Arch Craniofac Surg.  2018 Sep;19(3):218-221. 10.7181/acfs.2017.01396.

Treatment of post-traumatic hematoma and fibrosis using hyaluronidase injection

Affiliations
  • 1Department of Plastic and Reconstructive Surgery, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea. kokoro72@naver.com

Abstract

Patients complaining of swelling and hematoma caused by contusion of the face can be easily seen in the emergency room. Most of the treatments were conservative treatments such as ice bag application, mild compression dressing, and massage. During the follow-up, fibrosis progression due to hematoma was frequently observed in the contusion site. When hematoma or fibrosis is confirmed, hyaluronidase (H-lase) 1,500 IU and 2 mL of normal saline were mixed and subcutaneously injected in crisscross manner. To evaluate the improvement of hematoma before and after hyaluronidase injection, three plastic surgeons evaluated using the Vancouver scar scale and compared preoperative and postoperative images. Hematoma and fibrosis after facial trauma improved after hyaluronidase injection for early treatment.

Keyword

Hyaluronic acid; Hematoma; Fibrosis; Contusions

MeSH Terms

Bandages
Cicatrix
Contusions
Emergency Service, Hospital
Fibrosis*
Follow-Up Studies
Hematoma*
Humans
Hyaluronic Acid
Hyaluronoglucosaminidase*
Ice
Massage
Plastics
Surgeons
Hyaluronic Acid
Hyaluronoglucosaminidase
Ice
Plastics
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