Emergency treatment of 87 cases of ear trauma experience.docVIP

 PAGE \* MERGEFORMAT 9 Emergency treatment of 87 cases of ear trauma experience [Keywords:] ear trauma emergency Ear on both sides of conflict in the head as part of the head exposed, vulnerable to all kinds of damage, is one of Otolaryngology common emergency, emergency treatment is very important, if not handled properly can lead to ear necrosis, deformity, affecting beauty. I hospital from January 1998 to December 2006 among 87 patients were treated auricular trauma are reviewed as follows. Materials and Methods 1. General information 87 patients in this group of patients (96 ears), 78 patients with one ear, both ears in 9 cases. Male and 64 patients, 23 females, aged from 11 to 65 years, mean 38 years. The causes of injury: traffic accident 32 cases, 21 cases of sharp cuts, impact injury in 14 cases, 12 cases of falls, bites in 3 cases, 3 cases of blast injury, burns in 2 cases, 75 cases of simple ear injuries, combined injuries in 12 cases. injury: contusion 13 patients, hematoma in 9 cases, 61 cases of tearing, breaking away from the wound in 5 cases, degree burn in 2 cases. treatment time 30 min ~ 72 h, of which 30 min ~ 1 h 9 , ~ 3 h 33 cases, 12 h 29 , ~ 24 h 12 , ~ 48 h 4 , ~ 72 h 1 case. clean the wound in 74 cases, 13 cases of wound contamination. 2. Treatment for all 87 cases (96 ears ear trauma, first repeatedly washed with saline and hydrogen peroxide wound to remove dirt, remove necrotic tissue and repair cartilage and fragmentation of the ear skin, keeping skin, and then U containing gentamicin 80 000 10 ~ 20 ml saline wash the wound, and then damage different approaches were used, and conventional intramuscular injection of tetanus antitoxin and the use of adequate antibiotics: who are burns, wounds topcoat MEBO, exposure therapy, of auricular hematoma, blood clots with thick needles out, pressure bandage 48 h, when necessary, to the surgical incision to remove blood clots, ear laceration, to the right place suture, complet