SURGICAL TREATMENT OF SUPPURATIVE CHONDRITIS, LIMITED VERSUS RADICAL CHONDRECTOMY

B Hatef, Mohammed

	SURGICAL TREATMENT OF SUPPURATIVE CHONDRITIS, LIMITED VERSUS RADICAL CHONDRECTOMY
IRAQI JOURNAL OF MEDICAL SCIENCES
Article 1, Volume 10, Issue 3, 2012, Pages 293-298
Author
Mohammed B Hatef
Abstract
Background: Suppurative chondritis of auricle due to burn injury is a devastating complication which usually results in deformed shrunken ugly ear in spite of many modalities for treatment. Objectives:To document clinical nature of the injury, the results of various methods of treatment, and to recommend the management protocol of chondritis of burned ear. Methods:From Nov. 1998 to Nov. 2010 a prospective study performed on 100 patients 110 ears in Hilla Teaching General Hospital, Al-Kindy Teaching General Hospital on surgical treatment of suppurative chondritis. All cases were due to flame burn, and all were given prophylactic systemic antibiotics. Results:Forty six of patients were males (46%), 54 females (54%), ages ranged from 1 year 35 years with mean 24years, partial thickness burn 80 patients (80%), full thickness burn 20 patients (20%) . Patients treated in three groups; the first group 20 ear (18%), treated by only stab wound drainage which resulted in 100% recurrence, the second group 20 ears (18%) treated by limited wound excision which resulted in 85% recurrence, the third group 70 ears (64%) treated by radical wound excision which resulted in 10% recurrence, total loss of auricle occurred in 10%, moderate deformity occurred in 80% of ears, mild deformity resulted in 10% of ears. Conclusion:Surgical treatment of Suppurative chondritis gives superior results by radical excision. Key words:Chondritis, Suppurative chondritis, Burned ears, Radical chondrectomy, Deformed ear.
Keywords
Chondritis; Suppurative chondritis; Burned ears; Radical chondrectomy; Deformed ear

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