Narrow elliptical skin excision and cartilage shaving for treatment of chondrodermatitis nodularis

Jordi Rex, Miquel Ribera, Isabel Bielsa, Cristina Mangas, Albert Xifra, Carlos Ferrándiz

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5 Citations (Scopus)


BACKGROUND: Surgical excision remains the hallmark of therapy for chondrodermatitis nodularis chronica (CNC). Although excision is generally successful, recurrence at the edge of the excised nodule is well recognized. OBJECTIVE: To analyze the clinical features and the recurrence rate of patients with CNC treated with elliptical excision of the papule and removal of the underlying cartilage. DESIGN: Seventy-four outpatients with CNC, 52 men and 22 women, were retrospectively analyzed. A narrow elliptical excision of the papule followed by a slice of the underlying cartilage were carried out with local anesthetic. Cartilage spikes were trimmed carefully shaping a smooth contour from the normal helical rim to the defect. RESULTS: Good cosmetic results were obtained in all patients. The median follow-up for helical and antihelical lesions were 54 and 50 months, respectively. The global recurrence rate was 13.5% and ranged from 10.6 to 37.5% for helical and antihelical lesions, respectively. CONCLUSIONS: We recommend this surgical procedure because it has been shown to be as efficient as other methods and probably faster to perform. © 2006 by the American Society for Dermatologic Surgery, Inc.
Original languageEnglish
Pages (from-to)400-404
JournalDermatologic Surgery
Issue number3
Publication statusPublished - 1 Mar 2006


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