Crystal Journal of Medicine & Healthcare - Article In Press

Abstract
Purpose: Burns of the pinna are associated with high morbidity due to the thin skin, minimal subcutaneous tissue, and underlying avascular cartilage, which predispose to infection, cartilage necrosis, and poor cosmetic outcomes. Conventional management of second-degree pinna burns often results in prolonged healing and suboptimal aesthetics. This report aims to highlight the effectiveness of collagen dressings as a primary, non-surgical treatment for bilateral second-degree pinna burns.
Methods: A 26-year-old male presented with bilateral second-degree pinna burns following accidental flame exposure from a diesel-powered fogging machine. Initial management included intravenous antibiotics, fluids, and silver sulfadiazine dressings. Despite improvement of associated back burns, both pinnae developed perichondritis with abscess formation, which required incision and drainage. Due to poor healing and loss of overlying skin, collagen sheet dressings were applied to both pinnae, with regular monitoring and repeat applications as needed.
Results: Marked clinical improvement was observed within three days of initiating collagen dressings, with healthy granulation tissue formation. Complete healing of both pinnae was achieved within 14 days of collagen therapy. At three month follow-up, the patient demonstrated well-healed pinnae with preserved contour, excellent cosmetic outcomes, and no evidence of infection, scarring, or deformity.
Conclusion: Collagen dressings offer a safe, effective, and cosmetically superior non-surgical option for managing partial thickness pinna burns. Early use of collagen dressings may promote rapid healing, reduce complications, and preserve auricular form, making them a valuable addition to auricular burn management.

Keywords
Auricle, Pinna, Pinna Burns, Auricular Burns, Collagen Dressing