If you’ve ever attended a wrestling match, you may have noticed something different about some of the athletes’ ears.Cauliflower ear occurs when blood pools in your pinna after it’s been hit or struck.Once that happens, new fibrous tissue can form around the area, creating a cauliflower texture on your ear.According to board-certified plastic surgeon Manish H. Shah, MD, FACS, “Risk factors include blunt trauma especially when playing certain sports such as boxing, MMA, water polo, and wrestling, as well as the use of blood thinners.”.Drainage and compression Your doctor may be able to treat the condition by draining the excess blood from your ear.After draining your ear, your doctor will prescribe antibiotics to help prevent infection.Your doctor will also place a compression dressing on your ear to ensure that it heals in the correct shape.If the swelling isn’t treated quickly enough, or if initial treatment is unsuccessful, “the cartilage will then become thickened and scarred and start to look like the cauliflower vegetable, hence the term ‘cauliflower ear,’” says Dr. Nguyen Pham, pediatric otolaryngologist at Children’s Hospital of Orange County.You should be able to resume physical activities within six weeks, though your doctor may recommend waiting longer.Make sure your child and their coach understand the early signs of cauliflower ear and the importance of seeking immediate medical attention.Blood thinners can increase your risk for cauliflower ear, so avoiding the use of them before participating in a contact sport may help prevent this condition.


Cauliflower ear: Causes, symptoms, and treatments

Cauliflower ear, also known as perichondrial hematoma, is a swelling of the ear caused by a blood clot.This blood clot causes tissue damage that leads to a lumpy appearance that is said to resemble a cauliflower.Typically, those at risk can prevent the sorts of injuries that lead to this condition by wearing protective headgear.When this supply is interrupted, by either multiple clots or pressure caused by swelling, this cartilage may die off.Causes Share on Pinterest Repeated trauma to the ear from high-impact sports may raise the risk of cauliflower ear.In both cases, tissue damage can be relatively minor, resulting in scar tissue.In addition, fights can also result in similar injuries, as can accidents where the side of the head is injured.deformation of the shape of the ear Share on Pinterest Severe symptoms of cauliflower ear may be ringing in the ear and hearing loss.In some cases, severe symptoms may occur.These include: hearing loss.In some cases, the ear may flop over as the cartilage dies.This fluid may contain the blood clots, preventing further blockages.After that occurs, the condition requires surgery to restore the ear.In cases where the cartilage has hardened and the scar tissue has settled in, the surgeon must reconstruct the ear cartilage, particularly when the cartilage has died. .

Cauliflower Ear: Symptoms, Causes, and Treatments

Left untreated, the injury leads to a blockage that prevents blood flow and damages tissue.When blood flow is blocked, the affected cartilage may die and, without the supportive tissue, fold in on itself. .

Cauliflower Ear Causes, Treatment, Pictures, Draining & Surgery

Once cartilage death and scarring (fibrosis) occurs, the resulting deformity is generally permanent.An even more rare cause of cauliflower ear is from the inflammation of cartilage in relapsing polychondritis. .

Cauliflower ear

As a result, the outer ear becomes permanently swollen and deformed, resembling a cauliflower.The structure of the ear is supported by a cartilaginous scaffold consisting of the following distinct components: the helix, antihelix, concha, tragus, and antitragus.Cauliflower ear can also present in the setting of nontraumatic inflammatory injury of auricular connective tissue such as in relapsing polychondritis (RP), a rare rheumatologic disorder in which recurrent episodes of inflammation result in destruction of cartilage of the ears and nose.The hematoma mechanically obstructs blood flow from the perichondrium to the avascular cartilage.[1] If left untreated, disorganized fibrosis and cartilage formation will occur around the aforementioned cartilaginous components.[1] The cartilage then deforms and kinks, resulting in the distinctive appearance somewhat resembling a cauliflower.Auricular hematoma most often occurs in the potential space between the helix and the antihelix (scapha) and extends anteriorly into the fossa triangularis.[1] Less frequently, the hematoma may form in the concha or the area in and around the external auditory meatus.This means that the medical provider will make the diagnosis by using elements of the history of the injury (examples: participation in contact sports, trauma to the ear, previous similar episodes) and combine this with findings on physical exam (examples: tenderness to the area, bruising, deformation of the ear contours) to confirm the diagnosis and decide on the appropriate treatment for the patient.To assist with settling on the best form of treatment for cauliflower ear Yotsuyanagi et al. created a classification system for deciding when surgery is needed and to guide the best approach.scrum cap, a form of headgear used for shock absorption and protection to the head.rugby union player wearing a tiger-print, a form of headgear used for shock absorption and protection to the head.Because an acute hematoma can lead to cauliflower ear, prompt evacuation of the blood can prevent permanent deformity.In these cases it has been suggested that open surgical treatment is more effective in returning the cosmetic appearance and prevention of recurrence.Clothes pegs, magnets, and custom molded ear splints[8] can also be used to ensure adequate pressure is applied to the damaged area[9] Without medical intervention the ear can suffer serious damage. .

Cuts and Wounds of the External Ear

Apply pressure with a clean cloth or bandage for several minutes to stop bleeding.Wash the cut area well with soap and water.Any wound to the ear cartilage that is more than just a superficial cut or laceration should be checked by a healthcare provider.To make an ice pack, put ice cubes in a plastic bag that seals at the top.A direct blow to the ear that causes a large bruise or collection of blood and fluid under the skin (hematoma) should be checked by a healthcare provider. .

