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Auricular Perichondritis

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1. Acute atraumatic pinna (auricular) perichondritis (PubMed)

Acute atraumatic pinna (auricular) perichondritis 29576831 2019 02 26 1920-8642 9 2 2018 World journal of emergency medicine World J Emerg Med Acute atraumatic pinna (auricular) perichondritis. 152-153 10.5847/wjem.j.1920-8642.2018.02.013 Lucerna Alan A Program Director, Combined Emergency Medicine/Internal Medicine, Rowan University SOM/Kennedy University Hospital, Stratford, NJ, USA. Espinosa James J Department of Emergency Medicine, Rowan University SOM/Kennedy University Hospital, Stratford

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2018 World journal of emergency medicine

2. Auricular Perichondritis

Auricular Perichondritis Auricular Perichondritis Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Auricular Perichondritis Auricular (...) Perichondritis Aka: Auricular Perichondritis , Suppurative Perichondritis , Auricular Chondritis , Acute Pinna Perichondritis From Related Chapters II. Causes Poorly controlled Abrasions or s High (involving pinna cartilage) Usually within first month of piercing III. Organisms Pseudomonas aeruginosa IV. Symptoms and Signs Swollen warm, tender, erythematous auricle Pain on deflection of auricle Differentiates from superficial infection Ear lobule may also be infected not involved V. Management Broad

2018 FP Notebook

3. Auricular Perichondritis

Auricular Perichondritis Auricular Perichondritis Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Auricular Perichondritis Auricular (...) Perichondritis Aka: Auricular Perichondritis , Suppurative Perichondritis , Auricular Chondritis , Acute Pinna Perichondritis From Related Chapters II. Causes Poorly controlled Abrasions or s High (involving pinna cartilage) Usually within first month of piercing III. Organisms Pseudomonas aeruginosa IV. Symptoms and Signs Swollen warm, tender, erythematous auricle Pain on deflection of auricle Differentiates from superficial infection Ear lobule may also be infected not involved V. Management Broad

2015 FP Notebook

4. Treatment of Auricular Seroma: A Conservative, Innovative, and Effective Approach. (PubMed)

. Not a single patient had recurrence. Temporary discoloration or thickening of the pinna was noted in 8 patients. No major complications like perichondritis were noted.Aspiration and contour dressing using POP is an innovative and effective treatment for management of auricular seroma as it prevents surgical trauma and recurrence and gives cosmetically excellent results.© The Author(s) 2014. (...) Treatment of Auricular Seroma: A Conservative, Innovative, and Effective Approach. Auricular seroma is a cystic swelling filled with serous fluid. It occurs spontaneously or following trauma. Successful treatment of the seroma remains a challenge because this disease has a high propensity for recurrence. The aim was to study the results of the Plaster of Paris (POP) cast in treatment of seroma in terms of complete resolution of swelling, recurrence, and auricular aesthesis.Prospective.Smt

2014 Rhinology and Laryngology

5. Infections Associated with Personal Service Establishments: Piercing and Tattooing

pulmonary tuberculosis 1 month after conducting piercing. Pugatch et al. (1998) 8 HIV multiple 1 • 35-year old homosexual male received piercings over a period of several years in multiple locations, including Amsterdam, New York City, and Boston; • Acquired HIV infection but cause was unknown; authors suggested piercing might be cause of transmission. Sandhu et al. (2007) 15 Pseudomonas aeruginosa high helical ear 1 • 11-year old female diagnosed with severe auricular perichondritis; • Had received (...) 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. Br Med J (Clin Res Ed). 2001;322(7291):906-7. 18. More DR, Seidel JS, Bryan PA. Ear-piercing techniques as a cause of auricular chondritis. Pediatr Emerg Care. 1999 Jun;15(3):189-92. 19. Staley R, Fitzgibbon JJ. Auricular infections caused by high ear piercing in adolescents. Pediatrics. 1997;99(4):610. 20. Widick MH, Coleman J. Perichondrial abscess resulting from

2012 National Collaborating Centre for Environmental Health

6. A Case of Relapsing Polychondritis Initiating with Unexplained Fever (PubMed)

with auricular perichondritis. She was diagnosed with RP and treated with oral prednisone (50 mg/day); her fever and auricular inflammation resolved. The patient no longer reported cough and body temperature returned to normal and the elevated levels of C-reactive protein (CRP) were normalized. In this case, identification of the origin of fever was a challenge because of unspecific symptoms; however, awareness of the systemic manifestations of RP may lead to the prompt diagnosis and therapeutic intervention.

