Cauliflower ear
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| Cauliflower ear Classification and external resources | |
 | |
|---|---|
| Cauliflower Ear as Seen in an Elderly Male | |
| ICD-10 | M95.1 |
| ICD-9 | 738.7 |
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Overview
Cauliflower ear or hematoma auris or perichondrial hematoma is a condition most common among wrestlers, rugby players, mixed martial artists, and 1920s boxers. If the external portion of the ear suffers a blow, a blood clot or other fluid may collect under the perichondrium. This separates the cartilage from the overlying perichondrium that is its source of nutrients, causing the cartilage to die. When this happens, the outer ear becomes permanently swollen and deformed, thus resembling a Cauliflower.
Headgear that protects the ears is worn in wrestling, many martial arts and other contact sports to help prevent this condition.
Treatment
When fluid collection in the outer ear occurs, it is important to contact a doctor immediately and have it treated. The doctor will evacuate the fluid and apply a compressing tie to the outer ear to reconnect the perichondrium and the cartilage. The compressing tie must be left in place for some time, generally 10 days, to prevent the fluid from building up again. The outer ear is prone to infections, so antibiotics are usually prescribed. If the pressure is left alone without medical intervention, the ear can suffer very serious damage. Pressure can build up and eventually rupture the ear drum. When this occurs, the ear may further wrinkle, and can become slightly pale; hence the common term 'Cauliflower Ear'. Should the ear drum rupture, the only treatment option is to heal the existing wound with stiches. Even with treatment, significant hearing loss may occur. Today, cosmetic procedures are available which can greatly improve the appearance of the ear, even though internal damage will persist.
Diagnosis
Physical Examination
Ear Nose and Throat
References
External links
de:Blumenkohlohr
fr:Oreille en chou-fleur
nl:Bloemkooloor
sv:Blomkålsöron
Acknowledgement and Attribution Regarding Sources of Content
Some of the initial content on this page may be incorporated in part from copyleft sources in the public domain including wikis such as Wikipedia and AskDrWiki. Drug information for patients came from the The National Library of Medicine. Infectious disease information may have come from the Centers for Disease Control (CDC). Differential Diagnoses are drawn from clinicians as well as an amalgamation of 3 sources: 1.The Disease Database; 2. Kahan, Scott, Smith, Ellen G. In A Page: Signs and Symptoms. Malden, Massachusetts: Blackwell Publishing, 2004:3; 3. Sailer, Christian, Wasner, Susanne. Differential Diagnosis Pocket. Hermosa Beach, CA: Borm Bruckmeir Publishing LLC, 2002:7 .
