PERICHONDRITIS

PERICHONDRITIS
This picture depicts a discoloured ear due to infection of the underlying cartilage following unheigenic high ear piercing. Our outer ear is made up of cartilage. Cartilage does not contain blood vessels. It takes nutrition from the thin outer membrane called the perichondrium. When there is a infection of perichondrium, there is a risk of cartilage being deprived of nutrition resulting in cartilage damage. This may lead to a deformed ear known as "cauliflower ear," which has a poor chance of good reconstruction. The usual infective agent in auricular perichondritis is a bacterium called Pseudomonas aeruginosa. In the early phase of infection, treatment should focus on eradicating this bacteuium. Keep the patient under close observation to check the response to antbiotics.Failure to respond to treatment requires admission to an ear, nose, and throat department.Surgical intervention is required at the earliest sign of an abscess.High ear piercing should be discouraged due to above reasons.