ENT Department, Lister Hospital, Coreys Mill Lane, Stevenage, Hertfordshire, SG1 4AB, UK.
Eur Arch Otorhinolaryngol. 2012 Mar;269(3):1041-5. doi: 10.1007/s00405-011-1693-9. Epub 2011 Aug 17.
This study aimed to explore the current practice of performing high ear-piercing regarding consent protocols, and methods of practice using questionnaire-based survey in Hertfordshire and North London. Recommendations for good clinical practice are also made. 100 establishments performing ear piercing were identified. A 16-item questionnaire on techniques used, methods of high-ear piercing, methods of sterilization, consent issues and aftercare was completed. Seventy-six establishments agreed to participate. All practitioners prepared the skin before piercing. 58 (76%) used a needle for piercing, 11 (15%) used a spring-loaded gun and seven (9%) used both. 97% of the practitioners obtained written consent before proceeding. 9 (12%) had a lower age limit of 16 years and three (4%) of 18 years. 27 piercers (36%) provided an aftercare leaflet, 41 (54%) warned the patients about risks of infection, 16 (21%) warned about cosmetic deformity and 1 (1%) specifically mentioned cauliflower ear. Results indicated that high ear piercing is an invasive procedure with a significant risk of complications leading to cosmetic deformity. Establishments should be required to counsel patients properly about the risks and potential complications of the procedure. A code of practice should be drawn up with a minimum age for piercing, requirement for proper consent, excellent hygiene and good information for postoperative care.
本研究旨在探讨当前进行高耳穿刺时的同意书协议实践情况，并通过在赫特福德郡和北伦敦进行问卷调查的方式了解其操作方法。同时还提出了一些关于良好临床实践的建议。 共确定了 100 家进行耳部穿刺的机构。采用 16 项技术使用、高耳穿刺方法、消毒方法、同意问题和后续护理的调查问卷对这些机构进行了调查。76 家机构同意参与调查。所有从业者在穿刺前都会对皮肤进行准备。58 名（76%）从业者使用穿刺针，11 名（15%）使用弹枪，7 名（9%）同时使用针和弹枪。97%的从业者在进行操作前获得了书面同意。9 家（12%）机构的最低年龄限制为 16 岁，3 家（4%）机构的最低年龄限制为 18 岁。27 名穿刺师（36%）提供了术后护理传单，41 名（54%）警告患者感染风险，16 名（21%）警告美容畸形风险，1 名（1%）特别提到菜花耳。结果表明，高耳穿刺是一种具有显著并发症风险的侵入性操作，可能导致美容畸形。机构应要求从业者对该操作的风险和潜在并发症向患者进行适当的咨询。应制定一份实践准则，规定穿刺的最低年龄、正确同意的要求、严格的卫生标准和良好的术后护理信息。
