Severe or repeated trauma to the auricle may produce areas of subperichondrial separation, shearing, and localized hemorrhage, which result in devitalization of the underlying cartilage. This devitalization and its associated healing process may produce excessive subcutaneous fibrous tissue and scar formation which deforms the surface of the pinna. Over time this scar tissue may become calcified. This is the pinna of a world-class wrestler.
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