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Are cauliflower ears painful?

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.

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.

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