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Evaluating ear cartilage piercing practices in London, UK.

R Mandavia1, K Kapoor2, J Ouyang3

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Summary

Ear cartilage piercing practitioners in London show a concerning lack of awareness regarding potential complications. Most parlours failed to follow national guidance, risking patient safety and informed consent for ear piercings.

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Area of Science:

  • Dermatology
  • Medical Practice
  • Public Health

Background:

  • Ear cartilage piercing is a popular procedure with a high complication rate.
  • There are no mandatory minimum qualifications for ear piercing practitioners.
  • This study investigated ear cartilage piercing practices in London, UK.

Purpose of the Study:

  • To assess the awareness of ear cartilage piercing complications among practitioners.
  • To evaluate informed consent procedures and post-piercing guidance provided by piercing parlours.
  • To determine adherence to national guidelines for ear cartilage piercing.

Main Methods:

  • A telephone questionnaire was administered to practitioners at 25 piercing parlours in London.
  • The questionnaire assessed knowledge of potential ear cartilage piercing complications and current practices.
  • Data on consent forms and post-piercing advice were collected.

Main Results:

  • 96% of practitioners recognized infection risk, but awareness of scarring and cauliflower ear was low (4%, 12%, 0%).
  • Consent forms rarely documented ear cartilage complications.
  • Only 28% advised clients to seek medical attention for complications, and 40% provided no written post-piercing guidance.

Conclusions:

  • Practitioners demonstrated insufficient knowledge of ear cartilage piercing complications.
  • Informed consent for ear cartilage piercings is likely not being adequately obtained.
  • The majority of piercing parlours' practices deviate from established national guidance, impacting patient safety.