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

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



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.


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’.


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


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


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:


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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


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

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


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