caa a22 4500 606187537 CHVBK 20210128100841.0 cr unu---uuuuu 210128e20151101xx s 000 0 eng 10.1007/s00405-014-3346-2 doi (NATIONALLICENCE)springer-10.1007/s00405-014-3346-2 Pinna abscesses: can we manage them better? A case series and review of the literature [Elektronische Daten] [Scott Mitchell, Kashif Ditta, Satvir Minhas, Attila Dezso] Suppurative perichondritis of the pinna is a serious condition with potentially long-term cosmetic sequelae. Literature regarding the optimal treatment of these abscesses is scarce with most case series containing low numbers. This work reports the largest series from the UK to date; along with a review of recent literature. A 10-year retrospective review of case notes was undertaken. Demographic data, interventions and microbiology results were recorded along with outpatient descriptions of cosmetic outcomes. 20 patients were identified with male:female ratio of 4:1. Average patient age was 25.3years (range 8-65). Average duration of symptoms prior to being seen by the ENT department was 9.95days with an average length of stay in hospital of 2.5days. 80% of patients had a surgical intervention performed. The commonest organism grown on microbiological culture was pseudomonas (33%). Of patients who attended follow-up, 28.6% had residual deformity. All of these had undergone surgical drainage of the abscess. Residual deformity was associated with longer time before presentation, piercing of the cartilage and a growth of pseudomonas. Prompt surgical management and appropriate antibiotic regimens to cover pseudomonas are the cornerstones of treatment in the event of pinna abscess formation. Springer-Verlag Berlin Heidelberg, 2014 Auricular cartilage nationallicence Perichondritis nationallicence Pinna abscess nationallicence Ear piercing nationallicence Pseudomonas aeruginosa nationallicence Treatment nationallicence Operative nationallicence Treatment outcomes nationallicence Mitchell Scott Walsall Healthcare NHS Trust, Walsall Manor Hospital, WS2 9PS, Walsall, UK aut Ditta Kashif Walsall Healthcare NHS Trust, Walsall Manor Hospital, WS2 9PS, Walsall, UK aut Minhas Satvir Walsall Healthcare NHS Trust, Walsall Manor Hospital, WS2 9PS, Walsall, UK aut Dezso Attila Walsall Healthcare NHS Trust, Walsall Manor Hospital, WS2 9PS, Walsall, UK aut European Archives of Oto-Rhino-Laryngology Springer Berlin Heidelberg 272/11(2015-11-01), 3163-3167 0937-4477 272:11<3163 2015 272 405 https://doi.org/10.1007/s00405-014-3346-2 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s00405-014-3346-2 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Mitchell Scott Walsall Healthcare NHS Trust, Walsall Manor Hospital, WS2 9PS, Walsall, UK aut NATIONALLICENCE 700 1- Ditta Kashif Walsall Healthcare NHS Trust, Walsall Manor Hospital, WS2 9PS, Walsall, UK aut NATIONALLICENCE 700 1- Minhas Satvir Walsall Healthcare NHS Trust, Walsall Manor Hospital, WS2 9PS, Walsall, UK aut NATIONALLICENCE 700 1- Dezso Attila Walsall Healthcare NHS Trust, Walsall Manor Hospital, WS2 9PS, Walsall, UK aut NATIONALLICENCE 773 0- European Archives of Oto-Rhino-Laryngology Springer Berlin Heidelberg 272/11(2015-11-01), 3163-3167 0937-4477 272:11<3163 2015 272 405