apply several layers of gauze on top of the ear. Secure in place with a beanie hat (see prior Trick of the Trade).
  
EarSplint7sm

Author information

Michelle Lin, MD

ALiEM Founder and CEO
Professor and Digital Innovation Lab Director
Department of Emergency Medicine
University of California, San Francisco

The post Trick of the Trade: Splinting the ear appeared first on ALiEM.

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