Hello,
Thank you for posting your medical query to DoctorSpring.com
From your description, most likely you are suffering from seroma/pseudocyst of pinna, which is collection of fluid between ear cartilage and skin.
Treatment includes aspiration and pressure bandage (dressing). Bandage is required for a week time because recurrence of collection of fluid is very common.
The role of Tab. Dapsone 100mg once daily for a months is also mentioned in literature but before starting local physician should confirm the diagnosis.
To prevent cauliflower ear which is due to pericondritis (which is infection of the tissue covering the cartilage of the pinna), Tab. Ciprofloxacin 500 mg two times daily for 5 days can be started.
You should not use ice but you can use brufen to reduce pain and inflammation.
Hope this helps, feel free to discuss further
Best regards,
Dr. Sunil Jalan
Patient replied :
When I think back to not having physical trauma to the ear I actually thought of something.
I craked my neck on the same side as the ear. This requires me to reach my right hand to the left side of my head over the top of my head to pull down to my right shoulder. I do this multiple times a day to relieve tension in the left side of my neck.
When I grab the left side of my head the top of my ear is under my hand under alot of pressure as I pull down my head to crack my neck.
Doing this multiple times daily could have damaged the ear allowing fluid to form cauliflower ear?
I woke up this morning with a little bit more fluid in the ear, so should I get it drained immediatly today or wait till tomorrow.
Hello,
Seroma can occur following trauma or spontaneously. It need to be aspirated, not urgent, you can get it done today or tomorrow according to continence.
You can start ciprofloxacin 500 mg to prevent perichondritis.
Hope this helps
Best regards