Journal of Clinical Otolaryngology Head and Neck Surgery
The Busan, Ulsan, Gyeoungnam Branch of Korean Society of Otolaryngology-Head and Neck Surgery
원저

열가소성 부목을 이용한 이개혈종의 압박치료

홍성주1, 이준호1,*, 박찬흠1, 왕종환1, 정호훈1, 권택근1, 김형섭1
Sung Ju Hong1, Jun Ho Lee1,*, Chan Hum Park1, Jong Hwan Wang1, Ho Hoon Joung1, Tec Keun Kwon1, Hyung Seob Kim1
1한림대학교 의과대학 이비인후-두경부외과학교실
1Department of Otorhinolaryngology-Head & Neck Surgery, College of Medicine, Hallym University, Chuncheon, Korea
*교신저자: 이준호, 200-704 강원도 춘천시 교동 153 한림대학교 의과대학 이비인후-두경부외과학교실 전화: (033) 240-5181·전송: (033) 241-2909 E-mail: zoonox@nate.com

© Copyright 2007 The Busan, Ulsan, Gyeoungnam Branch of Korean Society of Otolaryngology-Head and Neck Surgery. This is an Open-Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Received: Aug 13, 2007; Accepted: Oct 10, 2007

Published Online: May 31, 2020

ABSTRACT

Background and Objectives: Auricular hematoma, induced by direct trauma of external ear. Although there are various techniques, there is no generalized method. We had satisfactory results with external compression technique using thermoplastic splint after incision and drainage of auricular hematoma. Materials and Method: 11 patients who were diagnosed with auricular hematoma at our hospital from November, 2005 to October, 2006. In surgical procedure, incision was made along the antihelix under local anesthesia and by dissecting preauricular skin and perichondrium from auricular cartilage, collected fluid was drained. Triamcinolone acetonide was injected into the site and skin was sutured. After applying designed thermoplastic splint in both auricular aspects, through-and-through suture of auricle using 3-0 nylon was performed. Results: Pa-tients were classified into 4 cases of development in antihelix and scapha, 4 cases of development in triangular fossa and cymba concha, and 3 cases of cartilage thickening in antihelix according to developmental sites and patterns. After the surgery, all patients had no postoperative complications like infection, pain. One week after surgery, we could obtain natural shape of auricle. Conclusions: We suggest thermoplastic splint for the treatment of auricular hematoma for auricular reconstruction because it is simple to mold, easy to suture, and can be evenly compressed on the lesion. (J Clinical Otolaryngol 2007;18:202–206)

Keywords: 이개혈종; 부목; 압박
Keywords: Auricular hematoma; Splint; Compression