From the Research
Treatment for perichondritis involves prompt antibiotic therapy, typically with fluoroquinolones like ciprofloxacin (500mg twice daily for 7-10 days) or a combination of anti-pseudomonal penicillin and an aminoglycoside for more severe cases, as supported by the most recent study 1. The goal of treatment is to prevent cartilage destruction and permanent deformity, which can occur if the condition is not treated promptly. Key aspects of treatment include:
- Initial management with warm compresses to improve circulation and reduce inflammation
- Antibiotic therapy, with fluoroquinolones or a combination of anti-pseudomonal penicillin and an aminoglycoside, as the primary treatment approach
- Surgical drainage and debridement of necrotic cartilage if an abscess has formed, as noted in the study 1
- Pain management with acetaminophen or NSAIDs to alleviate discomfort and reduce inflammation The condition commonly affects the ear cartilage but can occur in any cartilaginous structure, with Pseudomonas aeruginosa being the most common causative organism, which explains the antibiotic choices targeting this pathogen 2. Follow-up evaluation is essential to ensure complete resolution and prevent recurrence, highlighting the importance of monitoring and adjusting treatment as needed. It's crucial to treat perichondritis early to prevent long-term complications and improve patient outcomes, as emphasized in the study 3. In terms of specific treatment approaches, the use of corticosteroid injections may be considered in some cases, although the evidence for this is limited, as noted in the study 4. Overall, the treatment of perichondritis requires a comprehensive approach that incorporates prompt antibiotic therapy, supportive care, and careful monitoring to prevent long-term complications and improve patient outcomes.