Munnoch D A, Herbert K J, Morris A M
Department of Plastic Surgery, Dundee Royal Infirmary, UK.
Br J Plast Surg. 1996 Oct;49(7):473-6. doi: 10.1016/s0007-1226(96)90035-1.
A retrospective study of 50 patients (25 male, 25 female) suffering from chondrodermatitis nodularis chronica is presented. There was equal distribution between male and female, with the nodule being situated on the helix in 36 cases (23 male, 13 female), and on the antihelix in 18 cases (4 male, 14 female). Four patients had bilateral lesions. All the patients complained of severe pain in the affected ear when they slept on it at night. Of the 54 ears in this study, 23 had undergone previous surgery for the complaint. These recurrences occurred when either skin alone, or a disproportionately large piece of skin relative to cartilage, was excised. A treatment technique is described involving minimal skin excision combined with extensive cartilage resection. There has been no recurrence following our technique and postoperative deformity has been minimal.
本文对50例慢性结节性软骨皮炎患者（25例男性，25例女性）进行了回顾性研究。男女分布均等，其中36例（23例男性，13例女性）结节位于耳轮，18例（4例男性，14例女性）位于对耳轮。4例患者为双侧病变。所有患者均抱怨夜间患耳受压时疼痛剧烈。本研究中的54只耳朵中，有23只因该病症接受过手术。这些复发发生在仅切除皮肤，或切除的皮肤相对于软骨比例过大时。本文描述了一种治疗技术，包括最小限度的皮肤切除联合广泛的软骨切除。采用我们的技术后未出现复发，术后畸形也最小。
