Mandavia R, Kapoor K, Ouyang J, Osmani H
Academic Surgery,Northwest Thames Foundation School,London,UK.
ENT Department,Guy's Hospital,London,UK.
J Laryngol Otol. 2014 Jun;128(6):508-11. doi: 10.1017/S0022215114001121. Epub 2014 Jun 9.
Ear cartilage piercing is increasingly popular and has a significant complication rate. Contrary to popular belief, there are no minimum qualifications required to practice ear piercing. This study evaluated ear cartilage piercing practices in London, UK.
Practitioners at 25 piercing parlours completed a telephone questionnaire assessing piercing practice.
Ninety-six per cent of practitioners were aware of the risk of infection post-piercing. Four per cent, 12 per cent and 0 per cent of practitioners were aware of keloid scarring, hypertrophic scarring and cauliflower ear respectively. No practitioners were aware of any other complications. Their consent forms did not document any ear cartilage complications. Twenty-eight per cent of participants advised clients to seek medical attention following a complication. Forty per cent did not provide written post-piercing guidance.
Piercing practitioners were insufficiently aware of ear cartilage piercing complications. It is unlikely that informed consent was obtained prior to piercing. The post-piercing practice of the majority of parlours did not follow published national guidance.
耳部软骨穿刺越来越流行，且并发症发生率较高。与普遍看法相反，实施耳部穿刺并无最低资质要求。本研究评估了英国伦敦的耳部软骨穿刺操作情况。
25家穿刺店的从业者完成了一份评估穿刺操作的电话调查问卷。
96%的从业者知晓穿刺后感染的风险。分别有4%、12%和0%的从业者知晓瘢痕疙瘩、增生性瘢痕和菜花耳。没有从业者知晓任何其他并发症。他们的同意书未记录任何耳部软骨并发症。28%的参与者建议客户在出现并发症后寻求医疗帮助。40%未提供书面的穿刺后指导。
穿刺从业者对耳部软骨穿刺并发症认识不足。穿刺前不太可能获得知情同意。大多数穿刺店的穿刺后操作未遵循已发布的国家指南。
