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

  • Z W Liu (a1) and P Chokkalingam (a1)

Abstract

Objective:

This paper reports a series of patients with sporadic pinna perichondritis who presented to a district general hospital over a period of 10 years. The data examined included the causative organism, risk factors and pattern of antibiotic use.

Method:

A retrospective analysis of diagnosed cases of pinna perichondritis from 2001 to 2012 was performed. A literature review of pinna perichondritis was carried out using Pubmed with the key words ‘pinna perichondritis’, ‘pinna abscess’, ‘pinna infection’ and ‘piercing’.

Results:

Pinna perichondritis was more likely to result from chondral than lobe piercings. The majority of cases were caused by Pseudomonas aeruginosa.

Conclusion:

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

Copyright

Corresponding author

Address for correspondence: Dr Z W Liu, Department of Otolaryngology, Head and Neck Surgery, Essex County Hospital, Lexden Rd, Colchester CO3 3NB, UK E-mail: zwl20cam@gmail.com

References

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1Hanif, J, Frosh, A, Marnane, C, Ghufoor, K, Rivron, R, Sandhu, G.Lesson of the week: “high” ear piercing and the rising incidence of perichondritis of the pinna. BMJ 2001;322:906–7
2van Wijk, MP, Kummer, JA, Kon, M.Ear piercing techniques and their effect on cartilage, a histologic study. J Plast Reconstr Aesthet Surg 2008;61(suppl 1):S104–9
3Rowshan, HH, Keith, K, Baur, D, Skidmore, P.Pseudomonas aeruginosa infection of the auricular cartilage caused by “high ear piercing”: a case report and review of the literature. J Oral Maxillofac Surg 2008;66:543–6
4Fernandez, AP, Castro Neto, I, Anias, CR, Pinto, PC, Castro Jde, C, Carpes, AF.Post-piercing perichondritis. Braz J Otorhinolaryngol 2008;74:933–7
5Sandhu, A, Gross, M, Wylie, J, Van Caeseele, P, Plourde, P.Pseudomonas aeruginosa necrotizing chondritis complicating high helical ear piercing case report: clinical and public health perspectives. Can J Public Health 2007;98:74–7
6Pena, FM, Sueth, DM, Tinoco, MI, Machado, JF, Tinoco, LE.Auricular perichondritis by piercing complicated with pseudomonas infection. Braz J Otorhinolaryngol 2006;72:717
7Yahalom, S, Eliashar, R.Perichondritis: a complication of piercing auricular cartilage. Postgrad Med J 2003;79:29
8Kent, SE, Rokade, AV, Premraj, K, Butcher, C.“High” ear piercing and perichondritis of the pinna. BMJ 2001;323:400
9Staley, R, Fitzgibbon, JJ, Anderson, C.Auricular infections caused by high ear piercing in adolescents. Pediatrics 1997;99:610–11
10Manca, DP, Levy, M, Tariq, K.Case report: infected ear cartilage piercing. Can Fam Physician 2006;52:974–5
11Vargas, J, Carballo, M, Hernández, M, Rojas, N, Jiménez, O, Riera, J et al. Rapid development of auricular infection due to imipenem-resistant Pseudomonas aeruginosa following self-administered piercing of high ear. Clin Infect Dis 2005;41:1823–4
12Janssen, K, Kon, M.Three patients with complications following piercing of the auricular cartilage [in Dutch]. Ned Tijdschr Geneeskd 2004;148:1351–4
13Eckhardt, LR, Haug, S, Nielsen, KO.Perichondritis caused by high ear piercing. Therapeutic and legal aspects [in Danish]. Ugeskr Laeger 2002;164:5144–5
14Cumberworth, VL, Hogarth, TB.Hazards of ear-piercing procedures which traverse cartilage: a report of Pseudomonas perichondritis and review of other complications. Br J Clin Pract 1990;44:512–13
15Turkeltaub, SH, Habal, MB.Acute Pseudomonas chondritis as a sequel to ear piercing. Ann Plast Surg 1990;24:279–82
16Widick, MH, Coleman, J.Perichondrial abscess resulting from a high ear-piercing–case report. Otolaryngol Head Neck Surg 1992;107:803–4
17Folz, BJ, Lippert, BM, Kuelkens, C, Werner, JA.Hazards of piercing and facial body art: a report of three patients and literature review. Ann Plast Surg 2000;45:374–81
18Keene, WE, Markum, AC, Samadpour, M.Outbreak of Pseudomonas aeruginosa infections caused by commercial piercing of upper ear cartilage. JAMA 2004;291:981–5
19Fisher, CG, Kacica, MA, Bennett, NM.Risk factors for cartilage infections of the ear. Am J Prev Med 2005;29:204–9
20Adefurin, A, Sammons, H, Jacqz-Aigrain, E, Choonara, I.Ciprofloxacin safety in paediatrics: a systematic review. Arch Dis Child 2011;96:874–80

Keywords

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

  • Z W Liu (a1) and P Chokkalingam (a1)

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