Will I need surgery to get rid of cauliflower ear?

Stuart A. Linder, MD
Plastic Surgery
Immediate surgical drainage of the perichondrial hematoma will reduce the pressure and prevent the cauliflower ear. Decompression of the pressure is essential! Pressure necrosis is associated with buildup of blood or serous fluid between the cartilage and the perichondrium. 

If you see a doctor promptly after an ear injury-within a matter of days - you can prevent cauliflower ear from forming. Then you won't have to have surgery. The doctor will drain the blood clot from the ear and bandage it to re-establish blood flow to the cartilage and keep it from being destroyed.

However, once the cartilage dies, your ear will be permanently misshapen. You will need plastic surgery to make your ear look normal again.

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