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Korean Journal of Otorhinolaryngology-Head and Neck Surgery > Volume 35(5); 1992 > Article
Korean Journal of Otorhinolaryngology-Head and Neck Surgery 1992;35(5): 717-722.
A clinical evaluation of chondritis in the burned ear.
Jang Kyum Kim, Dae Sik Eom, Eun Ki Jang, Yong Bok Kim, Chin Saeng Cho, Kyung Hun Yang, Moon Suh Park
화상에 의한 이개연골염의 임상적 고찰
김장겸 · 엄대식 · 장은기 · 김용복 · 조진생 · 양경헌 · 박문서
한림대학교 의과대학 이비인후과학교실
ABSTRACT

Auricular chondritis is a disease difficult to treat successfully, and chondritis in the burned ear is more difficult to treat due to epidermal defects, dry crust and continuous edema. The authors managed 33 patients (42 cases) of auricular chondritis in the burned ear, and the following results were obtained : 1) The most common cause of chondritis was flame burn (31 cases), followed by one case of scalding burn and chemical burn. 2) The severity of facial burn was above deep second-degree in 94% of the cases. 3) The mean onset of chondritis appearing was 25.7 days after burn, and 71.5% was between 20 and 39 days after burn. 4) The main causative organisms were Pseudomonas aeruginosa in 78.6%, Staphylococcus aureus in 21.5%, and the others were Serratia marcescense, Actinebacter lowffii, and Enterobacter cloaca, in one case each. 5) Among the 42 cases, 12 cases were treated with topical antibiotic irrigation, and 30 cases by necrectomy with or without through & through polyethylene tube insertion. 6) Among 30 operated cases, 27 cases had gone operation once, 2 cases twice and 1 case three times. 7) The mean duration of hospitalization was 26.9 days. 8) Finally, 18 cases maintained nearly normal contour, 21 cases showed minor deformities, and 3 cases revealed severe deformities.

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