What are pearls for complex ear laceration?

Updated: May 10, 2018
  • Author: Gretchen S Lent, MD; Chief Editor: Erik D Schraga, MD  more...
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Answer

Answer

In the case of trauma, inspect the tympanic membrane for hemotympanum or rupture and examine the external auditory canal for lacerations or evidence of a CNS leak.

For injuries with significant depth or blunt trauma, a thorough examination of the facial nerve is recommended. [15]

Evacuation of a hematoma may be necessary prior to closure.

Hemostasis must be achieved to prevent subsequent formation of a hematoma.

Tetanus vaccination should be updated, and rabies prophylaxis should be addressed when necessary.


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