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July 1958

Chondrodermatitis Nodularis Chronica Helicis: A Nondeforming Surgical Cure for Painful Nodule of the Ear

Author Affiliations

Whittier, Calif.
From the Department of Medicine (Dermatology), University of Southern California School of Medicine.

AMA Arch Derm. 1958;78(1):41-46. doi:10.1001/archderm.1958.01560070045007

Since the description of "painful nodule of the ear," by Foerster,1 and "chondrodermatitis nodularis chronica helicis," by Winkler,2 a multitude of treatments for this disease have been recommended. These include x-ray, radium, cryocautery, galvanocautery, fulguration and curettage, multiple injections of the area with procaine,3 injections with hydrocortisone,4 and, almost universally, surgical excision as the treatment of choice. These treatments have in common one or more of the following drawbacks:

  1. High incidence of recurrence after treatment

  1. Recurrences in 88% (14 of 16) of patients treated by x-ray, radium, CO2 snow, fulguration, and caustics5

  2. Recurrences in 18% (15 out of 84) of cases treated by excision, cured with second excision5

  3. Recurrences in 31% (18 out of 58) cases treated by "wide surgical excision,"3 retreated with second, third, and fourth excision

  4. Multiple therapeutic procedures needed

  5. Permanent

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