Treatment of Auricular Perichondritis Secondary to Middle Ear Surgeries
ZHENG Quanyi
KE Zhaoyang
GONG Taogen
LV Yanlu
YAN Ming
Abstract:Objective To report experiences in the treatment of auricular perichondritis secondary to middle ear surgeries. Methods Clinical data of 9 patients who were admitted for auricular perichondritis after middle ear operation were retrospectively analyzed. Results Auricle soreness usually occurred 4 to 15 days (average 7.8 days) after the mid-dle ear operation. In 4 patients, where the auricular cartilage was not involved, peirchondritis resolved following antibi-otics treatment or/and incision and drainage without any deformity. Debridement (one to two times) was performed in 4 patients whose auricular cartilage were partly involved, resulting in minor residual deformity in one patient. The remain-ing one patient whose auricular cartilage was extensively involved was treated by radical surgical debridement and end-ed up with a"cauliflower ear". Conclusions Auricular perichondritis secondary to middle ear operation is often not di-agnosed properly. Initial treatment should include anti-pseudomonal antibiotics. Incision and drainage should be per-formed in cases in which an abscess has formed. Once the auricular cartilage is involved, prompt and thorough surgical debridement should be performed.
Keywords:PerichondritisAuriclePostoperative ComplicationsMiddle Ear OperationAbscessDebridement
Publication Date:2017-01-01
Online Publishing Date:2025-08-15(First online date of this platform, not the publication date of the document)
Pages:4( 317-320 )
