1. Name of the location of 90% of epistaxis
2. A genetic disorder that forms AV malformations in the skin, lungs, brain etc
3. Name of posterior vascular plexus in the nasal cavity causing posterior epistaxis
4. 1st line treatment for all epistaxis
5. The common brand name for anterior nasal packing
6. Chemical used in cautery sticks
7. Physically scaring complication of posterior nasal packing with foleys catheter
Coming soon..
Pinna Haematoma
Accumulation of blood under the perichondrium of the pinna, usually as a result of blunt trauma
e.g. blow to ear while playing rugby.
Treatment
-
If relatively small, attempt aspiration with a large bore needle
-
If large collection of blood, the incision & drainage (under a local anaesthetic) with a pressure dressing to the pinna is required to reduce risk of recollection
-
Pressure dressing is usually applied via a Silastic sheet cut to shape and sutured to pinna
-
Antibiotics are usually prescribed prophylactically for 7 days
-
The patient is usually reviewed in 5 - 7 days
-
If recollection occurs a formal incision and drainage and washout under a general anaesthetic may be required
Symptoms / Clinical Findings
-
Painful swelling of the pinna
-
Swelling, this is often tense but fluctuant
The image to the right shows a large, swollen pinna post trauma
The patient should be warned of the high risk of cauliflower ear, despite treatment!
Pre-drainage
Post-drainage
