Cauliflower Ear: What It Is, Causes & Treatment (2024)

How is cauliflower ear treated?

If you undergo treatment quickly, you may not even develop cauliflower ear. For best results, it’s important that you seek treatment within six hours of your injury. In the meantime, ice your ear to minimize pain and swelling.

Your healthcare provider will likely perform a procedure called incision and draining. When done promptly, it greatly reduces your risk of permanent deformity.

It’s important to note, though, that recurrence (return) is common among people who get cauliflower ear. If the issue continues, or if your ear becomes permanently deformed, a surgeon may be able to improve the appearance with cosmetic surgery.

Incision and drainage for cauliflower ear

During this procedure, your healthcare provider will:

  • Numb your ear with local anesthesia.
  • Make an incision in your ear.
  • Drain the blood from the hematoma.
  • Reconnect the tissues using special stitches or bandages.
  • Place a dressing to help keep your ear’s natural shape.

They’ll prescribe antibiotics to prevent post-surgical infection. Your healthcare provider will monitor you during recovery to ensure you’re healing properly.

Cosmetic surgery for cauliflower ear

If you have permanent damage or deformity as a result of cauliflower ear, your surgeon can often improve the issue with an otoplasty. They may perform this procedure under local or general anesthesia. During otoplasty, your surgeon will:

  • Create an incision behind your ear.
  • Temporarily move the skin back from the front of your ear.
  • Remove the fibrous, deformed scar tissue.
  • Reshape your cartilage.
  • Reposition the skin over the front of your ear.
  • Close the incision using stitches (sutures).

Typically, an otoplasty takes three hours or less to complete. Your surgeon will monitor your healing to make sure your cauliflower ear doesn’t return.

How long does it take to recover from cauliflower ear treatment?

Your recovery timeline depends on several factors, including the severity of your condition, how much time passed between the injury and your treatment, and what type of treatment you received.

For incision and draining, most people recover in about two weeks. If you’ve undergone cosmetic surgery, healing time usually takes about four weeks. Your healthcare provider can tell you what to expect in your specific situation.

Can I drain cauliflower ear on my own?

Some people attempt to drain their own cauliflower ear using a syringe. There are a couple of problems with this. First, your ear may become infected. This can lead to even more issues. Second, simply draining the fluid from your ear does nothing to keep your ear compressed. As a result, the pocket created by the hematoma just keeps filling up again and again. This is why so many people have recurring issues with cauliflower ear.

If you sustain an injury that leads to cauliflower ear, you should seek professional medical care immediately. For best results, treatment should be completed within the first six hours.

Cauliflower Ear: What It Is, Causes & Treatment (2024)

FAQs

Cauliflower Ear: What It Is, Causes & Treatment? ›

Cauliflower ear occurs when blood pools in your pinna

pinna
The auricle or auricula is the visible part of the ear that is outside the head. It is also called the pinna (Latin for 'wing' or 'fin', pl. : pinnae), a term that is used more in zoology. The auricula. Lateral surface.
https://en.wikipedia.org › wiki › Auricle_(anatomy)
after it's been hit or struck. The pinna is your outer ear. This pooling of blood, known as a hematoma, needs to be treated right away. While there's no treatment for cauliflower ear, it can be prevented even after the trauma has occurred.

What is the main cause of cauliflower ear? ›

Cauliflower ear is the result of a direct blow to the outer ear. Blood or other fluids fill the space in between and disrupts normal blood flow. The skin on the surface of the ear is the only blood supply for the cartilage, which gives the ear its shape.

How do you get rid of cauliflower ear fast? ›

For best results, it's important that you seek treatment within six hours of your injury. In the meantime, ice your ear to minimize pain and swelling. Your healthcare provider will likely perform a procedure called incision and draining. When done promptly, it greatly reduces your risk of permanent deformity.

How do you stop cauliflower ear from forming? ›

Cauliflower ear, a common sequela of auricular trauma, is best managed by prevention. The condition usually arises from chronic trauma and is associated with activities that predispose people to repeated auricular injury. The condition may be prevented by consistently using protective headgear during contact sports.