Can Dogs Get Cauliflower Ear?

Can dogs get cauliflower ear?Can Dogs Get Cauliflower Ear?Does My Dog Have Cauliflower Ear?To confirm what has caused cauliflower ear in your dog, your vet will need to take a sample of the blood or fluid present in the hematoma.In the case of an ear infection, a bacterial culture may be required.How Do I Treat My Dog's Cauliflower Ear?To help your pooch heal properly, keep the ear extra clean after it has been treated.Fluid filling the ear.How is Cauliflower Ear Different in Dogs and Humans?Aural hematomas respond well to treatment.One energetic pup developed cauliflower ear from aggressive head shaking. .

Treating 'Cauliflower Ear' in Dogs

Community Corner Treating 'Cauliflower Ear' in Dogs Has your dog's earflap partially or completely swelled so large that the opening of the ear canal is blocked off?The earflap may partially or completely swell with blood and block off the ear canal.Aspiration This simple procedure involves using a syringe to remove the fluid contents from the hematoma.To prevent the hematoma from refilling with fluid, multiple sutures are placed in the hematoma area. .

Ear Hematoma in Dogs

Ear Hematoma in Dogs.A hematoma is a pool of blood that forms outside of blood vessels and is usually found under the skin.Commonly found in dogs, an ear hematoma, also referred to as an aural hematoma, is a blood-filled pocket on the inside of the ear flap.These signs and symptoms are not only indicators your dog may have an aural hematoma – they may also indicate that there is an underlying condition causing the hematoma that needs to be diagnosed and treated.How Did My Dog Get an Ear Hematoma?An ear hematoma in dogs can be caused by aggressive head-shaking and/or scratching.The space between the ear cartilage and skin fills up with blood and fluid, causing the ear to swell rather quickly, and forming a balloon-like nodule on the dog’s ear.The vast majority of aural hematomas are caused by infection or allergies.Treating Your Dog for an Ear Hematoma.An ear hematoma is painful for a dog, so it’s important to have it examined as soon as possible.This method allows the fluid to drain continuously for a week or more, rather than fill up again rapidly as often occurs with aspiration.However, drains are very rarely used to treat hematomas.A small incision is made in the affected ear to drain out the fluid and any blood clots that are present.However, the underlying reason for the ear hematoma may in some cases be contagious.What Is the Cost of Treating an Ear Hematoma?If the hematoma is treated with needle aspiration, your veterinarian will provide you with medications and instructions for at-home care.Preventing an Ear Hematoma in Dogs.It can be difficult to prevent an ear hematoma from developing, but preventing or successfully treating the underlying problems that cause head-shaking/itching will help reduce the risk.Ear hematomas form when blood pools under the skin of the ear, following scratching or head shaking.Be aware of the signs and symptoms of aural hematomas; prompt treatment is advised since they can be painful for your dog. .

Treatment for Your Dog's Ear Hematomas

“But not everything.” His preferred treatment for aural hematomas was to insert a small drain into the ear, which we did.The inability to get those layers to reattach is what causes the ear to shrivel and become misshapen.Below are some methods for treating hematomas.“Very often those remedies will help resolve hematomas when they are really small,” he says.Ways to Treat a Dog’s Ear Hematoma.More important than the kind of drain used is the follow-up care that the dog receives.“If the owner the doesn’t do any home care, it’s a bloody mess.”.“The reason this technique works is that it is successful at maintaining contact between the skin and cartilage with constant negative suction.”.In the quest to get the skin and cartilage of the ear to reattach, many (if not most) veterinarians opt for surgery.The procedure involves opening the hematoma surgically with an incision on the inner flap of the ear running in a wavy line; the incision drains the hematoma.Then the incision is stitched up, and more stitches are used in what looks just like a “quilting” technique, with knots on both sides of the ear flap, preventing any part of the ear flap from puffing up with fluid again.For acute hematomas, where a significant clot hasn’t yet developed, Dr. Wolfe opts for a different surgical technique.“The punch-biopsy method also tends to have a high success rate, is quickly and easily performed, and has a good cosmetic result.”.“I prefer either of these techniques to drainage alone or cannulas due to higher rates of success and cosmetic outcomes,” Dr. Wolfe concludes.Leeches for Ear Hematomas.And in dogs, they are most commonly used to treat ear hematomas.According to Biopharm in Hendy, South Wales (“suppliers of leeches since 1812”), ear hematomas in dogs usually call for two to three leeches, and the sooner they are applied, the better.“And I’ve seen ones where the owners did nothing and their ears look great.”.Still, there are a few constants when it comes to caring for a dog with a hematoma:.If you opt for veterinary intervention, seek it out sooner rather than later, before the hematoma hardens and becomes more difficult to treat.Vigorous or repeated head-shaking can cause a blood vessel in the ear flap to burst and cause acute swelling – but we’ve also seen dogs whose own ID tags have injured their ear flaps during head shaking, initiating the hematoma spiral.Ear infections are a prime cause of head shaking, and can be persistent and difficult to treat.Another, less obvious cause of head shaking – and the likely cause in Blitz’s case – is a lack of household humidity.



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