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2016 Case reports in medicine

7. Pseudocyst of the Auricle (Treatment)

of the pinna. [ , ] Surgical Some have used an auricular prosthesis formulated with the creation of a moulage fitted to the ear by the prosthetist for pressure. [ ] Several reports describe a combined procedure using surgical incision and drainage of the lesion, replacement of the anterior skin surface, and the application of a pressure dressing or bolster. [ , ] Surgical curettage and fibrin sealant has been shown to be effective in obliterating the cystic cavity. The fibrin sealant works as a template (...) incision is a simple punch biopsy followed by the application of a bolster for approximately 2 weeks. This method should be a welcome alternative for physicians who choose to not use steroids. [ ] This simple alternative method provides a safe and effective mechanism for diagnosis and treatment of this phenomenon, while minimizing the risk of deformity. Successful treatment of an auricular pseudocyst using a surgical bolster is reported in the literature. [ , ] Shan et al reported success with surgical

2014 eMedicine.com

9. Pedicle/Interpolation Flaps (Treatment)

after flap placement, if indicated. Postoperative result of cheek interpolation flap before dermabrasion. Postauricular flap The postauricular flap involves the use of skin from the posterior ear, retroauricular sulcus, and mastoid area to repair defects of the middle third of the auricular helix and adjacent skin. This random flap has a broad vascular pedicle, and donor scars remain well hidden behind the ear. Reconstruction begins by making a template of the helical defect with foil, Telfa (...) , and placement of a full-thickness skin graft may be considered; however, in most instances, donor defects heal secondarily with excellent cosmetic results. A study by Sleçuk et al indicated that full-thickness defects of the upper and middle third of the ear, including the helix, can be successfully reconstructed using a postauricular chondrocutaneous flap pedicled with the superior auricular artery. The study, which involved eight patients, reported a good cosmetic result with no effect on ear height

2014 eMedicine.com

10. Polychondritis (Treatment)

resolution of auricular inflammation with nodularity and forward listing of the ears. Courtesy of the University of Washington, Division of Dermatology. Close-up view of same patient as in Image 6. Forward flopping of ear with nodularity after steroid treatment. Courtesy of the University of Washington, Division of Dermatology. Other medications reported to control symptoms and, perhaps, progression of the disease, include dapsone (25-200 mg/d), azathioprine, methotrexate (MTX; 7.5-22.5 mg/wk (...) was 19.0%. Reduction in corticosteroid doses was highly variable. [ ] Differences in clinical response rates varied with organ involvement. There were trends toward a lower response rate in patients with associated myelodysplastic syndrome and a higher response rate for nasal/auricular chondritis, sternal chondritis, and concomitant exposure to non-biologic disease-modifying antirheumatic drugs. [ ] Orally administered nonsteroidal anti-inflammatory drugs (NSAIDs) have not been effective. Medical care

2014 eMedicine.com

12. Pedicle/Interpolation Flaps (Follow-up)

after flap placement, if indicated. Postoperative result of cheek interpolation flap before dermabrasion. Postauricular flap The postauricular flap involves the use of skin from the posterior ear, retroauricular sulcus, and mastoid area to repair defects of the middle third of the auricular helix and adjacent skin. This random flap has a broad vascular pedicle, and donor scars remain well hidden behind the ear. Reconstruction begins by making a template of the helical defect with foil, Telfa (...) , and placement of a full-thickness skin graft may be considered; however, in most instances, donor defects heal secondarily with excellent cosmetic results. A study by Sleçuk et al indicated that full-thickness defects of the upper and middle third of the ear, including the helix, can be successfully reconstructed using a postauricular chondrocutaneous flap pedicled with the superior auricular artery. The study, which involved eight patients, reported a good cosmetic result with no effect on ear height

2014 eMedicine.com

13. Pseudocyst of the Auricle (Follow-up)

of the pinna. [ , ] Surgical Some have used an auricular prosthesis formulated with the creation of a moulage fitted to the ear by the prosthetist for pressure. [ ] Several reports describe a combined procedure using surgical incision and drainage of the lesion, replacement of the anterior skin surface, and the application of a pressure dressing or bolster. [ , ] Surgical curettage and fibrin sealant has been shown to be effective in obliterating the cystic cavity. The fibrin sealant works as a template (...) incision is a simple punch biopsy followed by the application of a bolster for approximately 2 weeks. This method should be a welcome alternative for physicians who choose to not use steroids. [ ] This simple alternative method provides a safe and effective mechanism for diagnosis and treatment of this phenomenon, while minimizing the risk of deformity. Successful treatment of an auricular pseudocyst using a surgical bolster is reported in the literature. [ , ] Shan et al reported success with surgical

