Ear‐looped face masks associated retro‐auricular abscesses during the COVID‐19 pandemic

Abstract Universal mask‐wearing has become public‐health recommendations and a necessity in daily life since coronavirus disease 2019 (COVID‐19) pandemic. Accumulating evidence suggests that facial masks may damage the skin. We present a series of six patients with ear‐looped face mask associated re...

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Main Authors: Irit Duek, Sofi Matot, Avital Baniel, Narin N. C. Neiderman, Oshri Wasserzug, Yael Oestreicher‐Kedem
Format: Article
Language:English
Published: Wiley 2023-06-01
Series:JEADV Clinical Practice
Subjects:
Online Access:https://doi.org/10.1002/jvc2.114
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author Irit Duek
Sofi Matot
Avital Baniel
Narin N. C. Neiderman
Oshri Wasserzug
Yael Oestreicher‐Kedem
author_facet Irit Duek
Sofi Matot
Avital Baniel
Narin N. C. Neiderman
Oshri Wasserzug
Yael Oestreicher‐Kedem
author_sort Irit Duek
collection DOAJ
description Abstract Universal mask‐wearing has become public‐health recommendations and a necessity in daily life since coronavirus disease 2019 (COVID‐19) pandemic. Accumulating evidence suggests that facial masks may damage the skin. We present a series of six patients with ear‐looped face mask associated retro‐auricular abscesses (RAAs) from a tertiary referral centre, observed between March 2020 and May 2021. Patients’ past medical history included recurrent skin abscess (n = 2), seborrhoeic dermatitis (n = 1) and pre‐existing postauricular cyst (n = 4). All patients reported prolonged use of ear‐looped face masks. Incision and drainage of the abscesses were carried out in all cases, followed by systemic antibiotic treatment. All patients recovered without complications and no recurrences (follow‐up 11−17 months). We hypothesise that ear‐looped face masks may promote the formation of RAAs. Possible mechanisms include local mechanical pressure, friction, changes in the skin's temperature, humidity and microbia, inducing local inflammation and infection, leading to retro‐auricular sebaceous duct obstruction.
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spelling doaj.art-47fc354108f24b7491dc8be03f2aca602023-06-01T15:13:20ZengWileyJEADV Clinical Practice2768-65662023-06-012232632910.1002/jvc2.114Ear‐looped face masks associated retro‐auricular abscesses during the COVID‐19 pandemicIrit Duek0Sofi Matot1Avital Baniel2Narin N. C. Neiderman3Oshri Wasserzug4Yael Oestreicher‐Kedem5Department of Otolaryngology, Head and Neck Surgery and Maxillofacial Surgery, Tel Aviv Sourasky Medical Center, Tel Aviv, affiliated to the Sackler School of Medicine Tel‐Aviv University Tel Aviv IsraelDepartment of Otolaryngology, Head and Neck Surgery and Maxillofacial Surgery, Tel Aviv Sourasky Medical Center, Tel Aviv, affiliated to the Sackler School of Medicine Tel‐Aviv University Tel Aviv IsraelDepartment of Dermatology, Tel Aviv Sourasky Medical Center, Tel Aviv, affiliated to the Sackler School of Medicine Tel‐Aviv University Tel Aviv IsraelDepartment of Otolaryngology, Head and Neck Surgery and Maxillofacial Surgery, Tel Aviv Sourasky Medical Center, Tel Aviv, affiliated to the Sackler School of Medicine Tel‐Aviv University Tel Aviv IsraelDepartment of Otolaryngology, Head and Neck Surgery and Maxillofacial Surgery, Tel Aviv Sourasky Medical Center, Tel Aviv, affiliated to the Sackler School of Medicine Tel‐Aviv University Tel Aviv IsraelDepartment of Otolaryngology, Head and Neck Surgery and Maxillofacial Surgery, Tel Aviv Sourasky Medical Center, Tel Aviv, affiliated to the Sackler School of Medicine Tel‐Aviv University Tel Aviv IsraelAbstract Universal mask‐wearing has become public‐health recommendations and a necessity in daily life since coronavirus disease 2019 (COVID‐19) pandemic. Accumulating evidence suggests that facial masks may damage the skin. We present a series of six patients with ear‐looped face mask associated retro‐auricular abscesses (RAAs) from a tertiary referral centre, observed between March 2020 and May 2021. Patients’ past medical history included recurrent skin abscess (n = 2), seborrhoeic dermatitis (n = 1) and pre‐existing postauricular cyst (n = 4). All patients reported prolonged use of ear‐looped face masks. Incision and drainage of the abscesses were carried out in all cases, followed by systemic antibiotic treatment. All patients recovered without complications and no recurrences (follow‐up 11−17 months). We hypothesise that ear‐looped face masks may promote the formation of RAAs. Possible mechanisms include local mechanical pressure, friction, changes in the skin's temperature, humidity and microbia, inducing local inflammation and infection, leading to retro‐auricular sebaceous duct obstruction.https://doi.org/10.1002/jvc2.114adverse skin reactionCOVID‐19face maskpandemicretro‐auricular abscess
spellingShingle Irit Duek
Sofi Matot
Avital Baniel
Narin N. C. Neiderman
Oshri Wasserzug
Yael Oestreicher‐Kedem
Ear‐looped face masks associated retro‐auricular abscesses during the COVID‐19 pandemic
JEADV Clinical Practice
adverse skin reaction
COVID‐19
face mask
pandemic
retro‐auricular abscess
title Ear‐looped face masks associated retro‐auricular abscesses during the COVID‐19 pandemic
title_full Ear‐looped face masks associated retro‐auricular abscesses during the COVID‐19 pandemic
title_fullStr Ear‐looped face masks associated retro‐auricular abscesses during the COVID‐19 pandemic
title_full_unstemmed Ear‐looped face masks associated retro‐auricular abscesses during the COVID‐19 pandemic
title_short Ear‐looped face masks associated retro‐auricular abscesses during the COVID‐19 pandemic
title_sort ear looped face masks associated retro auricular abscesses during the covid 19 pandemic
topic adverse skin reaction
COVID‐19
face mask
pandemic
retro‐auricular abscess
url https://doi.org/10.1002/jvc2.114
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