9227d90ee50a40e

9227d90ee50a40e - Thieme-Verlag Frau Kurz 56 Sommer-Druck...

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56 2 The Ear from: Bull et al., Color Atlas of ENT Diagnosis (ISBN 9783131293954) © 2010 Thieme Verlag Fig.2. 17 Keloid formation may be unpre- dictable: a normal ear punctum from an earring puncture is adjacent to a large ear- ring keloid. Fig.2. 18 High ear piercing shows the unpredictable nature of keloids. (No keloid at lobule earring site.) Fig.2. 19 An infected granuloma at the site of earring insertion. Fig.2. 20 Nickel sensitivity limits the use of certain earrings and has caused eczema on the lobule (arrow).
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The Pinna 57 from: Bull et al., Color Atlas of ENT Diagnosis (ISBN 9783131293954) © 2010 Thieme Verlag a b c Fig.2. 22 Trauma. Traumatic cutting-out when the earring is pulled by a baby or adult in ill-humor. Infection at the time the sleepers are inserted is another hazard (see Fig.2. 19 ). Surgical repair requires a Z-plasty, for simple excision and suturing may cause notching of the lobule. Fig.2. 21a c High ear piercing (Fig.2. 20 , arrow) complicated by infection (frequently pseudomonas) may lead to abscess formula- tion. The puncture with high ear piercing (unlike the lobule) punctures cartilage and may lead to the additional problem of carti- lage infection perichondritis. Abscess inci- sion with drainage, splinting, and antibiotic therapy (e.g., ciprofloxacin) is needed. Per- manent deformity of the pinna may result, requiring a difficult plastic surgical repair ( a ). This involves taking a rib graft and mod- eling this to reconstruct the absent helix, antihelix, and scaphoid fossa of the pinna ( b; c, post-op.).
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84 2 The Ear from: Bull et al., Color Atlas of ENT Diagnosis (ISBN 9783131293954) © 2010 Thieme Verlag Fig.2. 71 Serious complica- tions may arise from spread of infection from chronic suppu- rative otitis media (CSOM) with or without cholestea- toma, but are uncommon.
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  • Spring '13
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  • ENT Diagnosis

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