Chondrodermatitis nodularis chronica helicis (CNH) is
a benign inflammatory condition that affects the skin and cartilage of the pinna
. CNH, also known as Winkler disease, commonly affects the helix of the pinna, though in some cases, the antihelix also may be affected.
Does chondrodermatitis nodularis helicis go away?
The prognosis for patients with chondrodermatitis nodularis chronica helicis (CNH) is excellent, although long-term morbidity is common. Spontaneous resolution is the exception; remissions may occur, but chondrodermatitis nodularis chronica helicis
usually continues unless adequately treated
.
How do you get rid of chondrodermatitis nodularis helicis?
How is chondrodermatitis nodularis helicis treated? The most common treatment for
CNH used to be surgery
. The surgery attempts to remove the entire nodule from the person’s ear. During the excision surgery, nerves are sometimes cut to remove the painful sensations around the papule.
How do you treat chondrodermatitis nodularis helicis at home?
- Sleep on the other side to avoid putting pressure on the nodule.
- Use a soft pillow to prevent CNH developing on the other ear.
- Make a hole in the pillow around the ear area to reduce pressure or buy a special cushion for CNH.
What causes Chondrodermatitis Nodularis?
What causes chondrodermatitis nodularis? The most important factor is
pressure on the skin of the ear
, usually from sleeping on one side but also from headphones, mobile phones or hearing aids. Other factors may include damage from cold, the sun or a poor blood supply to the ear.
How long does Chondrodermatitis Nodularis Helicis last?
The mean duration of the CDNH was
11.6 months
(range, 6-24 months).
What does Winkler’s disease look like?
Winkler’s disease usually presents as
3 to 10 mm nodules in the helix or anti helix
. We are reporting an unusual presentation of Winkler’s disease as a large nodular mass arising from the tragus, nearly occluding the external auditory canal (size about 1.5 x 2.0 cms).
How do you treat CNH?
The 3 most commonly reported treatments for CNH are
surgery, pressure relief, and topical nitroglycerin
. Surgery has higher cure rate (82%) compared with pressure relief treatment (37%) or nitroglycerin (51%) (p < . 0001). Surgery should be considered as the first-line treatment for CNH.
Is Chondrodermatitis Nodularis Helicis cancerous?
The condition is
benign (non-cancerous)
. However, it can look similar to squamous cell carcinoma (skin cancer). Care should be taken to avoid incorrectly assuming that a skin cancer is chondrodermatitis nodularis helicis.
How common is Winkler’s disease?
Epidemiology. The condition is probably relatively common but is rarely documented in the literature. One study found that
only 600 cases were reported between the years 1966 and 2004
. It is most common in elderly men but It affects those of all ages, gender and pigmentation.
Can you break cartilage in your ear?
Elastic cartilage, fibrocartilage, and hyaline cartilage can all be damaged
. For example, a slipped disk is a type of fibrocartilage damage, while a hard impact on the ear can cause elastic cartilage damage.
Where is the anti helix located?
The antihelix (anthelix) is
a part of the visible ear
; the pinna. The antihelix is a curved prominence of cartilage parallel with and in front of the helix on the pinna. The antihelix divides above into two legs or crura; the crura antihelicis, between which is a triangular depression, the fossa triangularis.
What is Polychondritis syndrome?
Polychondritis, also called relapsing polychondritis, is
a rare disease in which cartilage in many areas of the body becomes inflamed
. The disease most commonly affects the ears, nose and the airways of the lungs. The cause is not known, and it occurs most often in people in their 50s or 60s.
What causes nodules on ears?
Lumps behind the ear can have many possible causes, including problems in the skin or bone.
Swollen lymph nodes, infections, and certain cancers
can also lead to lumps. Most cases of a lump behind the ear do not present a cause for concern, however, and normally resolve without treatment.
What causes sharp pain in ear cartilage?
Sharp ear pain commonly results from
an infection or a temporary change in air pressure or altitude
. In other cases, it may stem from TMD or a foreign object lodged in the ear. The pain, though unpleasant, may be no cause for concern and resolve without treatment.
Is winklers disease an autoimmune disease?
Relapsing polychondritis is a
rare autoimmune rheumatic disorder
.
