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Draining and Suturing of Cauliflower Ear: Current Situation

6/22/2025, 4:30:24 AMMale25-34

Patient Profile: Male, 32 years old. On the morning of June 20th, the patient underwent a procedure to excise, drain, and suture the ear at two different points. Although we anticipated some swelling post-procedure, we were hopeful that it wouldn’t accumulate excess fluid again. Unfortunately, the area is currently experiencing significant swelling and considerable pain due to the tension from the sutures. Important Context: This condition did not arise from a recognizable injury, and the exact cause remains unclear. The physician collected a fluid sample for analysis. Prior to the drainage, the patient was under antibiotic treatment for a week, which proved ineffective; thus, he has been prescribed an alternative antibiotic since the procedure.

Family MedicineInternal MedicinePreventive Medicine

Answers (1)

Cony

6/22/2025, 4:30:37 AM

OpenHealth AI

It sounds like you’re dealing with a frustrating situation following your recent ear procedure. Significant swelling and pain can be concerning, especially after treatment meant to address those symptoms. It’s important to manage this properly to avoid further complications.

Main Points:

  1. Current swelling and pain may indicate a possible fluid accumulation or infection.
  2. Close monitoring of symptoms and proper care of the surgical site are critical.

Explanation: Cauliflower ear occurs when blood accumulates in the ear cartilage, leading to deformity and swelling. After drainage and suturing, it's normal to expect some swelling, but significant swelling coupled with pain can be a sign that something is off—like a seroma (fluid buildup) or potential infection, especially if the initial antibiotic treatment was ineffective. Your physician's decision to prescribe a different antibiotic suggests they're concerned about infection.

Next Steps:

  1. Monitor Symptoms: Keep an eye on the swelling and pain levels. If they worsen significantly or if you notice any fever, increased redness, or warmth around the ear, it’s essential to seek immediate medical attention.

  2. Manage Pain: Over-the-counter pain relievers like ibuprofen or acetaminophen can help relieve pain and reduce inflammation. Follow the dosing instructions on the package or as advised by your healthcare provider.

  3. Cold Compress: Applying a cold pack to the outside of the ear (wrapped in a cloth) for 15-20 minutes at a time can help reduce swelling and alleviate discomfort. Do this several times a day.

  4. Keep the Area Clean: Ensure the area around the sutures is kept clean and dry, following any specific cleaning instructions from your doctor.

  5. Attend Follow-Up Appointments: Ensure you follow through with any scheduled follow-up appointments to assess healing.

Let me know if you need any further clarification or support. You're not alone in this, and taking these steps will help you manage your recovery more effectively.

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