Medical Device-Related Pressure Injury to the Ear from a Mask

Jeffrey M Levine¹, Elizabeth A Ayello, Balwant Persaud, Ruth Spinner

Affiliations

Affiliation

¹ Jeffrey M. Levine, MD, AGSF, CMD, CWS-P, is Associate Clinical Professor of Geriatric Medicine and Palliative Care, Icahn School of Medicine at Mount Sinai, New York, NY; and Consultant, Advantage Surgical and Wound Care, El Segundo, CA. Elizabeth A. Ayello, PhD, MSN, BSN, ETN, RN, CWON, MAPWCA, FAAN, is co-Editor-in-Chief, Advances in Skin and Wound Care , Philadelphia, PA; Faculty Emeritus, Excelsior College School of Nursing, Albany, NY; and President, Ayello Harris & Associates, Inc, Copake, NY. Balwant Persaud, LPN, is Licensed Practical Nurse, Department of Nursing, New Jewish Home, New York, NY. Ruth Spinner, MD, CMD, is Senior Medical Director, The New Jewish Home; Assistant Clinical Professor of Geriatric Medicine and Palliative Care, Icahn School of Medicine at Mount Sinai, New York, NY; and Wound Consultant, Advantage Surgical & Wound Care. Acknowledgments: Dr Ayello was a member of the small working group for the chapter on medical device-related pressure injuries for the 2019 Clinical Practice Guideline for which she received no compensation. Dr Ayello has also served as an advisor to the CMS for long-term care on the Resident Assessment Instrument manual for Section M, pressure injuries. The authors have disclosed no financial relationships related to this article. Submitted October 30, 2020; accepted in revised form February 6, 2020.

PMID: 34125728
DOI: 10.1097/01.ASW.0000752712.31139.c0

Case Reports

Medical Device-Related Pressure Injury to the Ear from a Mask

Jeffrey M Levine et al. Adv Skin Wound Care. 2021.

. 2021 Jul 1;34(7):380-383.

doi: 10.1097/01.ASW.0000752712.31139.c0.

Authors

Jeffrey M Levine¹, Elizabeth A Ayello, Balwant Persaud, Ruth Spinner

Affiliation

¹ Jeffrey M. Levine, MD, AGSF, CMD, CWS-P, is Associate Clinical Professor of Geriatric Medicine and Palliative Care, Icahn School of Medicine at Mount Sinai, New York, NY; and Consultant, Advantage Surgical and Wound Care, El Segundo, CA. Elizabeth A. Ayello, PhD, MSN, BSN, ETN, RN, CWON, MAPWCA, FAAN, is co-Editor-in-Chief, Advances in Skin and Wound Care , Philadelphia, PA; Faculty Emeritus, Excelsior College School of Nursing, Albany, NY; and President, Ayello Harris & Associates, Inc, Copake, NY. Balwant Persaud, LPN, is Licensed Practical Nurse, Department of Nursing, New Jewish Home, New York, NY. Ruth Spinner, MD, CMD, is Senior Medical Director, The New Jewish Home; Assistant Clinical Professor of Geriatric Medicine and Palliative Care, Icahn School of Medicine at Mount Sinai, New York, NY; and Wound Consultant, Advantage Surgical & Wound Care. Acknowledgments: Dr Ayello was a member of the small working group for the chapter on medical device-related pressure injuries for the 2019 Clinical Practice Guideline for which she received no compensation. Dr Ayello has also served as an advisor to the CMS for long-term care on the Resident Assessment Instrument manual for Section M, pressure injuries. The authors have disclosed no financial relationships related to this article. Submitted October 30, 2020; accepted in revised form February 6, 2020.

PMID: 34125728
DOI: 10.1097/01.ASW.0000752712.31139.c0

Abstract

Mask wearing is now ubiquitous because of the COVID-19 pandemic and has given rise to medical device-related pressure injuries in persons at risk of skin breakdown. The ear has unique anatomy that is particularly susceptible to injury from pressure. In this time of mandatory personal protective equipment requirements in healthcare facilities, protection and assessment of skin in the vulnerable postauricular area are needed. This article presents a case report of a pressure injury on the ear, reviews the anatomy of the ear, and provides strategies for assessment and treatment of pressure injuries in this often overlooked anatomic region.

PubMed Disclaimer

References

1. Smith RM, Byrne PJ. Reconstruction of the ear. Facial Plast Surg Clin North Am 2019;27(1):95–104.
1. Kim JK, Bae IH, Kim MS, Choi H, Na CH, Shin BS. A study of skin disease of the external ear in older adults according to anatomical location. Ann Geriatr Med Res 2018;22(2):88–93.
1. Liugan M, Zhang M, Cakmak YO. Neuroprosthetics for auricular muscles: neural networks and clinical aspects. Front Neurol 2017;8:752.
1. Szymanski A, Geiger Z. Anatomy, Head and Neck, Ear. Treasure Island, FL: StatPearls Publishing; 2020.
1. Encyclopedia Britannica. 7 Vestigial Features of the Human Body. www.britannica.com/list/7-vestigial-features-of-the-human-body . Last accessed April 6, 2021.

Publication types

Actions

MeSH terms

Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions

LinkOut - more resources

Full Text Sources
- Ovid Technologies, Inc.
- Wolters Kluwer
Medical
- MedlinePlus Health Information

Save citation to file

Email citation

Add to Collections

Add to My Bibliography

Your saved search

Create a file for external citation management software

Your RSS Feed

Medical Device-Related Pressure Injury to the Ear from a Mask

Affiliation

Medical Device-Related Pressure Injury to the Ear from a Mask

Authors

Affiliation

Abstract

References

Publication types

MeSH terms

LinkOut - more resources

Full Text Sources

Medical