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Auricular Perichondritis

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21. Facial Trauma, Sports-Related Injuries

to prevent wound disruption. Hematomas A collection of blood within the muscle, fascial, and dermal layers represents hematomas, which are generally seen over the zygomatic and periorbital regions. These generally resolve with the application of ice and compression; however hematomas should be monitored for expansion, overlying skin necrosis, or infection, which would warrant immediate medical attention. Auricular and septal hematomas deserve special attention because of their potential for perichondral (...) injury and subsequent necrosis. A septal hematoma appears as a purple, grapelike swelling from the nasal septum. Incision and drainage followed by anterior nasal packing may prevent the possibility of septal necrosis, impaired breathing, and altered cosmesis. An auricular hematoma may result from blunt trauma as might be sustained in a boxing or wrestling match. It is noted as a firm, ecchymotic collection in the anterior portion of the ear, which obscures the auricular architecture. Treatment

2014 eMedicine Surgery

22. Posterior Auricular Perichondrial Cutaneous Graft Combined With Cartilage Strip in Nostril Reconstruction (PubMed)

Posterior Auricular Perichondrial Cutaneous Graft Combined With Cartilage Strip in Nostril Reconstruction Reconstruction of alar structures of the nose remains difficult. The result has to be not only functional but also aesthetic. Different solutions to reconstruct alar defects are feasible. A good result that meets the specific demands on stability, aesthetics, and stable architecture without shrinkage of the area is not easily achieved.A perichondrial cutaneous graft (PCCG), a graft (...) consisting of a perichondral layer, fatty tissue, and skin that is harvested retroauriculary, is combined with an attached cartilage strip.A 72-year-old patient suffering from basal cell carcinoma of the ala of the nose underwent the reconstructive procedure with a good result in 1 year in terms of stability, color match, and graft take.First, a strip of cartilage had been included in a PCCG where tumor resection required sacrifice of more than 50% of the alar rim. The case shows that one can consider

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2008 Eplasty

23. Auricular trauma and its management (PubMed)

Auricular trauma and its management Forty cases of external ear trauma have been studied during a period of three years from Jan '2001 to December 2004. It was observed that accidental trauma to the auricle may result in laceration, partial or complete loss of auricle. Injury of the tympanic membrane, temporal bone or facio maxillary region may be associated with auricular trauma. All wounds of auricle carry a risk of infection leading to perichondritis. Principles of successful treatment

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2006 Indian Journal of Otolaryngology and Head & Neck Surgery

24. Perichondritis of the auricle and its management. (PubMed)

Perichondritis of the auricle and its management. To conduct a study of patients presenting with perichondritis of the auricle and to analyse the possible aetiological factors responsible, the bacteriological agents involved, the treatment modalities and the complications of such infections.Academic department of otolaryngology.A retrospective clinical study of patients treated over a five-year period.Sixty-one patients with clinically proven perichondritis of the auricle, with or without (...) diabetes mellitus (i.e. malignant otitis externa).Based on the severity of the disease, otherwise uncomplicated patients were assigned to group A and divided into three cohorts. Patients with perichondritis secondary to malignant otitis externa were analysed separately as group B. Men formed the majority of the patients and most were young (16-35 years). Trauma was the main cause (46 per cent) and Pseudomonas aeruginosa the most common micro-organism isolated. The condition was managed conservatively

2007 Journal of Laryngology & Otology

25. The incidences of chondritis and perichondritis associated with the surgical manipulation of auricular cartilage. (PubMed)

The incidences of chondritis and perichondritis associated with the surgical manipulation of auricular cartilage. The cartilage and soft tissues of the ear are frequently employed as donor sites for tissue used in the repair of defects of the nose and external ear after Mohs surgery. Enthusiasm for using these auricular donor sites is occasionally tempered by surgeons' concerns for the development of Pseudomonal suppurative chondritis, a complication that has been described to follow cartilage (...) manipulation.To quantify the incidence of postoperative perichondritis and chondritis after Mohs reconstructions involving auricular cartilage manipulations.We retrospectively reviewed 341 Mohs reconstructions that involved cartilage and soft-tissue donor sites located on the ear. Procedures included full-thickness skin grafts (295) harvested from the conchal bowl and flap repairs (46) incorporating cartilage batten grafts from conchal or anthelix donor sites. When the perichondrium was compromised, patients

2004 Dermatologic Surgery

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