Ear bruising in a child
Ear bruising. This injury was noted in a
5-year-old child who reportedly fell from a standing position.
Bruising of the ears is seldom the result of accidental injuries in
children, because protective reflexes typically prevent direct ear
impact. Ear bruising, therefore, is a suspicious finding for
inflicted injury. This image shows extensive red-purple bruising of
the anterior surface of the left ear helix and small areas of
red-purple bruising of the left cheek anterior to the hairline. Ear
bruising results from forceful pulling, tugging, or twisting of the
ear. Alternatively, a forceful blow to the side of the head may
result in ear bruising. When caused by a blow, ear bruising may be
accompanied by bruising of the adjacent cheek or scalp, including
the area posterior to the ear, over the mastoid process.
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