Auricular hematoma

Auricular hematoma

Auricular hematoma is a condition that arises due to the injury or trauma to the outer ear. Injury or trauma causes collection of blood between the cartilage of the ear and its outer covering (perichondrium). As a result of this, the blood supply to the cartilage of the ear is stopped, leading to its death. This causes deformation of the ear very similar to the vegetable cauliflower.

Causes and risk factors

Auricular hematoma is caused due to the injury or trauma to the ear, either blunt or due to friction. People who are involved in wrestling, boxing, martial arts, rugby are at increased risk of developing auricular hematoma.

Clinical presentation

The presentation is usually unilateral. The outer portion of the ear appears deformed, typically cauliflower-shaped.

Investigations

Auricular hematoma can be diagnosed on the basis of patient history and physical examination. No special investigations are needed.

Treatment

Treatment for auricular hematoma involves compression, drainage of the accumulated blood and antibiotics to prevent infection. If the deformation is already formed, cosmetic surgery is required to correct the deformity.

Complications

If auricular hematoma is left untreated, it can lead to permanent deformity of the ear known as ‘cauliflower ear.’

When to contact a doctor

Contact a doctor as soon as you develop any pain or deformity in the outer ear, especially if there is a history of injury.

Prevention

Use of appropriate protective head gear during sports can help in prevention of auricular hematoma.

Systems involved

Otology, vascular.

Organs involved

Ear, blood vessels.

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