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耳廓结节性软骨皮炎的治疗选择

Therapeutic Options of Chondrodermatitis Nodularis Helicis.

作者信息

Juul Nielsen Lea, Holkmann Olsen Caroline, Lock-Andersen Jørgen

机构信息

Department of Plastic Surgery and Breast Surgery, Roskilde Hospital, 4000 Roskilde, Denmark.

Department of Pathology, Roskilde Sygehus, Denmark.

出版信息

Plast Surg Int. 2016;2016:4340168. doi: 10.1155/2016/4340168. Epub 2016 Jan 27.

Abstract

Chondrodermatitis Nodularis Helicis is a benign inflammatory process affecting the skin and cartilage of the ear. It typically presents as a painful nodule surrounded by an area of erythema and often prevents the patient from sleeping on the affected side. Many treatments have been described in the literature, but the condition is prone to recurrence. A literature search was performed in order to identify the best possible treatment. Fifty-eight articles were included, describing and investigating nonsurgical as well as surgical treatment modalities. Large prospective, controlled, and randomised long-term studies are lacking, but based on the available literature, we recommend starting with a conservative approach using decompression devices. Simple surgical procedures should only be used if conservative measures fail.

摘要

耳廓结节性软骨皮炎是一种影响耳部皮肤和软骨的良性炎症性疾病。它通常表现为一个疼痛的结节,周围有红斑区域,常使患者无法在患侧睡眠。文献中描述了许多治疗方法,但这种疾病容易复发。进行了文献检索以确定最佳治疗方法。纳入了58篇文章,描述和研究了非手术以及手术治疗方式。缺乏大型前瞻性、对照和随机的长期研究,但根据现有文献,我们建议首先采用使用减压装置的保守方法。只有在保守措施失败时才应使用简单的手术程序。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b70f/4748103/05df09cadc9c/PSI2016-4340168.001.jpg

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