{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,15]],"date-time":"2026-09-15T19:46:15Z","timestamp":1789501575373,"version":"build-2803163510"},"reference-count":38,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2015,3,30]],"date-time":"2015-03-30T00:00:00Z","timestamp":1427673600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["The Laryngoscope"],"published-print":{"date-parts":[[2015,8]]},"abstract":"<jats:sec><jats:title>Objectives\/Hypothesis<\/jats:title><jats:p>The purpose of this systematic review was to critically analyze infectious complications and treatment following transcartilaginous ear piercing.<\/jats:p><\/jats:sec><jats:sec><jats:title>Data Sources<\/jats:title><jats:p>MEDLINE Pubmed database.<\/jats:p><\/jats:sec><jats:sec><jats:title>Review Methods<\/jats:title><jats:p>A MEDLINE PubMed database search using free text, including \u201cear chondritis,\u201d \u201cear perichondritis,\u201d \u201cear cartilage piercing,\u201d and \u201cauricle piercing,\u201d yielded 483 titles. Based on set inclusion and exclusion criteria, the titles, abstracts, and full text articles were reviewed for inclusion and underwent data extraction. Pooled outcomes are reported.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 29 articles met inclusion criteria, including 66 patients. The mean age of the patients was 18.7 \u00b1 7.6 years (range: 11\u201349), 87.5% female. Ear deformity was more likely to occur following postpiercing perichondritis of the scapha 100% versus the helix 43% (<jats:italic>P<\/jats:italic> = 0.003). Mean duration of symptoms prior to patients seeking medical attention was 6.1 \u00b1 4.1 days. Greater than 5 days of symptoms prior to seeking treatment was significantly more likely to result in hospitalization. <jats:italic>Pseudomonas aeruginosa<\/jats:italic> accounted for 87.2% infections. Of the patients with <jats:italic>Pseudomonas<\/jats:italic>, 92.3% were hospitalized versus 75% of the patients infected with <jats:italic>Staphylococcus aureus<\/jats:italic>. Initial oral antibiotics prescribed did not target the cultured bacterium in 53.3% of cases; of these, 87.5% were hospitalized.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Transcartilaginous postpiercing infection may lead to ear deformity and hospitalization. Patients (customers) and practitioners must be aware of optimal treatment strategies to minimize associated morbidity. Scapha piercing and delay in presentation are associated with poorer outcomes. <jats:italic>Pseudomonas<\/jats:italic> is the most common bacterial infection. Initial antibiotic selection must be optimized accordingly. <jats:italic>Laryngoscope<\/jats:italic>, 125:1827\u20131834, 2015<\/jats:p><\/jats:sec>","DOI":"10.1002\/lary.25238","type":"journal-article","created":{"date-parts":[[2015,3,30]],"date-time":"2015-03-30T23:47:48Z","timestamp":1427759268000},"page":"1827-1834","source":"Crossref","is-referenced-by-count":30,"title":["Transcartilaginous ear piercing and infectious complications: A systematic review and critical analysis of outcomes"],"prefix":"10.1002","volume":"125","author":[{"given":"Michael","family":"Sosin","sequence":"first","affiliation":[{"name":"Department of Plastic Surgery Institute of Reconstructive Plastic Surgery, New York University Langone Medical Center New York New York"},{"name":"Department of Surgery Medstar Georgetown University Hospital Washington DC U.S.A"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jason M.","family":"Weissler","sequence":"additional","affiliation":[{"name":"Rutgers Robert Wood Johnson University Hospital New Brunswick New Jersey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marisa","family":"Pulcrano","sequence":"additional","affiliation":[{"name":"Georgetown University School of Medicine Washington DC U.S.A"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eduardo D.","family":"Rodriguez","sequence":"additional","affiliation":[{"name":"Department of Plastic Surgery Institute of Reconstructive Plastic Surgery, New York University Langone Medical Center New York New York"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2015,3,30]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.5999\/aps.2014.41.5.609"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0196-0709(98)90003-5"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF02810358"},{"key":"e_1_2_6_5_1","unstructured":"ASPS Evidence Rating Scale.http:\/\/www.plasticsurgery.org\/Documents\/medical\u2010professionals\/health\u2010policy\/evidence\u2010practice\/ASPS\u2010Rating\u2010Scale\u2010March\u20102011.pdf. 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