Reconstructive Options for Auricular Trauma

Given its prominent lateral position, the auricle is a common site of injury after blunt trauma. Auricular injuries can lead to both functional and aesthetic complications. A careful history and examination will help determine the mechanism of injury and identify factors that may influence repair. Auricular reconstruction is highly individualized and depends on the size, location, and nature of injury. Understanding the complex three-dimensional anatomy of the external ear is a necessity for appropriate reconstruction. This article reviews the reconstructive options for simple and complex auricular injuries based on the anatomical site and the intricate three-dimensional structures that form the auricle.

TO EVALUATE THE OUTCOME OF THE EXTERNAL EAR TRAUMA TREATMENT AT HUE CENTRAL HOSPITAL AND HUE UNIVERSITY HOSPITAL

Background: The external ear trauma is the most common in emergencies. Early diagnosis and treatment lead to the better outcome. Aim: To evaluate the outcome of the external ear trauma treatment. Patients and methods: A prospective descriptive study on 64 patients with 67 ears diagnosed with the external ear trauma by clinical intervention. Results: Ages 16-30 accounted for 46.9% majority. Males (84.4%) more than females (15.6%). Most of patients wereearly treated ≤ 6 hours (76.6%). Auricular trauma (68.7%) were more common than external auditory canal trauma (31.3%). The most common sites of auricular trauma were the upper haft of auricular (43.5%). Cartilage auditory canal trauma were more common with 57.1%. The most common type of injuries were skin lacerations revealed cartilage, bone (43.3%). Minor injuries were the most common with 52.2%. The mainly treatment was excision, suture (55.2%). The time for healing with <7 dayswas the most (65.7%). The majority of the external ear trauma without complications (91%). Most of the symptoms improved after 1 week and 1 month of treatment. Good results were the most common after 1 week of treatment (65.7%), and increased after 1 month of treatment (77.6%). Conclusions: The more minor of the injuries and the earlier treatment of the external ear trauma lead to the better outcome of 1 month treatment. Key words: The external ear trauma, the auricular trauma, the external auditory canal trauma