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Warning-sign checks

Low-set ears and pinna abnormalities: when to get help

Go through these in order and stop at the first one that applies. If you are reading this for someone else, answer for them.

  1. 1

    Is any of this happening now?

    Call 911

    Seek emergency care for uncontrolled bleeding, a serious head injury, difficulty breathing, a seizure, blue or grey skin, or unusual difficulty waking a baby or child.

    These signs are not typical effects of an ear-shape difference and may indicate a separate emergency.

    Other emergency signs, for anyone
    • Someone who is struggling to breathe, gasping, choking, or cannot get words out
    • Someone who has chest pain, tightness or pressure lasting more than a few minutes
    • Someone who has sudden weakness or drooping on one side of the face or body, slurred speech, or sudden confusion
    • Someone who is unconscious, or cannot be woken
    • Someone who is bleeding heavily and it will not stop with firm pressure
    • Someone who has had a seizure that will not stop, or does not wake up afterwards
    • Someone who has lips or skin that look pale, blue, grey or blotchy
    • Someone who you believe has taken an overdose or swallowed something poisonous
  2. 2

    Is any of this happening?

    Be seen today

    Contact a healthcare service the same day if the outer ear becomes red, hot, swollen, or increasingly painful, especially after a piercing or injury.

    Fever, pus, or rapidly spreading redness also needs prompt assessment.

    A soft or firm swelling that appears after a blow to the ear should be assessed the same day.

    It may be an auricular hematoma and can require drainage.

  3. 3

    Does any of this apply?

    Book an appointment

    Arrange a routine appointment if you notice a congenital ear difference that has not been assessed, particularly if the ear canal appears narrow or closed.

    Also book an appointment for concerns about hearing, speech development, repeated drainage from an ear pit, or changes that are affecting confidence or daily life.

Every sign above is quoted from the sofidex article on Low-set ears and pinna abnormalities. If you are not sure, err upward — it is always reasonable to be checked.