Are cauliflower ears painful?

Stuart A. Linder, MD
Plastic Surgery
An acute auricular hematoma may be very painful. As a result of blunt trauma to the ear from boxing like injury, there may be a tear of the perichrondrium leading to a blood clot from bleeding. This can result in a scarred up, fibrotic ear resembling a cauliflower. The pain can be quickly reduced early on by relieving the pressure with a drainage procedure. Long time standing hematomas can lead to cartilage atrophy and chronic painful scarring.

A cauliflower ear certainly hurts at first. It is the result of a blow to the ear hard enough to form a swollen blood clot under the skin. Later, the resulting lumpy mass on the ear may or may not be sore to the touch.

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