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Chondrodermatitis nodularis chronica helicis (CNCH) is a small, nodular, tender, chronic inflammatory lesion occurring on the helix of the ear, most often in men. [2]: 610 it often presents as a benign painful erythematous nodule fixed to the cartilage of the helix or antihelix of the external ear. [3]
Canaloplasty, where the ear canal is widened using grafts, was first proposed as the treatment for keratois obturans. However, with the migration of keratin within the canal, any amount of widening could not restore the migration of skin. Reconstruction of the bony canal with cartilage graft from temporalis fascia has showed some results. [6]
A single lesion on the front part of the ear is usually the initial sign of pseudocyst of the auricle. Pseudocysts of the auricle appear as flesh-colored, nontender, noninflammatory cystic lesions and progress gradually over a 4- to 12-week period. Their diameters range from 1 to 5 cm. Usually, the lesions start off soft and get firmer with time.
A cauliflower ear deformity. Inflammation of the cartilage of the ear is a specific symptom of the disease and affects most people. [3] It is present in about 20% of persons with RP at presentation and in 90% at some point. [3] Both ears are often affected but the inflammation may alternate between either ear during a relapse. [3]
Cholesteatoma is a destructive and expanding growth consisting of keratinizing squamous epithelium in the middle ear and/or mastoid process. [1] [2] Cholesteatomas are not cancerous as the name may suggest, but can cause significant problems because of their erosive and expansile properties.
The recommended treatment is that the skin is peeled off the extra-auricular tissue and protruding cartilage remnants are trimmed. [13] Normal appearance is achieved in majority of cases. The reconstruction successful in true cases of accessory auricle, as it also is in individuals with auricular appendages. [14] [15]
Red ear syndrome (RES) is a rare disorder of unknown etiology which was originally described in 1994. The defining symptom of red ear syndrome is redness of one or both external ears, accompanied by a burning sensation. [1] A variety of treatments have been tried with limited success. [1]
Auricular eczema is an eczema of the ear that may involve the helix, postauricular fold, and external auditory canal, with the most frequently affected site being the external canal, where it is often a manifestation of seborrheic dermatitis or allergic contact dermatitis. [1] This is an neuroallergic inflammation of skin with evident itch.