 |
| A 20 year old Indonesian worker was using a bamboo pole during working at palm oil plantation when the pole break and piece of the bamboo penetrate his right ear. The bamboo was removed under procedural sedation and analgesia. The defect was then sutured and he was discharged with antibiotic and pain medication |
.jpg) |
| This 5 year old kid was playing with fish hook and accidentally hit his left ear. The tip of the fish hook was cut using the wire cutter and the hook was then pulled out. |
 |
| This 50 year old gentleman accidentally cut his with the sickle during farming. noted that the ear already avulsed and anatomically disfigured. The external meatus of the ear also came out from it's place. Patient was posted for ear repair under general anesthesia. |
Discussion
After lips injury, ear trauma come
seconds in term of difficulty in repairing the facial injury. In managing ear trauma,
it is important to treat the current presenting complaint as well as preventing
the complication.
The aim of managing ear trauma are
as follow; 1) Maintaining the cosmesis by repairing the injury as symmetrical
to the counter ear. 2) Avoidance of hematoma, and 3) Prevention of infection.
Whenever patient come with ear
trauma, it is very important to rule out presence of other injury especially
basal skull fracture and tympanic membrane perforation.
Superficial laceration wound can be
sutured using 6-0 non absorb-able suture material for five to six days. It is
very important to maintain the homeostasis in order to prevent hematoma
formation.
Untreated hematoma formation may
lead to abnormal cartilage production that will calcify and producing deformed
ear known as cauliflower ear.
Whenever present, exposed cartilage
must be covered to reduce infection, erosive chondritis and subsequent
necrosis.
It is best to refer ear injury with
avulsed tissue, crushed cartilage and auricular hematoma to plastic surgeon or
ENT specialist.
