The Blumenkohlohr is often called Boxerohr or ring tube. It is medically considered to be the result of a hematoma in the ears – a blood effusion in the ear.
Table of contents
Boxerohr – The most important facts
- The Blumenkohlohr is formed from a bruise in the external ear, which has a Deformation and is visually a “cauliflower” like.
- Boxerohr refers to how this Deformation is generally caused by an injury in the course of violent fighting sports such as Boxing, Judo or wrestling. Other causes of botched Piercings, accidents, or disease, Polychondritis.
- In addition to the aesthetic Deformation, can occur other side effects, such as a ringing in the ears (Tinnitus), deafness or hearing loss as a consequences.
- The treatment is carried out by a puncture, a doctor aspirates the fluid from the hematoma with a hollow needle.
- Severe bruising in the outer ear can be surgically corrected,
- A Deformation of the ear is already developed, needs to be reconstructed ear through cosmetic surgery.
- Wearing a Ohrschutzes in the martial arts, the emergence of a Blumenkohlohrs prevents.
- The cost of the treatment will not be covered by health insurance usually.
- Injuries of the auricle – a retrospective analysis of causes and treatment approaches
The Ohrhämatom
The Ohrhämatom a Boxerohr can occur, called a bloody or liquid effusion between the perichondrium and the cartilage of the auricle. The trigger for this violence is the rule. To avoid permanent Deformation, is filtered off the liquid. In this case, the medical personnel must pay attention to sterility, to avoid the Occurrence of Perichondritis.
How is it to Blumenkohlohr?
A bruise can occur on many parts of the body and is not a cause for concern, since it usually disappears by itself. It is different in the case of a hematoma between the perichondrium and cartilage of the auricle, because the fluid separates the cartilage from the perichondrium and the cartilage can, therefore, be no longer supplied with nutrients. As a result, he can die and not re-form, resulting in a permanent and life long-lasting deformation of the auricle.
Symptoms
Usually a Ohrhämatom causes no pain. It is the Pinna swells only by on the front of fluid under the skin accumulates, resulting in severe bruising visible – is; lighter, only felt.
The Investigation
A bruise on the ear Cup, causing a bulge which can be felt by the Doctors. In the case of severe hematoma, this swelling can also see, sometimes they cover the natural fold of the ear cups.
In examining whether a Ohrhämatom is present, examine the doctors at the same time, whether the hearing has taken damage. Here, a tuning fork, or the recording of an audiogram, the results of which provide information about which frequencies can be perceived by the Affected. The suspicion on damage to the temporal bone, the to a computer tomography to detect.
Before the treatment, the Doctors check the neck and head area to further injury, what occurs in a bruise as a result of violent action is rare. In danger due to a traumatic brain injury, as this can lead in the worst case, to a brain hemorrhage.
Treatment
To remove a hematoma on the Pinna of the ear is punctured with a hollow needle and the liquid filtered off. Subsequently, the doctor and the Doctor applies a pressure bandage. If the Puncture of the hematoma is not sufficient, you must remove a piece of cartilage, so that the liquid can drain. After discharge of the fluid, cartilage and cartilage skin are connected, so that the cartilage can be re-supplied with nutrients and the risk of Deformation is eliminated.
The cut of the cartilage window is carried out under local anaesthetic, to the extent that a hospital stay is not necessary. The surgeon cuts the skin on the back of the ear, then the blood can flow through this incision. The doctor and the Doctor closed the outer ear and then with a “Mattress stitch” and place a pressure bandage around the ear. The entire surgery lasts approximately an hour.
Possible Complications
Any surgery carries risks, even if they are in the removal of a Ohrhämatoms low. Possible risks include impaired wound healing and possible postoperative bleeding and inflammation, as well as a Perichondritis. Has already formed a Blumenkohlohr, can form in the Wake of the correction of excessive scar and/or skin death. Another risk is the emergence of a blood effusion.
Perichondritis
Doctors always pay attention carefully to the sterility, otherwise a Perichondritis – may arise; inflammation, swelling, skin redness and pain of the Pinna. There is the risk that an abscess forms. Such inflammation can also be due to Systemic conditions such as Polychondritis, insect bites or Piercings in the ear cartilage.
A Perichondritis can lead to necrosis of the Pinna. In the worst case, a septic necrosis, not only the parts of the ear to die, but very painful swelling to develop. Such inflammation, helps the immediate oral intake of antibiotics.
In the case of a Perichondritis, an abscess sometimes arises when the cartilage and the cartilage separating the skin. In order to prevent this, two mattress sutures are through the outer ear and placed, cartilage and skin, and a die off of the cartilage to prevent it.
Confusion Ohrhämatom and Blumenkohlohr
The hematoma and the Blumenkohlohr are often confused with each other. The Ohrhämatom is not, however, the Deformation of the outer ear, rather, the Deformation is a consequence if the hematoma is not treated.
The treatment is usually simple, short, and hardly causes pain. So you should see a blue spot on the ear Cup, a doctor, even if you do not notice any severe swelling. The medical staff then decides on whether and which treatment is necessary. Do not underestimate such a blue spot, as a small accumulation of blood can lead to necrosis of the cartilage, when she lays down the skin directly between cartilage and Cartilage.
Prevention
Most hematomas of the outer ear caused by blows or kicks on the ear. Usually this is done in the exercise of combat sports such as Boxing, wrestling, Jiu-Jitsu, Karate, Judo, or Wrestling. The formation of a hematoma tie in the run-up to the Wear of a Ohrschutzes or a helmet with integrated ear protection, which is adjustable in size.
What should you look for before surgery?
A viewing will be corrected open ear surgically, you should avoid in the weeks before that, on acetylsalicylic acid (in Aspirin), as this inhibits the clotting of blood. Also, sleeping pills and alcohol should not be taken two weeks before the surgery to prevent unwanted bleeding. It is also recommended to reduce the consumption of cigarettes for a month, and in the ideal case, so that the operation can heal the wound faster.
After the Operation
After surgery a pressure dressing is applied to the ear, which must be worn for several days after the procedure. The Association has the task to that of fluid between the cartilage and the cartilage reaches the skin and thus promotes the healing process and promotes the Ingrowth of tissue. In the first two weeks, it is recommended that 24 hours to wear on the day is a headband, which the operated ear fixed. Then the headband should be worn for a month at night. You take it easy for about a week and you avoid it to go out of the house. Sports is for four to six weeks taboo – you are going to have the exact time limit with their doctor. After ten days the sutures are removed.
Pays the health insurance?
A hematoma on the Pinna of the ear is considered an acute injury, so the treatment of the blood effusion is paid by the health insurance companies. In the treatment of a as a Blumenkohlohr designated Deformation, as a result of a lack of treatment, not the costs are borne by the health insurance, because it is an aesthetic procedure that is medically necessary. Such a Deformation of the ear there are no health risks and has no health consequences. From a financial point of view, you should not worry in advance, that the ear cartilage dies and no such Blumenkohlohr. (Dr. Utz Anhalt)