auricular perichonditis
Introduction
Introduction to auricular perichondritis Auricular perichonitis (auricular perichondritis) can be divided into two types of serous and suppurative. The lesion is serum exudation (slurry) or pus formation (suppurative) between the cartilage and the perichondrium. The serous person often only has a limited auricle swelling, a sense of elasticity, no redness, no obvious pain, and some have swelling, burning and itching. The puncture can extract a pale yellow serous liquid, and the culture has no bacterial growth. Suppurative auricle pain, check the auricle redness, obvious tenderness, fluctuations, and some ulceration. Auricular serous perichondritis, also known as pseudocystofauricle, is a sterile inflammatory response of the perichondrium. The cause is unknown and may be associated with repeated mechanical trauma such as compression or touch. Suppurative perichondritis is an acute suppurative inflammation of the auricular perichondrium and cartilage, often caused by trauma, surgery, frostbite, burns, and auricular hematoma secondary infection. It should be taken seriously because it can cause cartilage necrosis and cause auricular deformity. basic knowledge The proportion of illness: 0.003% Susceptible people: no special people Mode of infection: non-infectious Complications: auricular perichondritis
Cause
Auricular perichondritis
Trauma factors (96%):
The cause is unknown, may be related to repeated minor trauma such as compression, touch and other mechanical stimuli, suppurative perichondritis is an acute suppurative inflammation of the auricular perichondrium and cartilage, often due to trauma, surgery, frostbite, burns, auricular hematoma secondary Caused by infection, due to cartilage necrosis can cause auricular deformity, should be taken seriously.
Prevention
Auricular perichonitis prevention
The disease is important in prevention. After auricle trauma, it must be debrided in time to prevent infection. Acupuncture or auricular acupuncture must be strictly disinfected.
Complication
Auricular perichondritis complications Complications auricular perichondritis
Will be secondary to infection and suppurative perichondritis, auricular deformity.
Symptom
Auricular cartilage inflammation symptoms Common symptoms Auricular defect Auricular redness Ear root pain Painful periostitis Auricular radiation pain Double auricle dysplasia Ear augmentation
The serous person often only has a limited auricle swelling, a sense of elasticity, no redness, no obvious pain, and some have swelling, burning and itching. The puncture can extract a pale yellow serous liquid, and the culture has no bacterial growth. Suppurative auricle pain, check the auricle redness, obvious tenderness, fluctuations, and some ulceration.
Examine
Examination of auricular perichondritis
Puncture pus
The auricle skin is congested and swollen, tender, and the skin temperature is elevated.
2.B-ultrasound
You can explore the liquid level.
3.X line ear film
It can be seen that the soft tissue shadow on the ear side is widened.
4. Blood examination
The total number of white blood cells is significantly elevated.
5. Laboratory inspection
The affected ear is swollen, hard to touch, tender, and severely accumulate organs in other parts.
Diagnosis
Diagnosis and differential diagnosis of auricular perichondritis
Differential diagnosis
Should pay attention to the identification of broken ear sore (suppurative auricular perichondritis), the localized ear ulcers are red, swollen, hot, painful, can be worn, there is pus exudate, the ear shell cartilage gradually rots, and even defects. The focus of this disease is after auricle trauma, it must be debrided in time to prevent infection. Acupuncture or auricular acupuncture treatment must be strictly disinfected, not to be careless.
