Mills D C, Roberts L W, Mason A D, McManus W F, Pruitt B A
Medical College of Ohio, Toledo.
Plast Reconstr Surg. 1988 Aug;82(2):267-76.
A retrospective study of 317 cases of suppurative otochondritis occurring in a population of 4794 burned patients successively admitted to one institution between 1967 and 1984 is presented. During the study interval, the incidence of the disease decreased from 20 percent to less than 3 percent in patients with burns of one or both ears. The bacterial species associated with chondritis, principally Pseudomonas aeruginosa and Staphylococcus species, did not change. Patients admitted later than the second postburn day exhibited a significantly greater incidence of chondritis. The crucial factors in prevention of this complication appear to be avoidance of pressure on burned ears and topical chemotherapeutic control of local Pseudomonas infection. Systemic antibiotic prophylaxis did not appear to influence the incidence in the studied population. Several approaches to clinical management of suppurative chondritis are reviewed.
本文呈现了一项回顾性研究，该研究针对1967年至1984年间陆续入住同一机构的4794例烧伤患者中的317例化脓性耳软骨炎病例。在研究期间，单耳或双耳烧伤患者中该病的发病率从20%降至不到3%。与软骨炎相关的细菌种类主要为铜绿假单胞菌和葡萄球菌属，并未发生变化。烧伤后第二天以后入院的患者软骨炎发病率显著更高。预防该并发症的关键因素似乎是避免对烧伤耳朵施加压力以及对局部铜绿假单胞菌感染进行局部化疗控制。全身性抗生素预防似乎并未影响所研究人群中的发病率。本文还综述了化脓性软骨炎的几种临床管理方法。
