Chronic perichondritis of external ear
ICD-10 H61.02 is a billable code used to indicate a diagnosis of chronic perichondritis of external ear.
Chronic perichondritis of the external ear is a persistent inflammatory condition affecting the perichondrium, the connective tissue surrounding the cartilage of the ear. This condition often arises from trauma, infection, or prolonged exposure to irritants, leading to symptoms such as pain, swelling, and tenderness in the affected area. Patients may also experience erythema and warmth over the external ear. Chronic perichondritis can result in complications such as cartilage destruction, deformity of the ear, and potential hearing loss if the condition extends to the surrounding structures. Diagnosis typically involves a thorough clinical examination, patient history, and may include imaging studies to assess the extent of the inflammation. Management often includes antibiotics for infection, anti-inflammatory medications, and in some cases, surgical intervention to drain abscesses or remove necrotic tissue. Chronic perichondritis is distinct from acute perichondritis, which is characterized by a sudden onset of symptoms and may require different management strategies.
Detailed history of symptoms, physical examination findings, and treatment plans.
Patients presenting with ear pain, swelling, and history of trauma or infection.
Ensure clear documentation of the duration and severity of symptoms to support chronic diagnosis.
Documentation of skin changes, potential allergic reactions, and treatment responses.
Patients with skin conditions affecting the ear that may lead to perichondritis.
Document any dermatological interventions that may impact the ear condition.
When cerumen impaction is present alongside perichondritis.
Document the presence of cerumen and the procedure performed.
Otolaryngologists should ensure clear documentation of the relationship between cerumen removal and ear symptoms.
Common causes include trauma to the ear, infections, and prolonged exposure to irritants such as jewelry or chemicals.
Diagnosis is primarily clinical, based on history and physical examination, and may include imaging studies to assess cartilage involvement.
Treatment options include antibiotics, anti-inflammatory medications, and surgical intervention if there is significant cartilage damage or abscess formation.
