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Posts for category: ENT Conditions

By KOTLARZ ENT AND FACIAL PLASTIC SURGERY
December 07, 2018
Category: ENT Conditions
Tags: Auricular Hematoma  

If you’ve ever watched a boxing or MMA fight on television then chances are good that you may have noticed something a bit odd and maybe a bit disturbing aboutCauliflower ear, or Auricular Hematoma some of the fighters—their ears. Some fights have what is called “cauliflower ear” in which the outer ears have become deformed due to blunt-force trauma. This is most common in athletes who wrestle, box or are involved in contact sports (e.g. rugby). When someone develops auricular hematoma the goal is to always treat the problem right away to prevent cauliflower ear from happening in the future.

While wearing the proper headgear and protection can often prevent an auricular hematoma, sometimes injuries to the outer ear can still occur. When this hematoma surfaces the blood starts to collect, causing the cartilage and the connective tissue around it (perichondrium) to separate. If left untreated, the cartilage of the outer ear no longer gets the blood flow it needs, which leads to cartilage death (necrosis).

If this happens to you or someone you know it’s important that you seek treatment right away so that the ear can be properly drained and to prevent blood from collecting inside the ear. By coming in right away for medical care, an ENT doctor can prevent complications such as cartilage necrosis, infection, tympanic membrane rupture and cauliflower ear.

In order to properly drain the hematoma, this minor procedure is performed with a local anesthesia. Once the ear is numb, a small incision is made to the outer ear to drain the blood that has collected. Once the procedure is finished, there are several methods for which to bandage the ear.

Of course, one of the most common ways is to use thermoplastic splints, which prevent blood from re-accumulating within the ear. In other instances, a simple mattress suture is placed, which also prevents blood from collecting but doesn’t need to be removed (unlike splints). Once the sutures or splints have been placed, the ear will be covered with clean gauze. Finally, the head is wrapped in order to hold the gauze in place.

Before you leave, your ENT doctor will provide you with all the information you will need for how to keep the ear clean and protected as it heals. Just know that this kind of damage to the ear can be serious if left untreated. If you experienced this kind of trauma it’s important that you seek the guidance of an otolaryngologist right away so that we can tend to this traumatic injury and prevent complications.

By KOTLARZ ENT AND FACIAL PLASTIC SURGERY
October 16, 2018
Category: ENT Conditions

Early Hearing Loss can be troublingWhile hearing loss—to some degree—is fairly common as we get older, it doesn’t mean that younger adults can’t also experience some form of hearing loss. Whether you are concerned that your hearing is declining or you are trying to prevent hearing loss from happening to you, here are some reasons why this problem can occur earlier on in life.

Noise-Induced Hearing Loss

One of the most common reasons people develop hearing loss is exposure to loud and harmful noises. A lot of these noises are present in our environment such as the construction happening right outside our apartment or the traffic jam you always seem to get stuck in at rush hour. Repeated exposure to these harmful elements can lead to noise-induced hearing loss (NIFL). Everyone from children and teens to adults can develop this form of hearing loss.

In some cases, NIFL is caused by exposure to one extremely loud sound (e.g. explosion), while other times it’s due to repeated, long-term exposure to harmful noises. Everything from hunting to using a lawnmower can put your hearing at risk.

Luckily, NIFL is preventable. It’s important to understand that certain noises can be dangerous to your hearing. By incorporating more hearing-friendly practices into your day-to-day life you could reduce your risk of hearing loss. Besides knowing what sounds are harmful to your ears, it’s important that you consider wearing some kind of protection (e.g. ear plugs) when exposed to these noises. If you don’t have protection and can’t reduce the sound, try to stay as far away from it as possible.

Ruptured Eardrum

Injuries the eardrum, sudden changes in pressure or even loud noises can cause the eardrum to rupture. Sometimes an undetected ear infection can also cause this problem. As a result, hearing can be affected.

While sometimes hearing loss after a ruptured eardrum is only temporary if the eardrum doesn’t heal properly or isn’t treated this could lead to repeated ear infections which, over time, could cause permanent hearing loss. If you are someone who is prone to infections, or if you think your eardrum has ruptured, it’s important that you turn to an ENT doctor right away.

If you aren’t able to hear people as clearly as you once did it’s important that you get a hearing screening as soon as possible. The sooner you seek care the sooner you can get the treatment you need to prevent your hearing loss from getting worse. Turn to an otolaryngologist today.