{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,7]],"date-time":"2026-03-07T13:40:58Z","timestamp":1772890858268,"version":"3.50.1"},"reference-count":24,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2025,7,9]],"date-time":"2025-07-09T00:00:00Z","timestamp":1752019200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["The Laryngoscope"],"published-print":{"date-parts":[[2025,12]]},"abstract":"ABSTRACT<\/jats:title>\n \n Objective<\/jats:title>\n \n To describe the demographics, clinical presentation, treatment, and complications of piercing\u2010induced auricular perichondritis (P\u2010\n IAP<\/jats:styled-content>\n ) and non\u2010\n PIAP.<\/jats:styled-content>\n <\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n \n We reviewed the medical records of consecutive patients diagnosed and treated for P\u2010\n IAP<\/jats:styled-content>\n and P\u2010\n FAP<\/jats:styled-content>\n between 2006 and 2021. The retrieved data included demographics, comorbidities, etiology, location, treatment, complications, and outcome, and they were compared between the two groups.\n <\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n In total, 217 patients fulfilled the inclusion criteria. Of them, 120 (55.3%) comprised the P\u2010\n IAP<\/jats:styled-content>\n group, which was characterized by significantly younger age and fewer comorbidities. The 97 non\u2010\n PIAP<\/jats:styled-content>\n patients tended to present with more systemic and regional signs, while the\n PIAP<\/jats:styled-content>\n group presented with localized signs and significantly more abscess formation and significantly more colonization with\n \n Pseudomonas aeruginosa<\/jats:italic>\n <\/jats:styled-content>\n . Time from causative event to symptom onset was significantly shorter in the\n PIAP<\/jats:styled-content>\n group (18.9\u2009\u00b1\u200938.7\u2009days) compared to the non\u2010\n PIAP<\/jats:styled-content>\n group (29.8\u2009\u00b1\u200962.9\u2009days,\n p<\/jats:italic>\n \u2009<\u20090.021), which also had longer hospitalization. Complications included drainage or debridement, recurrent disease, >\u200921\u2009days of antibiotic treatment, or requirement of a central line. Abscess formation was the most significant variable associated with complications (\n OR<\/jats:styled-content>\n 35.75 [95%\n CI<\/jats:styled-content>\n : 13.12\u201397.35,\n p<\/jats:italic>\n \u2009<\u20090.001] for the entire cohort,\n OR<\/jats:styled-content>\n 35.59 [95%\n CI<\/jats:styled-content>\n : 10.84\u2013116.84,\n p<\/jats:italic>\n \u2009<\u20090.001] for the\n PIAP<\/jats:styled-content>\n group, and\n OR<\/jats:styled-content>\n 47.30 [95%\n CI<\/jats:styled-content>\n : 5.33\u2013419.67,\n p<\/jats:italic>\n \u2009=\u20090.001] for the non\u2010\n PIAP<\/jats:styled-content>\n group). No other variables reached a level of significance.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n \n PIAP<\/jats:styled-content>\n has different demographics, comorbidities, disease course, and microbiology compared to non\u2010\n PIAP<\/jats:styled-content>\n . Abscess formation is an independent factor for complications.\n <\/jats:p>\n <\/jats:sec>\n \n Level of Evidence<\/jats:title>\n 3.<\/jats:p>\n <\/jats:sec>","DOI":"10.1002\/lary.32409","type":"journal-article","created":{"date-parts":[[2025,7,9]],"date-time":"2025-07-09T12:15:40Z","timestamp":1752063340000},"page":"4693-4702","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Auricular Perichondritis in the Cartilage Piercing Era"],"prefix":"10.1002","volume":"135","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5904-1291","authenticated-orcid":false,"given":"Omer J.","family":"Ungar","sequence":"first","affiliation":[{"name":"Department of Otolaryngology\u2014Head and Neck Surgery and Maxillofacial Surgery, Tel Aviv Sourasky Medical Center, affiliated to Grey School of Medicine Tel\u2010Aviv University Tel Aviv Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Noa","family":"Bursztyn","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2014Head and Neck Surgery and Maxillofacial Surgery, Tel Aviv Sourasky Medical Center, affiliated to Grey School of Medicine Tel\u2010Aviv University Tel Aviv Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6474-7435","authenticated-orcid":false,"given":"Shahaf","family":"Shilo","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2014Head and Neck Surgery and Maxillofacial Surgery, Tel Aviv Sourasky Medical Center, affiliated to Grey School of Medicine Tel\u2010Aviv University Tel Aviv Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6905-3034","authenticated-orcid":false,"given":"Ophir","family":"Handzel","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, Head and Neck Surgery University of Rochester Rochester New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nidal","family":"Muhanna","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2014Head and Neck Surgery and Maxillofacial Surgery, Tel Aviv Sourasky Medical Center, affiliated to Grey School of Medicine Tel\u2010Aviv University Tel Aviv Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2356-9147","authenticated-orcid":false,"given":"Yahav","family":"Oron","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2014Head and Neck Surgery and Maxillofacial Surgery, Tel Aviv Sourasky Medical Center, affiliated to Grey School of Medicine Tel\u2010Aviv University Tel Aviv Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rani","family":"Abu Eta","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2014Head and Neck Surgery and Maxillofacial Surgery, Tel Aviv Sourasky Medical Center, affiliated to Grey School of Medicine Tel\u2010Aviv University Tel Aviv Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Narin N.","family":"Carmel Neiderman","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2014Head and Neck Surgery and Maxillofacial Surgery, Tel Aviv Sourasky Medical Center, affiliated to Grey School of Medicine Tel\u2010Aviv University Tel Aviv Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,7,9]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.291.8.981"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amepre.2005.06.003"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-197605000-00006"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215107005877"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-198103000-00013"},{"issue":"1","key":"e_1_2_9_7_1","first-page":"58","article-title":"The Incidences of Chondritis and Perichondritis Associated With the Surgical Manipulation of Auricular Cartilage","volume":"30","author":"Kaplan A. L.","year":"2004","journal-title":"Dermatologic Surgery"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjoto.2004.04.015"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0030-6665(20)31223-8"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.322.7291.906"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/MAO.0000000000003036"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.2147\/IDR.S434522"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.39580.497176.25"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-196305000-00008"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.5540740209"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-014-3346-2"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.otohns.2008.12.014"},{"issue":"10","key":"e_1_2_9_18_1","first-page":"2029","article-title":"Complications of Body Piercing","volume":"72","author":"Meltzer D. I.","year":"2005","journal-title":"American Family Physician"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-4632.2007.03372.x"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.1128\/9781555815950.ch14"},{"key":"e_1_2_9_21_1","doi-asserted-by":"publisher","DOI":"10.1067\/mai.2003.1394"},{"key":"e_1_2_9_22_1","doi-asserted-by":"publisher","DOI":"10.3389\/fneur.2023.1158955"},{"key":"e_1_2_9_23_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0291280"},{"key":"e_1_2_9_24_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-019-05463-z"},{"key":"e_1_2_9_25_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.25238"}],"container-title":["The Laryngoscope"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/lary.32409","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,12,16]],"date-time":"2025-12-16T09:06:15Z","timestamp":1765875975000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/lary.32409"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,7,9]]},"references-count":24,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2025,12]]}},"alternative-id":["10.1002\/lary.32409"],"URL":"https:\/\/doi.org\/10.1002\/lary.32409","archive":["Portico"],"relation":{},"ISSN":["0023-852X","1531-4995"],"issn-type":[{"value":"0023-852X","type":"print"},{"value":"1531-4995","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,7,9]]},"assertion":[{"value":"2025-02-06","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-06-27","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-07-09","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}