Cauliflower ear among Finnish high‐level male wrestlers and judokas is prevalent and symptomatic deformity

Manninen, Iida-Kaisa; Blomgren, Karin; Elokiuru, Rauno; Lehto, Mika; Mäkinen, Laura K.; Klockars, Tuomas

doi:10.1111/sms.13530

Cited by 6 publications

(10 citation statements)

References 8 publications

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“…For all patients, data were collected on sociodemographic parameters, comorbidities, and relevant medical history. In addition, the severity of cauliflower malformation was evaluated before surgery using the Manninen assessment [ 10 ], which assesses the severity of malformation with scores from 1 (minimal deformity) to 5 (severe malformation). All procedures were performed by a single surgeon (LDA).…”

Section: Methodsmentioning

confidence: 99%

Modified Valente Technique for Cauliflower Ear: Outcomes in Children at Two-Year Follow-Up

D’Ascanio,

Gostoli,

Ricci

et al. 2024

Aesth Plast Surg

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Background Cauliflower ear deformity, a common sequela of auricular trauma, presents an esthetic and reconstructive challenge. Existing surgical techniques have limitations, including complexity, donor site morbidity, and variable long-term outcomes. Materials and Methods In this case series, we present a novel and minimally invasive surgical approach for the correction of cauliflower ear deformity that adapts the Valente otoplasty technique; it combines cartilage debulking with helical rim release and Mustardé mattress stitches to restore ear contour and reduce the risk of recurrence. The procedural steps include bielliptic post-auricular skin and soft tissue incision, release of the cartilaginous spring, removal of excess fibrocartilaginous tissue, cartilage reshaping with suture to restore contour, and tissue redistribution to promote adherence of skin to the cartilage framework. Results Outcomes were evaluated in 7 patients (9 ears) with cauliflower ear deformity, assessing surgical duration, complications, patient satisfaction, and esthetic outcomes at two years after surgery. The mean surgical duration per patient was 52 ± 17 minutes, including 2 bilateral procedures. Follow-up at 24 months showed favorable esthetic outcome in all patients with sustained improvements in auricular contour and symmetry with neither loss of the shape nor recurrence of deformity. Patients reported high satisfaction and improved quality of life, with mean Glasgow Children Benefit Questionnaire scores of 99.3 ± 6.3. Conclusions This technique thus demonstrated lasting correction of cauliflower ear with favorable cosmetic outcomes, low risk of complications, and high patient satisfaction. Further investigations and longer-term follow-up are warranted to validate the technique's durability and expand its application to older and more diverse patient populations. Level of Evidence IV This journal requires that authors assign a level of evidence to each article. For a full description of these evidence-based medicine ratings, please refer to the Table of contents or the online Instructions to Authors www.springer.com/00266.

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Section: Methodsmentioning

confidence: 99%

Modified Valente Technique for Cauliflower Ear: Outcomes in Children at Two-Year Follow-Up

D’Ascanio,

Gostoli,

Ricci

et al. 2024

Aesth Plast Surg

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“…In the second classification, the ears were ranked on a scale of increasing severity from 0 to 5, a method used by Manninen et al 32 . The severity of the auricular deformity is graded in ascending order from 1—minimal changes to 5 "extreme deformity" of the cauliflower ear (Fig.…”

Section: Methodsmentioning

confidence: 99%

“…Some authors are regarding this pinna deformity also as a typical for judo sport 26 , Several studies reports specific the risk of head and face injuries in judo 27 – 30 . Some of those studies mentioned also injuries of the ears 31 , but there are still very poor data about the prevalence of cauliflower ears in judo 32 . Since the condition of cauliflower ear can be associated with chronical pains, discomfort, and even with hearing impairment of the athletes 32 – 34 , the question of their prevalence in judo also deserves the attention of sports medicine.…”

Section: Introductionmentioning

confidence: 99%

Prevalence of cauliflower ear in high level judoka

Nitsch,

Marx,

Fischer

et al. 2023

Sci Rep

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Judo is an Olympic sport, and the way of its performing can lead to repetitive blunt injuries on head and ears. The chronic consequences of such traumata on the auricle are the formation of so-called cauliflower ear. This condition is painful, can lead to interruptions in the training process and long-term consequences for the athlete's health. There is limited knowledge of epidemiological data about cauliflower ear deformities in judo. Evaluation of the prevalence of cauliflower ear among judokas based on their profile pictures on the international judo federation was performed. A large cohort of judo athletes from around the world was studied. Two different classifications for the severity of ear deformities were used. Statistical calculations of the collected data and correlations to different parameters were performed. Images of 1632 top athletes were evaluated in the study. Ear deformities were found in 55.5% of the judokas. There was gender-specific differences. Male athletes were affected much more often than female athletes. In addition, ear deformities were more pronounced in male athletes. A correlation was found between the age of the athletes and the presence of an ear deformity. It has also been shown that judokas with a high world ranking are more likely to have an ear deformity. Ear deformities are a common consequence of injury among leading judo athletes. The current study represents the largest and high heterogeny cohort ever conducted on the prevalence of cauliflower ear in judoka. Knowledge of the prevalence of cauliflower ear in judoka based on reliable data from this study, may be important prerequisites for further studies on the impact of this traumatic consequence on training preparation and judoka health.

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“…The most common cause of cauliflower ear is repeated blunt trauma to the ear or continuous abrasion of the pinna. It is commonly seen among wrestlers 1,2 It can also be caused by perichondritis, inflammatory condition of the auricular cartilage. Staphylococcus aureus and Pseudomonas aeruginosa are the most common pathogen involved.…”

Section: Introductionmentioning

confidence: 99%

“…5 It is also more prevalent in male than female. 1 On the other hand prevalence of cauliflower ear in nonathletes is still unknown, since studies on the topic are very scarce.…”

Section: Introductionmentioning

confidence: 99%

Upper third auricular reconstruction surgery of cauliflower ear following auricular perichondritis: a case report

MH¹,

AS²,

LA³

et al. 2020

JOENTR

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Cauliflower ear is the deformity result of necrosis of the cartilage and which is caused by several etiologies. One of the etiology was perichondritis and as the disease progress, abscess will developed and peel the perichondrial layer off the cartilage and resulting the necrosis and deformity of the auricle. This paper will discuss about male patient who developed cauliflower ear after had several episodes of perichondritis. This paper will further discuss about the reconstruction surgery for the deformity.

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Cauliflower ear among Finnish high‐level male wrestlers and judokas is prevalent and symptomatic deformity

Cited by 6 publications

References 8 publications

Modified Valente Technique for Cauliflower Ear: Outcomes in Children at Two-Year Follow-Up

Modified Valente Technique for Cauliflower Ear: Outcomes in Children at Two-Year Follow-Up

Prevalence of cauliflower ear in high level judoka

Upper third auricular reconstruction surgery of cauliflower ear following auricular perichondritis: a case report

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