clinical procedures: septal/auricular hematoma

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CLINICAL PROCEDURES Septal and Auricular Hematoma Drainage

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Management of septal hematoma and auricular hematoma in the ED.

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Page 1: Clinical procedures: Septal/Auricular Hematoma

CLINICAL PROCEDURESSeptal and Auricular Hematoma

Drainage

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LAYERS OF THE NASAL SEPTUM

MUCOSA

PERICHONDRIUM

SEPTAL CARTILAGEHEMATOMA

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COMPLICATIONS OF SEPTAL HEMATOMA

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Perforation

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Septal Abscess

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SaddleDeformity

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Treatment

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Layers of the Pinna

Skin

PerichondriumElastic CartilagePerichondrium

SkinFAT

HEMATOMA

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Complications

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Anesthesia Options

SEPTAL HEMATOMA• Topical Lidocaine• Local Infiltration• Infraorbital Nerve Block

AURICULAR HEMATOMA• Local Infiltation• Auricular Block

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General Aftercare for Both

• Follow up in 24 hours with specialist• Anti-staphylococcal PPX antibiotics• Avoid ASA, NSAIDs to prevent rebleed• Return precautions for infection

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