Ismail Hirani, Ashok Kumar, Uja Farrukh M Shuja, Ashfaque Ahmed Shaikh, Shaheen Malik.
Post-piercing Perichondritis of Pinna - Our Experience at Lyari General Hospital, Karachi.
Pak J Surg Jan ;29(2):105-9.

Objective: To determine cosmetic results of auricle aft er diff erent modes of treatment in post-piercing perichondritis. Study Design: Descriptive, prospective and interventional study. Place and Duration of Study: Th is study was conducted at E.N.T department of Shaheed Mohtarma Benazir Bhutt o Medical College & Lyari General Hospital, Karachi which include large number of Baloch population of District West where ear piercing is the most common custom. Th e duration of study was 3 years from Jan, 2010 to Dec, 2012. Subject and Method: It is study of 56 patients who visited in our department with the history of post-piercing perichondritis / abscess, including their demographic details, along with complete medical history. All patient with Post piercing perichondritis of pinna were managed either conservatively or surgically by incision drainage with placement of drain or with placement of splints. Results: Out of 56 patients, 52 were female with common age group were between 18-30years. Commonest lesion was post-piercing perichondritis, cellulitis, fl uid draining from lesions. In 15 patients we perform incision and drainage and removal of necrotic tissue and placement of drain tube and another 15 patients aft er incision and drainage and removal of Necrotic tissue we placed splints on both sides of pinna. we found good cosmetic results of the patients with placement of splints. Conclusion: Ear piercing by an authorized and trained personal with all aseptic measures is essential for prevention of this complication. Avoid high ear piercing as it causes more complication as compare to lobule piercing. Use of drip bottle pieces as splints after incision and drainage provide better cosmetic result as compare to simple incision and drainage only.

PakMediNet -Pakistan's largest Database of Pakistani Medical Journals - http://www.pakmedinet.com