Unlike other disease conditions that utilize ancillary procedures for diagnosis, determining Cauliflower ear is mainly by thorough history (involvement in contact sports, history of trauma to the listener either by accident or intentional) and physical examination of the affected ear (presence of bruises, swelling and disparity between the affected and the normal ear). There may be tenderness in the affected area with discoloration. Once the diagnosis is made, the treatment options can quickly be decided.
After the time of the initial injury, a cold compress of the affected area is “golden” or of utmost importance within 48 hours. The cold temperature stops any active bleeding and reduces the formation of the blood clot that can cause deformity.
The incision and debridement of the affected ear after the diagnosis has been made is necessary to remove the causative agent of the blockage (this may either be a blood clot or a pus formation). Prompt debridement will save the tissue from going into necrosis and eventually shrinkage of the affected tissue.
Plastic surgery reconstruction or otoplasty. Once the deformity is apparent, restoration of the affected ear to make it look normal again is possible with the advent of modern medicine.
Prevention of further cases of cauliflower ear can be avoided with the use of appropriate headgear before engaging in contact sports and the like.