OBJECTIVE: To determine the causative factors and to compare the results of different
treatment modalities in the management of perichondritis auricle.
STUDY DESIGN: Prospective Interventional
PLACE AND DURATION OF STUDY: The study was conducted in the department
of ENT-Head & Neck Surgery, Lyari General Hospital, Karachi, for a period of 18
months from September 2005 to February 2007
SUBJECTS & METHODS : Patients who were admitted in the department of ENT-Head
& Neck Surgery, Lyari General Hospital with complaints of pain, swelling and disfigurement
of auricle. History was obtained regarding modes of ear piercing, antiseptic methods
used if any, and use of any medications, after ear piercing.
All patients with perichondritis auricle were managed conservatively or surgically by
incision & drainage, and placement of splints, with or without gauze underneath the
Results were obtained in two groups regarding pain, swelling and preservation of the
contours of the auricle after 15 and 30 days post-operatively.
RESULTS: Out of 28 patients, 27 were females. Majority of patients (19) had involvement
of right ear. 26 out of 28 patients had history of trauma by multiple ear pricks by
unskilled persons to wear ear rings. Patients in whom gauze piece was used along with
splints showed better results regarding pain swelling and preservation of the contours
of auricle than other patients in the series.
CONCLUSION: Perichondritis auricle is common among female inhabitants of Lyari-
an old area of district south Karachi. It is mainly because of self inflicted trauma by
multiple ear pricks. Patients in whom gauze piece was used along with splints showed
better results regarding pain swelling and preservation of the contours of auricle than
other patient included in the study
KEY WORDS: Perichondritis, perichondrial abscess, auriclar malformations, ear piercing,
Perichondritis auricle is an infection of the skin and layers of tissue around the cartilage
of pinna following trauma and infec