Cauliflower ear

From Wikipedia, the free encyclopedia

**Cauliflower ear**
*Classification & external resources*

ICD-10	M 95.1
ICD-9	738.7

Cauliflower ear or hematoma auris or perichondrial hematoma is a condition common among rugby players, boxers, martial artists and wrestlers. If the external portion of the ear is constantly hit or bashed around, 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 many martial arts and contact sports to help prevent this condition.

[edit] 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. One has to keep the compressing tie 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 a doctors intervention the ear could become potentially fatal. The pressure will build up and eventually explode the ear drum. When this occurs the ear will further wrinkle and become slightly pale. This is where the name Cauliflower comes in. The only treatment that can be done once the ear drum has ruptured is to heal the wound with stiches. Hearing is lost and unable to return. While in the past the appearance of the ear was also permanent new cosmetic surgery is available to greatly improve the appearance of the ear.