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Modified surgical excision for the treatment of chondrodermatitis nodularis
1St. Vincent's University Hospital and The City of Dublin Skin and Cancer Hospital, Hume Street, Dublin, Ireland.
Background:
Chondrodermatitis nodularis (CN) is a common inflammatory condition of the ear that produces a painful papule or nodule on the helix or antihelix. Excision of the cartilage alone has been demonstrated to be therapeutically and cosmetically effective.
Objective:
To simplify the surgical procedure.
Method:
We used two steps to refine the classic technique. We excised a narrow ellipse of skin over the nodule and replaced cold steel dissection by injecting normal saline into the plane of cleavage between the skin and cartilage.
Results:
These two refinements resulted in maintaining the clinical and cosmetic efficacy and simplified the surgical technique.
Conclusion:
The addition of an elliptical excision over the nodule and the use of hydrodissection in the surgical treatment of chondrodermatitis nodularis were of benefit to both the patient and the surgeon.
