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Chondrodermatitis nodularis chronica helicis (CNCH) is a small, nodular, tender, chronic inflammatory lesion occurring on the helix of the ear, most often in men. [2]: 610 it often presents as a benign painful erythematous nodule fixed to the cartilage of the helix or antihelix of the external ear. [3]
Each involves the external ear. The difference between them is that a cyst does not connect with the skin, but a sinus does. [ 3 ] Frequency of preauricular sinus differs depending the population: 0.1–0.9% in the US, 0.9% in the UK, and 4–10% in Asia and parts of Africa.
Hoarseness is the most common presenting symptom, while pain, stridor or laryngeal obstruction are unusual complaints. [5] They may cause significant respiratory obstruction leading to dyspnoea or respiratory distress [3] and even cyanosis, and jugular and epigastric retractions. [1]
First branchial cleft cysts - These are also known as periauricular because of their position near the ear. They are always in or adjacent to the parotid gland. These account for 8% of the sinuses and cysts of the neck. They are lateral to the facial nerve and run parallel to the external auditory canal. [9]
Management falls into three modalities: surgical treatment, pharmaceutical treatment, and supportive, depending on the nature and location of the specific cause. [1] In cases of infection, antibiotics or antifungal medications are an option. Some conditions are amenable to surgical intervention such as middle ear fluid, cholesteatoma, and ...
The recommended treatment is that the skin is peeled off the extra-auricular tissue and protruding cartilage remnants are trimmed. [13] Normal appearance is achieved in majority of cases. The reconstruction successful in true cases of accessory auricle, as it also is in individuals with auricular appendages. [14] [15]
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Mastoiditis is the result of an infection that extends to the air cells of the skull behind the ear. Specifically, it is an inflammation of the mucosal lining of the mastoid antrum and mastoid air cell system inside [1] the mastoid process. The mastoid process is the portion of the temporal bone of the skull that is behind