Piercing associated perichondritis of the pinna: are we treating it correctly?

Liu, Zi Wei; Chokkalingam, Perumal

doi:10.1017/s0022215113000248

Cited by 16 publications

(25 citation statements)

References 17 publications

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“…A total of 29 articles met inclusion criteria for this systematic review (Fig. ), and 66 patients were included in the pooled analysis (Table ).…”

Section: Resultsmentioning

confidence: 99%

“…There was no correlation between symptom duration prior to receiving medical attention and the rate of drain placement, but patients with greater than 5 days of symptoms prior to seeking treatment were more likely to be hospitalized (Table ). A total of 47.8% (33 patients) of cases underwent incision and drainage . Of those, nine patients underwent multiple incision and drainage procedures.…”

Section: Resultsmentioning

confidence: 99%

“…Physical findings were reported in 38 patients, with 32 exhibiting purulence at the infected site and six without purulent drainage . Of patients with purulent drainage, 59.4% received intravenous antibiotics; 78.1% underwent incision and drainage; and 53.1% developed an ear deformity.…”

Section: Resultsmentioning

confidence: 99%

“…Ultimately, this increases a financial and emotional burden to the patient during multiple outpatient visits, inpatient hospitalization, and multiple procedures, potentially requiring a future reconstructive procedure. Although a plethora of case reports describe infectious complications following transcartilaginous ear piercing (level IV evidence), there is an absence of data investigating pathogenic etiology, anatomical location of defects, selection of antibiotic, surgical intervention, treatment outcomes, rates of deformity, and pursuit of reconstructive surgery . Therefore, the purpose of this study was to systematically review the literature to critically analyze available data pertaining to infectious complications following transcartilaginous ear piercing.…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Transcartilaginous ear piercing and infectious complications: A systematic review and critical analysis of outcomes

et al. 2015

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“…A total of 29 articles met inclusion criteria for this systematic review (Fig. ), and 66 patients were included in the pooled analysis (Table ).…”

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Transcartilaginous ear piercing and infectious complications: A systematic review and critical analysis of outcomes

et al. 2015

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“…Body piercing ending in chondritis is more common when the scalpha is invaded resulting in 100% of ear deformity in comparison when the hélix was involved (43%) [6,7].…”

Section: Discussionmentioning

confidence: 99%

Pseudomona Chondritis and Ear Piercing Pseudomona and Piercing

Beguerie¹

2017

CRDOA

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We describe a case of perichondritis by Pseudomona aeruginosa after piercing of the right posterior third of the ear pinna cartilage (high ear piercing) in an otherwise healthy Caucasian adolescent female of 16 years old at a local shop. Based on the tissue sample culture, she was successfully treated with ceftriaxone after a non-respondent first treatment, minimizing the destruction of the ear.A review of the history of body piercing, complications, risk factors, and treatments is presented with this increasing practice around Western cultures. Bodypiercing-associated cutaneous bacterial infections have been reported with increasing frequency, being Staphylococcus aureus the cause in the majority of the cases. Unlike Staphylococcus, Pseudomona is usually more aggressive and non-respondant to cephalexin or Trimethoprim/Sulfamethoxazole (TMP/SMX). Complications in the piercing site, especially in regions with low blood supply, such as the ear cartilage as in this case, may occur . Hence, awareness of the precise diagnosis and aggresive adequate treatment must be installed without delay in order to minimize destruction of tissue. KeywordsChondritis; Body Piercing; Pseudomona Chondritis; Case ReportA previously healthy 16-year-old girl had the upper portion of her right ear pierced at a local shop of tattooing and body piercing. The type of body piercing earring she had was an industrial bar made of titanium and placed it in a diagonal way using a spring loaded piercing gun (Figure 1). Three days after the amateur body piercing, she developed erythema and increasing pain associated with edema in the perforated area. Since day 1, she had been cleaning the pierced area with sterile gauze embedded in saline solution. As the inflammation kept increasing, she was seen at another hospital and unsuccessfully treated with oral cephalexin 2 grs per day for four consecutive days. Two days after, the patient finally underwent incision and drainage surgery of the abscess, which was repeated once again during the following week. (Figure 2) This practice included drainage of pus and blood. Pus sample was inmediately sent in a sterile specimen container to the microbiology laboratory for typification and culture. In 24 hs we received the diagnosis of Pseudomona aeruginosa.

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Pinna abscesses: can we manage them better? A case series and review of the literature

Mitchell

Ditta

Minhas

et al. 2014

Eur Arch Otorhinolaryngol

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Suppurative perichondritis of the pinna is a serious condition with potentially long-term cosmetic sequelae. Literature regarding the optimal treatment of these abscesses is scarce with most case series containing low numbers. This work reports the largest series from the UK to date; along with a review of recent literature. A 10-year retrospective review of case notes was undertaken. Demographic data, interventions and microbiology results were recorded along with outpatient descriptions of cosmetic outcomes. 20 patients were identified with male:female ratio of 4:1. Average patient age was 25.3 years (range 8-65). Average duration of symptoms prior to being seen by the ENT department was 9.95 days with an average length of stay in hospital of 2.5 days. 80% of patients had a surgical intervention performed. The commonest organism grown on microbiological culture was pseudomonas (33%). Of patients who attended follow-up, 28.6% had residual deformity. All of these had undergone surgical drainage of the abscess. Residual deformity was associated with longer time before presentation, piercing of the cartilage and a growth of pseudomonas. Prompt surgical management and appropriate antibiotic regimens to cover pseudomonas are the cornerstones of treatment in the event of pinna abscess formation.

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Piercing associated perichondritis of the pinna: are we treating it correctly?

Abstract: Most patients were not prescribed anti-pseudomonal antibiotics on presentation. This may result in persistent infection and long-term cosmetic defects.

Cited by 16 publications

References 17 publications

Transcartilaginous ear piercing and infectious complications: A systematic review and critical analysis of outcomes

Transcartilaginous ear piercing and infectious complications: A systematic review and critical analysis of outcomes

Pseudomona Chondritis and Ear Piercing Pseudomona and Piercing

Pinna abscesses: can we manage them better? A case series and review of the literature

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