Cauliflower Ear

Cauliflower Ear


  • Cauliflower ear (boxer’s ear, wrestler’s ear) is an acquired deformity of the outer ear.
  • In this injury, the ear can shrivel up and fold in on itself and appear pale, giving it a cauliflower-like appearance, hence the term cauliflower ear.
  • Wrestlers, boxers and martial artists in particular are susceptible to this type of injury.
  • When the external portion of ear is hit and develops a blood clot or other collection of fluid under the  perichondrium.
  • This separates the cartilage from the overlying perichondrium that supplies its nutrients, causing necrosis and resulting in the formation of fibrous tissue in the overlying skin. As a result, the outer ear becomes permanently swollen and deformed, resembling a cauliflower.
  • Failure to evacuate the Auricular hematoma may lead to cartilage necrosis and permanent disfigurement known as “cauliflower ear.”
Exam Question
  • Cauliflower ear is Perichondritis in Boxer’s.
  • Cauliflower ear is associated with Hematoma of Auricle.
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