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It’s not uncommon to see someone in our daily life with a funny looking ear which is lumpy, shriveled, appears as if the ear has folded on itself and reminds you of a cauliflower. Ear is made up of cartilage which gives the firm shape to it and is covered by a layer of tissue called perichondrium. Thus any accumulation of blood or fluid and any other causes that separate the cartilage and perichondrium leading to the death of the cartilage will cause cauliflower ear.
Cauliflower ear is more common among people taking part in contact sports like wrestling , boxing, rugby, soccer, mixed martial arts etc. It is so prevalent among wrestlers and boxers that some of the great muscle men like Randy couture - athlete, actor and 5 times UFC title winner, have taken their Cauliflower ear as one of the identity mark. The idea behind all these techniques is to remove the blood clot or fluid that has built up between the cartilage and perichondrium. Aspiration is done for the prompt evacuation of the fluid or clot and is necessary to prevent permanent damage.
Aspiration should be tried only if the injury is less than 7 days old because the granulation tissue will be formed after 7 days in the process of healing. After incision and drainage, check it every 24 hours for the next few days for fluid collection, bleeding or infection. Symptomatic treatment for the discomfort and pain – Keep ice packs for 15 minutes with 15 minutes break.


As Cauliflower ear is a permanent deformity, Surgery is the only choice to restore the normal shape of ear. When the cauliflower ear gets infected, the infection causes inflammation of the perichondrium – perichondritis. So, when you get an injury in your ear, keep an ice pack and get it checked by a doctor immediately. The Heart of the Matter: What Does America Really Know about Coronary Artery Disease Treatments? Online - Your source for entertainment news, celebrities, celeb news, and celebrity gossip. Cartilage does not have blood supply and it receives oxygen and nutrients from blood vessels supplying the overlying skin and the perichondrium. When ear piercing is done in the upper ear without proper aseptic precaution and using unsterilized instruments, it leads to infection of the cartilage. It is most commonly seen in pets like dogs and cats , especially dogs like Setters, Basset Hounds with long and sloppy ears which happens to lodge infectious mites and parasites. Cauliflower ear can be prevented even after a blunt trauma if the blood clot or the fluid is removed sooner. Then both of them are opposed against each other tightly like a sandwich to restore the nutrient supply to the cartilage and to prevent the repeated collection of fluid between them.
When either of these two techniques are carried out successfully soon after the injury, cauliflower ear will not develop.


The surgery involves removal of the dead cartilage and suturing the skin to original shape. When there is a blow to the external ear, the blood from the blood vessels of skin and perichondrium leaks inside and forms a blood clot between the cartilage and perichondrium. This infection causes fluid collection between the cartilage and skin that causes death of the cartilage and thus leads to formation of the cauliflower ear. Nowadays, needle aspiration has been replaced by incision and drainage due to the high chance of repeated accumulation of fluid in aspiration which requires more than one session of needle aspiration. The surgery is done by plastic surgeons and is a bit controversial regarding its outcome and review. Thus the cartilage does not get the nutrients and begin to die and the skin overlying the dead cartilage turns into a scar. It can be prevented by maintaining good ear hygiene of the pets by blow drying the ear and moisturizing with mineral oil. This scarring and collapse of the cartilage causes the shriveled bumpy look of the cauliflower ear.



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