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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]
Each involves the external ear. The difference between them is that a cyst does not connect with the skin, but a sinus does. [ 3 ] Frequency of preauricular sinus differs depending the population: 0.1–0.9% in the US, 0.9% in the UK, and 4–10% in Asia and parts of Africa.
The lesions presents as a nodule or papule, either sessile or pedunculated. They may be soft or have a cartilaginous structure. By histologic examination, it is a recapitulation of normal external auricle. There will be skin, cartilaginous structures, and cartilage (although the last is not seen in all variants of this disorder).
This is an uncommon lesion, usually affecting young patients (mean age, 30 years), with a male to female ratio of 2:1. The middle ear is involved, although it may extend to the external auditory canal if there is tympanic membrane perforation. [1] [2] [3]
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.
Keratosis obturans is a relatively uncommon ear disease, where a dense plug of keratin, formed by abnormal accumulation of desquamated skin in sheet-like layers , forms in the bony (deeper) part of the external auditory canal. [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.
Otomycosis does not usually cause as much canal skin edema as does acute bacterial external otitis.While a severe pressure type of pain is a prominent feature of advanced cases, the ear is usually much less tender, if at all, to traction or tragal pressure.