No abstract available.
Body Piercing ; Ear* ; Female* ; Humans ; Young Adult*

Ear piercing is one of the most frequently performed esthetic operations. However, complications of this procedure such as getting an infection, a foreign body within the wound, can lead to excessive tension which may develop into a hypertrophic scar. Treatment of a hypertrophic scar needs compression but it is difficult to do so with the earlobe. To be effective, a compression device must be uniformed, adjustable, easy to apply, removeable, clean, made from an inert material, light in weight, inexpensive, easy to make, and cosmetically acceptable. We have experienced 47 patients with hypertrophic scars on their earlobes complicated from ear piercing. We thought that using magnetic discs would be the best method for this problem; we were right. Ever since, we have been using magnetic discs for the treatment of hypertrophic scars on earlobes and the results have been satisfying.
Body Piercing ; Cicatrix, Hypertrophic* ; Foreign Bodies ; Humans ; Wounds and Injuries

We present a patient who developed a pseudolymphoma after ear piercing. A patch test showed gold sensitivity. Therefore, long standing dermal exposure to gold from a pierced-type earring might have produced the patient's disease. This patient did not respond to an intralesional steroid injection and was finally treated with a complete resection of the lesion. It is proposed that every patient with a hyperplastic lesion in the ear lobe should be taken a biopsy in order to rule out the possibility of a pseudolymphoma. When a pseudolymphoma develops in the ear lobe, a complete surgical excision could be the treatment of choice, especially for the prevention of recurrence.
Biopsy ; Body Piercing* ; Ear* ; Humans ; Patch Tests ; Pseudolymphoma* ; Recurrence

In the East, Probably one of the most commonly performed esthetic operation is the piercing of the earlobes for earring. the complication of this procedure includes infection, the formation of the hypertrophic scar or keloid, and tearing. Keloid formation is one of the disaterous common complications of the ear piercing. the patients regard the keloid as a cosmetic blemish and they complain that they cannot wear earrings. We have experienced 5 patients of earlobe keloid complicated from piercing of the earlobes. We used intralestional steroid njection, in conjunction with surgical excision and pressure therapy for treatment of the keloid. Among various techniques for reconstructing a piercing, we chose modified Pardue's method for artificial earlobe cleft after wide excision of the keloid. the result was good and satisfactory without any complication after 4 to 24 months of follow-up. the purpose of this paper is to present a simple method of treatment of the earlobe keloid with preservation of the perforation for an earring.
Body Piercing ; Cicatrix, Hypertrophic ; Ear* ; Follow-Up Studies ; Humans ; Keloid*

Piercing of various parts of the body is common practice in Korea nowadays. In particular, ear piercing appears to be increasingly prevalent among adolescents and young-adults. Because of the complication of the procedure, auricular perichondritis after piercings can arise in this patient population. Staphylococcus aureus and Pseudomonas aeruginosa are the most common causative organisms associated with infections due to ear piercing. In most cases, however, the patients were not prescribed anti-pseudomonal antimicrobial agent at presentation. This may result in persistent complicated infection and permanent cosmetic deformities. Herein, we describe two cases of post-piercing auricular perichondritis caused by P. aeruginosa successfully treated with intravenous antimicrobial agents. Also, a literature review of auricular perichondritis after ear piercing was done.
Adolescent ; Anti-Infective Agents ; Body Piercing ; Congenital Abnormalities ; Humans ; Korea ; Pseudomonas aeruginosa* ; Pseudomonas* ; Staphylococcus aureus

Keloid is proliferative fibrous growths that result from an excessive tissue response to trauma. The earlobe is a common site for the formation of keloid and the frequent cause is ear piercing. Many modalities are available for the treatment of earlobe keloid. Surgical excision has been the most commonly used therapeutic modality but recurrence following excision is common. Intralesional triamcinolon, radiation therapy, compression device, cryosurgery, D-penicillamine or any combination of them were reported to be successful in the treatment of earlobe keloid. We report three cases of earlobe keloid treated with partial surgical keloidectomy of upper part and carbon dioxide laser vaporizing the residual keloid tissue. And then the defect was covered with a primary closure with flap. Pressure earrings were fitted 2 weeks after surgery, and were maintained for 3 months. There was no recurrence of keloid for follow-up period at least 9 months. We suggest that combined modality of CO2 laser vaporization and pressure earring after surgical keloidectomy may offer a better cosmetic and functional improvement in the treatment of primary and recurrent earlobe keloid.
Body Piercing ; Carbon Dioxide* ; Carbon* ; Cryosurgery ; Ear* ; Follow-Up Studies ; Keloid* ; Lasers, Gas* ; Penicillamine ; Recurrence ; Volatilization

