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Management of chondrodermatitis nodularis chronica helicis using a ‘doughnut pillow’

Published online by Cambridge University Press:  24 May 2007

A Sanu ,
R Koppana  and
D G Snow
A Sanu*
Affiliation:
Department of ENT, Wrexham Maelor Hospital, Wrexham, UK.
R Koppana
Affiliation:
Department of ENT, Wrexham Maelor Hospital, Wrexham, UK.
D G Snow
Affiliation:
Department of ENT, Wrexham Maelor Hospital, Wrexham, UK.
*
Address for correspondence: Dr A Sanu, 21 Mere Crescent, Wrexham, LL13 9RQ, UK. E-mail: [email protected]
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Abstract

Chondrodermatitis nodularis chronica helicis is a well-recognised painful condition of the pinna. There have been several modes of treatment described for this condition. Although the most common mode of treatment is surgery,1,2 several conservative approaches have also been tried.

Objectives:

To determine if chondrodermatitis nodularis chronica helicis can be treated conservatively using a doughnut-shaped pillow.

Design and setting:

Prospective study in Wrexham Maelor Hospital, which is a district general hospital.

Participants:

All the patients clinically diagnosed with chondrodermatitis nodularis chronica helicis between September 2003 and September 2004. All such patients were seen by an ENT consultant with a special interest in facial lesions. Patients who could not be clinically diagnosed with chondrodermatitis nodularis chronica helicis were excluded from the study.

Main outcome measure:

Pain relief following the use of a doughnut pillow was used as the main outcome measure.

Results:

Twenty-three (14 female and 9 male) patients were treated with a special doughnut-shaped pillow designed to relieve the pressure on the affected ear. Of the 23 lesions treated 13 remained pain free after a follow-up period of one year.

Conclusion:

Conservative treatment of chondrodermatitis nodularis chronica helicis using a doughnut pillow is very cost effective.

Keywords

EarExternalPressure
Type
Short Communications
Information
The Journal of Laryngology & Otology , Volume 121 , Issue 11 , November 2007 , pp. 1096 - 1098
Copyright
Copyright © JLO (1984) Limited 2007

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Footnotes

Presented at the Welsh Otorhinolaryngology Association (WORLA) meeting, 30 September 2005, Cardiff, UK.

References

1Munnoch, D, Herbert, K, Morris, A. Chondrodermatitis nodularis chronica helicis et antihelices. Br J Plast Surg 1996;49:473–6CrossRefGoogle Scholar
2Coldiron, B. The surgical management of chondrodermatitis nodularis chronica helicis. J Dermatol Surg Oncol 1991;17:902–4CrossRefGoogle ScholarPubMed
3Winkler, M. Chondrodermatitis nodularis chronica helicis [in German]. Arch Dermat u Syph 1915;121:278–85 (Cited by Barker LP, Young AW, Sachs W. Chondrodermatitis of the ears: a differential study of nodules of the helix and antihelix. AMA Arch Dermatol 1960;81:15–25)CrossRefGoogle Scholar
4Forester, OH. A painful nodular growth of the ear. J Cutan Dis incl Syph 1918;36:154–6 (Cited by Wade TR. Chondrodermatitis nodularis chronica helicis: a review with emphasis on steroid therapy. Cutis 1979;24:406–9)Google Scholar
5De Ru, JA, Lohuis, PJFM, Saleh, HA, Vuyk, HD. Treatment of chondrodermatitis nodularis with removal of the underlying cartilage alone: retrospective analysis of experience in 37 lesions. J Laryngol Otol 2002;116:677–81CrossRefGoogle ScholarPubMed
6Wade, TR. Chondrodermatitis nodularis chronica helicis: a review with emphasis on steroid therapy. Cutis 1979;24:406–9Google ScholarPubMed
7Kennedy, CTC. The External Ear. In: Burns, T, Breathnach, S, Cox, N, Griffiths, C eds. Rook's Textbook of Dermatology, 7th edn.New York: Blackwell Publishing, 2005;4:Chapter 65:12–13Google Scholar
8Schuman, R, Helwig, E. Chondrodermatitis helicis. Am J Pathol 1954;24:126–44Google Scholar
9Eberius, B. Chondrodermatitis nodularis chronica auricular. Acta Radiol 1941;22:563–72CrossRefGoogle Scholar
10Yaffee, HS. Perichondritis in nuns by changing head dress. Arch Dermatol 1963;87:735CrossRefGoogle Scholar
11Newcomer, VD, Steffen, CG, Sternberg, TH, Lichtenstein, L. Chondrodermatitis nodularis chronica helicis. Arch Dermatol 1953;68:241–55Google ScholarPubMed
12Goette, DK. Chondrodermatitis nodularis chronica helicis: a perforating necrobiotic granuloma. J Am Acad Dermatol 1980;2:148–54CrossRefGoogle ScholarPubMed
13Wilkinson, JD. Diseases of the external ear. In: Rook, AJ, Wilkinson, DS, Ebling, FJG et al. eds. Textbook of Dermatology, 4th edn.Boston, MA: Blackwell Scientific Publications, Inc, 1986;2135–6Google Scholar
14Lawrence, CM. The treatment of chondrodermatitis nodularis chronica helicis with cartilage removal alone. Arch Dermatol 1991;127:530–5CrossRefGoogle Scholar
15Cox, NH, Denham, PF. Intralesional triamcinolone for chondrodermatitis nodularis: a follow-up study of 60 patients. Br J Dermatol 2002;146:712–13CrossRefGoogle ScholarPubMed
16Moncrieff, M, Sassoon, EM. Effective treatment of chondrodermatitis nodularis chronica helicis using a conservative approach. Br J Dermatol 2004;150:892–4CrossRefGoogle ScholarPubMed
17Hudson-Peacock, MJ, Cox, NH, Lawrence, CM. The long-term results of cartilage removal alone for the treatment of chondrodermatitis nodularis. Br J Dermatol 1999;141:703–5CrossRefGoogle ScholarPubMed