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Surgery as a Last Resort for Persistent Auricular Perichondritis

Evropi Forozidou1, Alexandros Poutoglidis1, Nikolaos Tsetsos1

  • 1Department of Otorhinolaryngology-Head and Neck Surgery, "G. Papanikolaou" General Hospital, Thessaloniki, Greece.

Ear, Nose, & Throat Journal
|August 10, 2021
PubMed

Insights

Auricular perichondritis, a severe external ear infection, requires prompt treatment to prevent cartilage damage and deformity. Management involves antibiotics, anti-inflammatory drugs, and sometimes surgical debridement to preserve ear structure.

Area of Science:

  • Otolaryngology
  • Infectious Diseases
  • Plastic Surgery

Background:

  • Auricular perichondritis is a serious bacterial infection affecting the external ear's cartilage, excluding the lobule and tragus.
  • Delayed diagnosis and treatment can lead to cartilage necrosis and irreversible ear deformity.

Purpose of the Study:

  • To outline the critical aspects of diagnosing and managing auricular perichondritis.
  • To emphasize the importance of timely intervention in preventing severe complications.

Main Methods:

  • Review of clinical presentation and diagnostic criteria for auricular perichondritis.
  • Discussion of current treatment strategies, including medical and surgical interventions.

Main Results:

  • Effective management relies on early antibiotic therapy and nonsteroidal anti-inflammatory drugs.
  • Surgical debridement, preserving the helical rim, is crucial for controlling inflammation and minimizing cosmetic deformity.

Conclusions:

  • Prompt diagnosis and comprehensive management, including antibiotics and potentially surgery, are essential for treating auricular perichondritis.
  • Surgical techniques aim to eradicate infection while preserving auricular anatomy to prevent permanent deformity.

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