BACKGROUND: Lobular keloid appears to be a consequence of hypertrophic inflammation secondary to ear piercings performed under unsterile conditions. We wish to understand the pathogenesis of lobular keloids and report operative outcomes with a literature review. METHODS: A retrospective review identified 40 cases of lobular keloids between January, 2005 and December, 2010. Patient records were reviewed for preclinical factors such as presence of inflammation after ear piercing prior to keloid development, surgical management, and histopathologic correlation to recurrence. RESULTS: The operation had been performed by surgical core extirpation or simple excision, postoperative lobular compression, and scar ointments. Perivascular infiltration was noted in intra- and extra-keloid tissue in 70% of patients. The postoperative recurrence rate was 10%, and most of the patients satisfied with treatment outcomes. CONCLUSION: Histological perivascular inflammation is a prominent feature of lobular keloids. Proper surgical treatment, adjuvant treatments, and persistent follow-up observation were sufficient in maintaining a relatively low rates of recurrence.
Biopsy ; Body Piercing* ; Cicatrix ; Ear* ; Follow-Up Studies ; Humans ; Inflammation ; Keloid* ; Ointments ; Recurrence ; Retrospective Studies

Cutaneous pseudolymphoma has been defined as a benign lymphocytic infiltrate of the skin that resembles cutaneous lymphoma both clinically and histologically. There are many known causes of skin pseudolymphoma, but a definite cause cannot frequently be identified. We report here on a 37-year-old female with pseudolymphoma on the left ear lobe after having her ear pierced. When we performed a biopsy, an earring was found by chance. Unlike most of the reported cases of pseudolymphoma after ear piercing, this patient did not show a delayed-type hypersensitivity reaction to gold or nickel.
Adult ; Biopsy ; Body Piercing ; Ear ; Female ; Humans ; Hypersensitivity ; Lymphoma ; Nickel ; Pseudolymphoma ; Skin

BACKGROUND: Ear piercing is widely and easily practiced by medical personnel as well as nonmedical personnel, but it has been associated with many complications. Epidermal cyst may develop after ear piercing and result in permanent deformity of ear. However, there have been few studies to investigate the complications of ear piercing, and especially epidermal cyst. OBJECTIVE: We wanted to evaluate the epidemiology of epidermal cyst that developed due to ear piercing. METHODS: A written questionnaire was distributed to 236 students at Chosun University. It consisted of 17 items concerning the overall evaluation of the complications of ear piercing, the treatments for the complications and the epidemiology of epidermal cyst after ear piercing. RESULTS: Of 236 students included in the survey, 132 students (56%) already had pierced ears. Among them, 80 students (60.6%) experienced one or more complications such as contact dermatitis (41.5%), infection (39.2%), cyst formation (13.7%) and bleeding (5.9%). In 14 students who experienced epidermal cyst after ear piercing, the ratio of male to female patients was 1:3.7 and the mean age when they first underwent ear piercing was 18.7 years. An asymptomatic cystic mass was the most common clinical symptom. Half of them received medical treatment such as dressing (50%), medication (25%), drainage (12.5%) and a surgical procedure (12.5%). CONCLUSION: Our data indicates that ear piercing is not easy and simple, but rather, it is a dangerous procedure due to its frequent complications. Therefore, dermatologists should warn patients about the complications of ear piercing and play a major role to prevent them.
Bandages ; Body Piercing ; Congenital Abnormalities ; Dermatitis, Contact ; Drainage ; Ear ; Epidermal Cyst ; Female ; Hemorrhage ; Humans ; Male ; Questionnaires

The art of body adornment by body piercing and tattooing has become increasingly popular in our modern culture. Temporary henna tattoos are readily available worldwide, last several weeks on the skin, and offer a self-limited, convenient alternative to a permanent tattoo. The addition of para-phenylenediamine (PPD), which is widely recognized as a sensitizer, increases the risk of allergic contact dermatitis from these henna tattoo mixtures, and a number of cases have been reported. We report a case of contact dermatitis from a henna tattoo mixture, which was diagnosed by the patch test and identification and quantification of PPD and nickel in a temporary henna tattoo.
Body Piercing ; Dermatitis, Allergic Contact ; Dermatitis, Contact* ; Nickel ; Patch Tests ; Skin ; Tattooing*