Indian Journal of Plastic Surgery
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LETTER TO EDITOR
Year : 2010  |  Volume : 43  |  Issue : 2  |  Page : 230
 

A novel technique of piercing ears


Department of Plastic Surgery, Government Medical College, Nagpur, Maharashtra, India

Date of Web Publication3-Dec-2010

Correspondence Address:
Sumeet Jaiswal
Department of Plastic Surgery, Government Medical College, Nagpur, Maharashtra
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0970-0358.73475

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How to cite this article:
Kale SM, Patil SB, Jaiswal S, Khare N. A novel technique of piercing ears. Indian J Plast Surg 2010;43:230

How to cite this URL:
Kale SM, Patil SB, Jaiswal S, Khare N. A novel technique of piercing ears. Indian J Plast Surg [serial online] 2010 [cited 2019 Apr 20];43:230. Available from: http://www.ijps.org/text.asp?2010/43/2/230/73475


Sir,

Ear piercing is done mostly for aesthetic reasons but in our country, it is practiced as a religious and cultural tradition too. The cosmetic shops and earring kiosks use hand-powered earring guns or needles to pierce ears. Plastic surgeons are many a times requested to pierce a virgin ear lobule, or they have to pierce it after repair of split ear or a post traumatic avulsed lobule. With increasing fashion of multiple earringscartilage piercing is also becoming popular. After piercing the lobule, some stent is required to place in the hole to maintain its patency for few weeks, until the hole gets epithelized. Nonmedical personnel use gold wire or plastic stud to maintain patency for such a duration of time.

The stent used should be sterile and must not be displaced from its place. Under non-medical supervision, there is always a high risk of infection and other complications with this procedure. [1] Although there are varieties of ear-piercing technique described in the literature, we have devised a novel way of piercing the ear lobule. [2],[3],[4] After ink marking on proposed site of piercing and infiltrating local anesthetic agent (2% lignocaine with 1:200,000 adrenaline), a 18 guage intracath is inserted into lobule to create a hole [Figure 1]a. The stiletteof intracath is withdrawn gradually, leaving the plastic cannula in situ [Figure 1]b. The distal 1 cm of plastic cannula adjacent to the pierced ear is cut from remaining part of cannula and the injection port. A thick silk or prolene suture (1-0) is passed through lumen of cannula tube, and a knot is secured to keep tube in its place [Figure 1]c. The tube is removed after few weeks, till then the tract gets epithelized. Thus, this is a sterile, fast, safe, easy, and reliable technique for ear piercing.
Figure 1 :(a) Intracath inserted into lobule. (b) Stellate withdrawal and thread inserted. (c) Thread tied across plastic cannula

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  References Top

1.Tweeten SS, Rickman LS. Infectious complications of body piercing. Clin Infect Dis 1998;26:735-40.  Back to cited text no. 1
[PUBMED]    
2.Mandel EH. Improved method for piercing ears. AMA Arch Derm Syphilol 1954;69:500-2.  Back to cited text no. 2
[PUBMED]    
3.Brown AM. An ear-piercing earring; bloodless technique. AMA Arch Derm 1958;77:107-9.   Back to cited text no. 3
[PUBMED]    
4.Brown AM. Technique for piercing ears for earrings. Calif Med 1955;83:34.  Back to cited text no. 4
[PUBMED]  [FULLTEXT]  


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