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KMID : 0361020000430070703
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Korean Journal of Otolaryngology - Head and Neck Surgery
2000 Volume.43 No. 7 p.703 ~ p.709
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Clinical Study of Chondritis in the Burned Ear
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Yoo Seung-Hoon
Park Moon-Suh
Oh Jae-Kook
Kim Han-Sung
Lee Dong-Hoon
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Abstract
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Background and Objectives : The chondritis of the auricle is a relatively common and severe complication
of ear burns and frequently leads to the destruction of unburned cartilage, thus destroying the shape of
the ear. The purpose of this study is to document the clinical nature of the injury, the results of various
methods of treament and to recommend the management protocol for chondritis of the burned ear.
Materials and Methods : A retrospective study of 69 patients who suffered the chondritis of the burned
ear were carried out. These patients had been admitted to the Burn center at the Hangang Sacred Heart
Hospital, Hallym University from January, 1993 through December, 1998.
Results : 1) The most common causative agent was flame burns (91.3%). 2) A mean interval of onset was 29.36 days. 3) Pseudomonas aeruginosa was noted on 68.5% of the cultures taken. 4) The sensitivity studies showed that Cefoperazone is the most sensitive antibiotics to P.aeruginosa. 5) The methods of treatment were dressing with
curettage(36%), incision and drainage with antibiotics soaking (22%), chondrectomy (35%), and
chondrectomy with through and through drain(7%). 6) The final results of treatment were affected by the
initial degree of burn.
Conclusion : The most important preventive measures were strict avoidance of
pressure on the injured ear and effective topical cheomtherapy to control microbial proliferation. Early
detection and early surgical intervention of chondritis were essential to limit progerssion of infection and
necrosis, and to minimize the deformity of the auricle.
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KEYWORD
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Ear, Burns, Chondritis
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