The first is the conservative approach. A needle is used to withdraw the fluid from within the pinna, and an injection of a corticosteroid is made into the area that contained the fluid. The pinna is bandaged so that pressure is applied to it to prevent recollection of fluid. This method is used when the hematoma is small or if financial limitations prevent surgery. If surgery is chosen, there are four commonly used steps.
Different situations call for variations.
The blood is removed from the pinna. This is accomplished by making a small incision in each endof the hematoma. A drain tube is passed through the hematoma and sutured to the ear. This assures drainage of any more blood or serum that accumulates in the area. Alternatively, the skin over the hematoma may be incised and opened completely.