Can you get a cauliflower ear without trauma? ›

Less frequently, cauliflower ear can occur due to non-traumatic inflammatory injury of the perichondrium, such as relapsing polychondritis.

Can you reverse a cauliflower ear? ›

Cauliflower ear is permanent, but in some cases, you may be able to reverse the appearance using corrective surgery, known as otoplasty. During the surgery, your doctor makes a cut behind your ear to expose the cartilage. Your doctor then either removes some of the cartilage or uses stitches to reshape your ear.

When is it too late to drain a cauliflower ear? ›

Most of the time, the blood needs to be drained from the outer ear to prevent damage to the cartilage. This should be done as soon as possible. If it is not done within one week, it may be too difficult to remove the blood. The doctor may prescribe antibiotics after the procedure to prevent an infection.

What happens if I don't drain my cauliflower ear? ›

Even if it's not treated, cauliflower ear doesn't tend to cause major issues other than cosmetic ones. But it won't go away on its own. If you don't get treatment, your misshapen ear can become permanent within 10 days. Cauliflower ear can also return, with or without treatment.

What are the stages of cauliflower ears? ›

After a few days, the pain and swelling generally subside. Left untreated, the ear remains lumpy and the swelling gradually hardens over the course of 7 to 10 days. This can create a permanent change to the ear's appearance. In some cases, the ear may flop over as the cartilage dies.

What happens when cauliflower ear hardens? ›

Cauliflower ear hardens fast if not treated promptly. The transition from hematoma into solid fibrous tissue can begin within 24 to 48 hours after injury. After about a week, the hematoma hardens enough so that simple drainage is no longer effective, requiring more invasive operations to repair the deformity.

Can cauliflower ear be caused by rubbing? ›

Wrestlers, boxers, and martial artists are most susceptible to cauliflower ear. This is because of both the blunt trauma from strikes with fists or feet and from heads rubbing together or rubbing on the mat of the ring. Rugby players also are susceptible.

Can you get cauliflower ears from a pillow? ›

The presentation of cauliflower ear was recorded in ancient Greece. In 19th-century Hong Kong opium dens, opium users would develop cauliflower ear from long periods sleeping on hard wooden pillows.

How serious is cauliflower ear? ›

If left untreated, the cartilage can die leaving a permanent deformity that is very difficult to reconstruct. Treatment usually involves the evacuation of the accumulated blood and a compressive dressing. The compressive dressing is worn to re-establish the connection between the skin and underlying cartilage.

Does ice help cauliflower ears? ›

What to do With Cauliflower Ear Immediately After Injury. Applying ice after a blow to your ear is vital to reduce blood flow into the area. This will help you reduce the pain you feel and decrease the size of the haematoma that develops.

Can you still hear if you have cauliflower ear? ›

If left untreated, cauliflower ear can cause significant pain and loss of balance and hearing. A study focused solely on wrestlers found that those with cauliflower ear had a far greater documented prevalence of hearing loss than their peers without cauliflower ear.

Is cauliflower ear permanent? ›

Treatment. Treatment It is important to consult a physician at the earliest signs of cauliflower ear to initiate prompt treatment. If left untreated, the cartilage can die leaving a permanent deformity that is very difficult to reconstruct.

Why do fighters get cauliflower ears? ›

Cauliflower ear occurs after someone gets a hit or repeated hits to the ear. Wrestlers and boxers are more likely to have cauliflower ear because their ears may be hit while they're in a match. These blows can damage the shape and structure of the outside of the ear.

What sport causes cauliflower ears? ›

As a result, the outer ear becomes permanently swollen and deformed, resembling a cauliflower, hence the name. The condition is common in martial arts such as Brazilian jiu-jitsu, wrestling, boxing, kickboxing, judo, sumo, or mixed martial arts, and in full-contact sports such as rugby league or rugby union.

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