de Ru J A, Lohuis P J F M, Saleh H A, Vuyk H D
Department of Otolaryngology/Head and Neck Surgery, UMC Utrecht, The Netherlands.
J Laryngol Otol. 2002 Sep;116(9):677-81. doi: 10.1258/002221502760237939.
Most otolaryngologists treat patients with chondrodermatitis nodularis (CDN) by wedge excision. Although the results of this technique are generally good, it can leave the patient with an asymmetric, deformed ear. In the dermatological literature, a relatively straightforward technique has been described for the treatment of CDN by smoothing only the underlying cartilage. This is based on the assumption that CDN is caused by pressure necrosis of protuberant cartilage, and thus is primarily not a skin disease. Reports on this technique claim excellent cosmetic results with only a small chance of recurrence. In the present study we analyse the application of this technique to 34 patients with 37 CDN lesions. All patients were symptom-free with a minimum follow-up of three months according to their medical reports. Seventeen patients with 19 lesions were interviewed later by telephone. In a mean follow-up of 30.7 months, 34 of these patients remained symptom-free and only one required revision surgery. The authors recommend this safe and simple technique to other physicians who treat patients with CDN.
大多数耳鼻喉科医生通过楔形切除术治疗结节性软骨皮炎（CDN）患者。尽管这项技术的效果总体良好，但它可能会使患者的耳朵不对称、变形。在皮肤病学文献中，已经描述了一种相对简单的技术，仅通过打磨 underlying cartilage来治疗CDN。这是基于这样一种假设，即CDN是由突出软骨的压力性坏死引起的，因此它主要不是一种皮肤病。关于这项技术的报告称，其美容效果极佳，复发几率很小。在本研究中，我们分析了这项技术在34例患有37处CDN病变的患者中的应用情况。根据他们的病历报告，所有患者在至少随访三个月后均无症状。后来通过电话采访了17例患有19处病变的患者。在平均30.7个月的随访中，这些患者中有34例仍无症状，只有1例需要进行翻修手术。作者向其他治疗CDN患者的医生推荐这种安全简单的技术。
