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Auricular Perichondritis in the Cartilage Piercing Era
Omer J Ungar1, Noa Bursztyn1, Shahaf Shilo1
1Department of Otolaryngology-Head and Neck Surgery and Maxillofacial Surgery, Tel Aviv Sourasky Medical Center, affiliated to Grey School of Medicine, Tel-Aviv University, Tel Aviv, Israel.
The Laryngoscope
|July 9, 2025
Summary
Piercing-induced auricular perichondritis (P-IAP) affects younger patients and differs from non-piercing perichondritis. Abscess formation independently predicts complications in both P-IAP and non-P-IAP cases.
Area of Science:
- Otolaryngology
- Infectious Diseases
- Dermatology
Background:
- Auricular perichondritis is an infection of the cartilage framework of the ear.
- Piercing-induced auricular perichondritis (P-IAP) is a specific subtype with distinct characteristics.
- Understanding differences between P-IAP and non-piercing-induced auricular perichondritis (non-PIAP) is crucial for effective management.
Purpose of the Study:
- To compare the demographics, clinical presentation, treatment, and complications of P-IAP versus non-PIAP.
- To identify risk factors associated with complications in auricular perichondritis.
Main Methods:
- Retrospective review of medical records for patients treated between 2006 and 2021.
- Comparison of demographic data, comorbidities, etiology, treatment, and outcomes between P-IAP and non-PIAP groups.
- Statistical analysis to determine significant differences and associated risk factors for complications.
Main Results:
- The study included 217 patients; 120 had P-IAP.
- P-IAP patients were younger with fewer comorbidities, presenting with localized signs, more abscesses, and Pseudomonas aeruginosa colonization.
- Abscess formation was a significant independent predictor of complications in both groups (OR 35.75).
Conclusions:
- Piercing-induced auricular perichondritis exhibits distinct demographic, clinical, and microbiological profiles compared to non-PIAP.
- Abscess formation is a critical independent factor associated with complications in auricular perichondritis.
- These findings highlight the need for tailored management strategies based on etiology.
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