Before-surgery guide
Getting Ready for Ear Hematoma Drainage
Quick answer: An ear hematoma is a collection of blood in the outer ear, often after an injury. Draining it is done to lower the chance of a lasting change in the ear’s shape (cauliflower ear). It is done under local anesthesia through a small incision, with stitches or a bolster to keep the blood from building up again. Afterward, apply antibiotic ointment twice a day and take antibiotics as prescribed.
How is the procedure done?
- It is done under local anesthesia.
- A small incision is made in the ear and the collected blood is drained.
- Stitches and/or a bolster (a small padded dressing held on with stitches) are placed to keep the blood from building up again.
What are the risks?
Every procedure has risks. We will go over them with you, and you can ask about any of them.
- Pain, bleeding and infection are risks of any procedure.
- The blood can build up again.
- A scar or a change in the shape of the ear.
- More procedures may be needed.
How do I get ready?
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Before the procedure
- Give us a list of every medicine, vitamin and supplement you take.
- If you take aspirin or a blood thinner, tell us. Do not stop it on your own; we will tell you whether you need to.
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Eating and drinking
- You can eat and drink as usual on the day of the procedure.
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The day of the procedure
- Bring your photo ID, insurance card and list of medicines.
What should I have at home?
- Antibiotic ointment, to apply twice a day
- Acetaminophen (Tylenol) or ibuprofen (Motrin, Advil), for pain
What happens after the procedure?
- Apply antibiotic ointment to the ear twice a day.
- It is fine to shower and let water run over the ear.
- Take antibiotics as prescribed.
- Take acetaminophen (Tylenol) or ibuprofen (Motrin) for pain.
- Come to your follow-up visit as scheduled.
When should I call?
Call us for
- Pain that gets worse
- Redness that spreads, or drainage from the ear
- Swelling that comes back
- You have questions or need to reschedule
Austin 512-339-4040 · Lakeway 512-682-4798 · Marble Falls 830-992-2830
Questions patients ask
A collection of blood under the skin of the outer ear, usually after an injury. Draining it is done to lower the chance of a lasting change in the shape of the ear, often called cauliflower ear.
Yes. It is fine to shower and let water run over the ear. Apply antibiotic ointment twice a day.
Yes, the blood can build up again, which is why stitches or a bolster are placed. Call us if the swelling returns.
This guide is for educational purposes only and does not replace an in-person evaluation. If your surgeon gave you different instructions, follow theirs.