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Management of pinna haematoma study (MaPHaeS): A multicentre retrospective observational study
Author(s) -
Vijendren A.,
Coates M.,
Smith M.E.,
Ajayi O.V.,
AlDhahir W.,
Bewick J.,
Bowles P.F.,
Coyle P.,
DaviesHusband C.R.,
Erskine S.E.,
Halliday E.,
Kaleva A.I.,
Lau A.,
Langstaff L.,
Mathew E.,
Meghji S.,
Testera A.,
Thomas J.R.V.,
Eisenhut M.
Publication year - 2017
Publication title -
clinical otolaryngology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.914
H-Index - 68
eISSN - 1749-4486
pISSN - 1749-4478
DOI - 10.1111/coa.12858
Subject(s) - medicine , observational study , pinna , retrospective cohort study , surgery , drainage , specialty , confounding , etiology , incision and drainage , hematoma , randomized controlled trial , abscess , ecology , pathology , biology
Objectives To assess current variation in the management of pinna haematoma ( PH ) and its effect on outcomes. Design Multicentre retrospective observational record‐based study. Setting Eleven hospitals around the UK . Participants Eighty‐three patients above the age of 16 with PH . Outcome measures The primary outcome measure was recurrence rate of PH over a 6‐month period post‐treatment, assessed by treatment type (scalpel incision vs needle aspiration). Secondary outcome measures assessed the impact of other factors on recurrence, infection and cosmetic complications of PH over a period of 6 months. Results After adjusting for confounding factors, involvement of the whole ear, and management within an operating theatre were associated with a lower rate of recurrence of pinna haematoma. The drainage technique, suspected aetiology, choice of post‐drainage management, grade and specialty of practitioner performing drainage, the use of antibiotic cover and hospital admission did not affect the rate of haematoma recurrence, infection or cosmetic complications. Conclusions Where possible PH should be drained in an operating theatre. Multicentre randomized controlled trials are required to further investigate the impact of drainage technique and post‐drainage management on outcome.