The Experts below are selected from a list of 213 Experts worldwide ranked by ideXlab platform

T B Hogarth - One of the best experts on this subject based on the ideXlab platform.

Jonathan L Cook - One of the best experts on this subject based on the ideXlab platform.

  • the incidences of chondritis and Perichondritis associated with the surgical manipulation of auricular cartilage
    Dermatologic Surgery, 2004
    Co-Authors: Andrew L Kaplan, Jonathan L Cook
    Abstract:

    Background. The cartilage and soft tissues of the ear are frequently employed as donor sites for tissue used in the repair of defects of the nose and external ear after Mohs surgery. Enthusiasm for using these auricular donor sites is occasionally tempered by surgeons' concerns for the development of Pseudomonal suppurative chondritis, a complication that has been described to follow cartilage manipulation. Objective. To quantify the incidence of postoperative Perichondritis and chondritis after Mohs reconstructions involving auricular cartilage manipulations. Methods. We retrospectively reviewed 341 Mohs reconstructions that involved cartilage and soft-tissue donor sites located on the ear. Procedures included full-thickness skin grafts (295) harvested from the conchal bowl and flap repairs (46) incorporating cartilage batten grafts from conchal or anthelix donor sites. When the perichondrium was compromised, patients were routinely prescribed perioperative prophylactic antibiotics with Pseudomonal coverage. Postoperative examinations were performed at 1 week and 4 to 12 weeks. Patients not seen in clinic were interviewed by telephone regarding complications. Results. Complete follow-up information was obtained in 337 of 341 (98.8%) cases. Inflammatory Perichondritis was observed in 19 (5.6%) patients. There were no cases of suppurative chondritis. Conclusion. The incidence of inflammatory Perichondritis is low after Mohs reconstructions involving auricular cartilage manipulation. When prophylactic antibiotics and appropriate operative technique are used, the historic concern for suppurative chondritis associated with these procedures is unwarranted.

V L Cumberworth - One of the best experts on this subject based on the ideXlab platform.

Andrew L Kaplan - One of the best experts on this subject based on the ideXlab platform.

  • the incidences of chondritis and Perichondritis associated with the surgical manipulation of auricular cartilage
    Dermatologic Surgery, 2004
    Co-Authors: Andrew L Kaplan, Jonathan L Cook
    Abstract:

    Background. The cartilage and soft tissues of the ear are frequently employed as donor sites for tissue used in the repair of defects of the nose and external ear after Mohs surgery. Enthusiasm for using these auricular donor sites is occasionally tempered by surgeons' concerns for the development of Pseudomonal suppurative chondritis, a complication that has been described to follow cartilage manipulation. Objective. To quantify the incidence of postoperative Perichondritis and chondritis after Mohs reconstructions involving auricular cartilage manipulations. Methods. We retrospectively reviewed 341 Mohs reconstructions that involved cartilage and soft-tissue donor sites located on the ear. Procedures included full-thickness skin grafts (295) harvested from the conchal bowl and flap repairs (46) incorporating cartilage batten grafts from conchal or anthelix donor sites. When the perichondrium was compromised, patients were routinely prescribed perioperative prophylactic antibiotics with Pseudomonal coverage. Postoperative examinations were performed at 1 week and 4 to 12 weeks. Patients not seen in clinic were interviewed by telephone regarding complications. Results. Complete follow-up information was obtained in 337 of 341 (98.8%) cases. Inflammatory Perichondritis was observed in 19 (5.6%) patients. There were no cases of suppurative chondritis. Conclusion. The incidence of inflammatory Perichondritis is low after Mohs reconstructions involving auricular cartilage manipulation. When prophylactic antibiotics and appropriate operative technique are used, the historic concern for suppurative chondritis associated with these procedures is unwarranted.

G Sandhu - One of the best experts on this subject based on the ideXlab platform.

  • high ear piercing and the rising incidence of Perichondritis of the pinna
    BMJ, 2001
    Co-Authors: Junaid Hanif, Adam Frosh, C Marnane, K Ghufoor, R Rivron, G Sandhu
    Abstract:

    Ear piercing is common, and multiple piercing of the ear has become increasingly fashionable. Often this involves “high” piercing, which requires puncture through the cartilage of the upper third of the pinna. Infection at this site results in auricular Perichondritis. Soft tissue infection is a recognised complication at any site, but the subperiosteal abscess associated with Perichondritis often leads to loss of cartilage and to an unsightly deformity known as “cauliflower ear,” which has a poor chance of good reconstruction fig 1 (left). Cauliflower ear is more likely to occur with transcartilagenous ear piercings. The usual infective agent in auricular Perichondritis is Pseudomonas aeruginosa , to which antibiotic resistance seems to be increasing.1 The vast majority of piercings are performed by non-medical practitioners, such as jewellers, hairdressers, or tattooists. These practitioners and their customers may not fully appreciate the implications of cartilage damage resulting from high piercing. We present three cases in which auricular Perichondritis and abscess formation was associated with high piercing. Despite prompt intervention, including drainage under general anaesthetic, cosmetic deformity proved difficult to avoid. FIG 1 Left: “Cauliflower ear” after auricular Perichondritis. Centre: Subperichondrial abscess after “high” transcartilaginous ear piercing. Right: Multiple chronic inflammatory lesions of auricle at sites of previous piercings Case 1— A 16 year old man presented to an accident and emergency department with a painful and swollen left pinna, two days after high, …

  • lesson of the week high ear piercing and the rising incidence of Perichondritis of the pinna
    BMJ, 2001
    Co-Authors: Junaid Hanif, Adam Frosh, C Marnane, K Ghufoor, R Rivron, G Sandhu
    Abstract:

    Ear piercing is common, and multiple piercing of the ear has become increasingly fashionable. Often this involves “high” piercing, which requires puncture through the cartilage of the upper third of the pinna. Infection at this site results in auricular Perichondritis. Soft tissue infection is a recognised complication at any site, but the subperiosteal abscess associated with Perichondritis often leads to loss of cartilage and to an unsightly deformity known as “cauliflower ear,” which has a poor chance of good reconstruction fig 1 (left). Cauliflower ear is more likely to occur with transcartilagenous ear piercings. The usual infective agent in auricular Perichondritis is Pseudomonas aeruginosa , to which antibiotic resistance seems to be increasing.1 The vast majority of piercings are performed by non-medical practitioners, such as jewellers, hairdressers, or tattooists. These practitioners and their customers may not fully appreciate the implications of cartilage damage resulting from high piercing. We present three cases in which auricular Perichondritis and abscess formation was associated with high piercing. Despite prompt intervention, including drainage under general anaesthetic, cosmetic deformity proved difficult to avoid. FIG 1 Left: “Cauliflower ear” after auricular Perichondritis. Centre: Subperichondrial abscess after “high” transcartilaginous ear piercing. Right: Multiple chronic inflammatory lesions of auricle at sites of previous piercings Case 1— A 16 year old man presented to an accident and emergency department with a painful and swollen left pinna, two days after high, …