427) A 32-year-old male boxer presents to the emergency room after sustaining an injury during a local boxing match. He was punched by the opponent over his right ear about six hours ago . He complains of pain and swelling over his right ear. He has no hearing deficit or tinnitus or headaches or blurred vision. He denies nausea or vomiting. Past medical history is unremarkable. On examination, his vitals are stable. His right ear is red, warm and swollen with a medium sized anterior auricular swelling which is tender to palpation. There is no facial swelling. Which of the following is the most appropriate management?
A) Compressive dressing
B) Needle aspiration of the Hematoma
C) Cold compresses, analgesics and antibiotics
D) Incision and Drainage
E) Observe and await spontaneous hematoma resolution