2014 eMedicine.com

15. Granulomatous Diseases of the Head and Neck

chondritis presents with sudden, painful episodes that resolve in 7 days. The sequelae include saddle nose deformity, auricular deformity, airway compromise, and visual disturbance. Although gross findings are nonspecific, relapsing polychondritis is characterized by an overall thickening of the cartilage in the head and the neck, including the ear, the nose, the epiglottis, and the cricoid and tracheal rings. The perichondrium is infiltrated by a spectrum of inflammatory cells, leading to its (...) lupus erythematosus is the most severe form of lupus. Typically, patients may present with a malar butterfly rash. Multiple visceral organs may be involved. Laryngeal involvement includes thickening of the true vocal cords and perichondritis of the laryngeal and tracheal cartilages that may present as hoarseness and pain. Anterior septal perforations are not uncommon and are a result of crusting and nasal dryness. [ ] The ANA test is 98% specific for systemic lupus erythematosus, and the findings

2014 eMedicine Surgery

17. Chondronecrosis of the Larynx

of the larynx may cause instability and subsequent airway limitation and possible obstruction. Recognition of perichondritis may prevent progression to chondritis and necrosis. Careful evaluation, early detection, and timely intervention therefore are essential for laryngeal preservation. Previous Next: Epidemiology Frequency In a 1982 pathologic study by Keene in which laryngeal specimens prepared by whole organ serial sectioning were reviewed, the incidence of histologic chondronecrosis and osteomyelitis (...) at the time of diagnosis included auricular chondritis (26-91%), arthritis (23-47%), nasal chondritis (16-33%), ocular disorders (14-24%), and hearing loss (6-9%). Approximately 30% of patients developed associated systemic diseases, including polyarthritis, systemic lupus erythematosus, Behçet syndrome, and other vasculitides and connective tissue disorders. In 1979, Damiani and Levine presented 10 patients with polychondritis, 4 of whom experienced laryngeal chondritis or laryngeal tracheal collapse

2014 eMedicine Surgery

18. External Ear, Benign Tumors

, anterior, and posterior auricular muscles Innervated by seventh cranial nerve (facial nerve) Serves to attach and support auricle Blood supply Derived from external carotid artery (postauricular and superficial temporal branches) Sensory innervation Anterior - Auriculotemporal nerve Posterior - Great auricular nerve and lesser occipital nerve Concha - Branches from vagus and facial nerves Lymphatics Anteriorly into parotid region Inferiorly into superficial and deep cervical chains Posteriorly (...) into postauricular and occipital regions Important in the treatment of malignant lesions, as parotidectomy and neck dissection may be necessary External auditory canal See the list below: General anatomy S-shaped and approximately 4 cm in length from tragus to tympanic membrane Cartilaginous lateral third and osseous medial two thirds Vasculature and lymphatics Vasculature - Supplied by postauricular, superficial temporal, and deep auricular arteries Lymphatics - Drain anterior (parotid gland lymph nodes

2014 eMedicine Surgery

19. External Ear, Inflammatory Diseases

, antecubital fossa, popliteal fossa), eyelids, ears, hands, and feet in adulthood. Auricular pseudocyst formation has been reported in patients with atopic dermatitis. These cystic lesions vary from 1.5-3.5 cm in size and typically involve the upper, anterior aspect of the pinna. Patients with atopic dermatitis may be more susceptible to pseudocyst formation as a result of trauma from chronic scratching. Common triggers for the allergic reaction include certain foods, environmental changes, psychological (...) , and recurrent auricular chondritis can lead to permanent damage. Relapsing polychondritis usually manifests as cellulitis of one or both pinna. Because cartilage is lacking, the earlobes are typically spared. Destruction of external auditory canal cartilage may result in conductive hearing loss, while disruption of inner ear anatomy may result in sensorineural hearing loss, vertigo, or tinnitus. Table 1. Manifestations of Relapsing Polychondritis [ ] Organ System Manifestation Incidence, % Additional

2014 eMedicine Surgery

20. Rhinoplasty, Tripod Theory

. The fibrous attachments of the upper and lower lateral cartilages and the strong fibrous band that extends around the lateral crura and accessory cartilages constitute critically important supporting structures. The junction of the upper lateral and lower lateral cartilages is encased in a longitudinal fibrous sheath that splits into an anterior and posterior perichondral lamellae. This strong fibrous band extends around the lateral crura and accessory cartilages. The alar cartilages are held together (...) RJ, Kurkjian TJ, Hoxworth RE, Stephan PJ, Mojallal A. The effect of the columellar strut graft on nasal tip position in primary rhinoplasty. Plast Reconstr Surg . 2012 Oct. 130(4):926-32. . Ho TT, Cochran T, Sykes KJ, Humphrey CD, Kriet JD. Costal and Auricular Cartilage Grafts for Nasal Reconstruction: An Anatomic Analysis. Ann Otol Rhinol Laryngol . 2017 Oct. 126 (10):706-11. . Anderson JR. New approach to rhinoplasty. A five-year reappraisal. Arch Otolaryngol . 1971 Mar. 93(3):284-91. . Byrd

2014 eMedicine Surgery

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