Effective Management of Auricular Hematoma: Hands-On Experience With the Experts

PROGRAM DESCRIPTION: With the increase in popularity of various contact sports, auricular hematoma is a common cause for otolaryngologic consultation, both in the outpatient clinic and in the emergency department. While a fairly easy diagnosis to identify, improper drainage and dressing of the ear hematoma can result in significant complications; as such, every otolaryngologist and otolaryngology advanced practice provider needs to be able to diagnose and treat hematoma surgically, as well as anticipate and mitigate potential complications. This session will use a case-based format that includes an actual surgical simulation of effective auricular hematoma drainage. Participants will each be able to incise and drain an auricular hematoma, place bolster dressings and/or mattress sutures, and have feedback on their work from experts. Experts will demonstrate various approaches to hematoma management, and review strategies to manage and avoid complications like infection and cauliflower ear. For those interested in surgical simulation, this session will utilize a 3D printed mold-created single-use simulation task trainer and actual surgical instruments and dressings, providing a realistic simulated procedural experience.

OUTCOME OBJECTIVE 1: Perform effective incision and drainage of auricular hematoma.

OUTCOME OBJECTIVE 2: Demonstrate various surgical strategies to prevent reaccumulation of hematoma (bolster dressings, mattress sutures, etc.).

OUTCOME OBJECTIVE 3: Recognize complications of auricular hematoma and develop management plans thereof.

BACKGROUND STATEMENT: Auricular hematoma was identified as an educational practice gap in FPRS by the AAO-HNSF Program and Educational Steering committees. We have developed a high-fidelity, 3D printed simulator and curriculum that addresses this gap and present it here.