# Efficacy of the ‘hole-punch’ technique in recurrent auricular hematoma after excisional hemangioma: a case report

## TL;DR

A new 'hole-punch' technique successfully treated a recurring ear hematoma in a 12-year-old girl, offering better results than traditional methods.

## Contribution

The paper introduces the 'hole-punch' technique as a novel approach for managing recurrent auricular hematomas in pediatric patients.

## Key findings

- The 'hole-punch' technique effectively evacuated hematoma and prevented recurrence in a pediatric case.
- The procedure resulted in excellent aesthetic outcomes without complications.
- This method may reduce recurrence rates and improve cosmetic results compared to traditional techniques.

## Abstract

Auricular hematoma commonly arises from trauma, often leading to significant morbidity if not addressed promptly. Traditional management techniques frequently result in high recurrence rates and may not prevent the development of cauliflower ear. We describe a case of a 12-year-old girl with autism and attention-deficit/hyperactivity disorder, presenting with a persistent, firm, and dark red mass on her right pinna following previous treatment for an auricular hemangioma. The innovative ‘hole-punch’ Technique was employed to manage this recurrent auricular hematoma. This technique, utilizing a dermal punch tool to create strategic excision sites, facilitated effective hematoma evacuation and promoted fibrosis. The procedure yielded excellent aesthetic results without complications, and no recurrence was noted at follow-up. The ‘hole-punch’ technique offers a promising alternative for managing recurrent auricular hematomas in pediatric patients, potentially reducing recurrence rates and improving cosmetic outcomes. Further studies are required to validate these preliminary findings.