Effective treatment of chondrodermatitis nodularis chronica helicis using a conservative approach

Abstract

As a result of this study, we recommend that patients presenting with CNCH be managed conservatively in the first instance.

Topical nitroglycerin: A promising treatment option for chondrodermatitis nodularis helicis

“…22 Use of pressure-relieving prostheses has led to CNH resolution in up to 87% of patients. 20 The major confounder of this study is that two of our patients received concurrent therapy: one reported using pressure-reducing measures and the other received intralesional corticosteroids. The extent to which these adjunctive therapies confound the efficacy rate of topical nitroglycerin is unknown.…”

“…A 92% success rate is higher than that reported for surgical intervention, where recurrence rates can be as high as 34%. 20 A small study with a cohort of 5 patients receiving topical steroids reported a 100% success rate. 21 Intralesional corticosteroids have a 40% success rate.…”

A Man With Painful Nodules on Both Ears

“…4,7 First-line therapy includes using protective padding placed around the external ear while sleeping. 8 The standard treatment is deep shave or excision of the lesion with the underlying cartilage.…”

Narrow Elliptical Skin Excision and Cartilage Shaving for Treatment of Chondrodermatitis Nodularis

“…[12][13][14][15] Several surgical techniques have been described with variable rates of recurrence at the edge of the excised cartilage ( Table 1). The method described by Lawrence 11 for the treatment of lesions on the antihelix involved raising a skin flap 1.5 cm long and 2.5 cm wide with the attached margin directed toward the helix followed by resection of an area of cartilage up to 1.2 to 2.0 cm in diameter.…”