: This study aims to describe a new technique for the management of auricular
hematoma using
fibrin glue. Five difficult cases of auricular
hematoma were managed using this technique, including 2 recurrent and 3 delayed presentations. After skin preparation and
local anesthetic, an incision was made, the
hematoma was evacuated, and the cavity was washed out with saline.
Fibrin glue was applied liberally; a dental roll pressure dressing was applied and secured with a
prolene bead
suture. The patients were given a course of oral
antibiotic and reviewed after 5 days for removal of the external dressing. They were later assessed to exclude re-accumulation of the
hematoma. All patients had complete resolution of the
hematoma without re-accumulation; they were satisfied with the cosmetic results and experienced no complications. This case series provides evidence that
fibrin glue is effective in the management of auricular
hematoma. Larger studies may provide further evidence of the effectiveness of this new technique.