Pt. with a laceration through the helix of the ear with exposed cartilage
2 Point Ear Block:
Am Fam Physician. 2004 Feb 1;69(3):585-590.
Goal: Approximate cartilage with absorbable 5-0 monocryl. It’s ok to trim away small amount of jagged or devitalized skin or cartilage to ensure proper approximation. Close the skin over the cartilage with 5 or 6-0 non-absorbable. Approximate landmarks first. Extensive tissue devitalization or damage, you should involve face.
Dressing: Place a compressive dressing with petroleum gauze to fill the antihelix of the ear then place 4 folded 4×4’s posteriorly behind the helix and wrap the head in an ace wrap. Place the patient on antibiotics and followup within 5 days.