To the Editor.—This letter is written in reference to the interesting article, "A Technique to Treat Wrestlers' Hematoma..." by David Schuller et al.1 When I first went into practice, I was shown a technique for treating auricular hematomas. I have used this method for the past 25 years. On two occasions, aspiration was required a second time, and in only one instance was a third aspiration necessary.
In this technique, a large-bore needle (18-gauge) is used to aspirate and evacuate the hematoma after infiltration of the overlying skin with lidocaine (Xylocaine) 1% with epinephrine 1:100 000. The authors state that the major problem appears to be related to the pressure dressing. The only dressing used is fine mesh (cut from a 5×5 cm [2×2 in] gauze pad) coated liberally with collodion and placed over the hematoma site. Several layers are used. No other dressing has been found necessary.
JAFFEE IS. Alternative Treatment for Wrestlers' Hematoma. Arch Otolaryngol Head Neck Surg. 1989;115(8):995. doi:10.1001/archotol.1989.01860320105034