Cauliflower ear, also known as otohematoma, is an injury that occurs in the pinna when blood collects under the skin. This injury is more common in people who play contact sports. In this article we are going to explore from our hearing center in Malaga, Domínguez Hearing Aids, the causes and treatments that exist for cauliflower ear.
Causes of cauliflower ear
It occurs when the blood vessels under the skin of the pinna rupture. This can occur from a direct blow to the ear, such as a punch or knee, or from overstretching the pinna.
The most common causes of cauliflower ear are:
- Contact sports: Boxing, wrestling, and martial arts are the sports in which cauliflower ear is most common. This is because athletes in these sports are exposed to frequent blows to the head and face.
- Piercings: Ear piercings can cause piercing if there are bumps or stretches in the area of the piercing.
- Accidental blows: Accidental blows: to the head can also cause it. These blows can occur in any situation, such as in a car accident or a fight.
Consequences and treatment of cauliflower ear
It can have several consequences, including:
- Pain: It can cause severe pain, especially when you touch or move it.
- Increased temperature of the ear.
- Swelling: It can cause significant swelling of the pinna.
- Headache.
- Tinnitus and hearing loss: It can cause ringing in the ears due to trauma or even hearing loss.
Treatment depends on the severity of the injury. In mild cases, cauliflower ear may heal on its own within a few days. In more severe cases, it is necessary to drain the blood pooled under the skin.
Blood drainage can be done on an outpatient basis or in a hospital. In the case of an ambulatory drain, the doctor or nurse will make a small incision in the pinna to drain the blood. In the case of a hospital drain, the doctor or surgeon may use a more complex technique to drain the blood.
In addition to blood drainage, other treatments may also be used to reduce inflammation and pain, such as:
- Cold application: Cold helps reduce swelling and pain. Ice or a cold pack can be applied for 20 minutes, several times a day.
- Medications: Your doctor may prescribe medications to reduce pain and inflammation, such as pain relievers or anti-inflammatories.
Prevention of cauliflower ear
The best way to prevent it is to avoid blows to the head and face. If you play contact sports, it’s important to wear appropriate protective gear, such as a helmet and mouthguards. It is also important to learn the proper techniques to avoid blows to the head and face.
In the case of ear piercings, it is important to follow the piercer’s instructions to avoid bumping or stretching the piercing area.
Cosmetic treatments
In some cases, it can cause an aesthetic deformity. In these cases, cosmetic treatments can be performed to improve the appearance of the ear.
The most common cosmetic treatments for cauliflower ear are:
- Corticosteroid injections: Corticosteroid injections can reduce inflammation and help the ear regain its original shape.
- Surgery: Surgery is the most effective treatment to correct the deformity.
It is an injury that can cause pain, swelling, and even deformity. It is important to know the causes and treatment of this injury so that it can be prevented and treated appropriately. If you need more information about this injury, or treatments for tinnitus and hearing loss, do not hesitate to contact us.







