Therapeutic Options of Chondrodermatitis Nodularis Helicis

Table 3

Surgical treatment.

First author and year	Method	Patients	Follow-up	Cure rate (%)	Recurrence rate	Pros and cons
Kulendra 2014 [31]	Excision of nodule + rim shave + direct suture + decompression	59 pt/65 lesions	85 months	88% for the helix and 89% for the antihelix	12% for the helix, 11 for the antihelix	Retrospective. Confounder with decompression.
Magliulo 2014 [3]	Excision + skin graft	1	12 months	100%	No recurrence	Case report. No history, no picture.
Feldman 2009 [1]	Wedge resection/circumferential excision of skin + underlying cartilage + skin graft	55 pt/62 lesions	Not reported	89%/96%	11% (infection) only 30% of these needed reexcision	Retrospective. No report of follow-up.
Hussain 2009 [22]	No skin excision, only nodule + trimming of cartilage	34	4 months	94%	0 (6% did not respond)	Retrospective.
Chan 2009 [49]	Surgically excised	2	12 months	100%	0	Case report.
Dreiman 2007 [7]	Wedge-incision w Antia Buch reconstruction.	1	8 months	100%	0	Case report.
Rajan 2007 [32]	Punch and graft technique	22 pt/23 lesions	1–86 months	83%	18%	Retrospective.
Tsung-Hua 2007 [43]	Excision of nodule + decompression	1	6 months	100%	0	Case report. Confounder with decompression.
Grigoryants 2007 [44]	Exc. of skin + cartilage + skin graft + decompression	1	6 months	100%	0	Case report.; Confounding treatment modalities.
Rex 2006 [33]	Narrow elliptical skin excision + cartilage shaving	74	Helix: 54 (14–90) months; Antihelix: 50 (11–78) months	Helix: 90%; Antihelix: 63%	Helix: 11%; Antihelix: 38%	Retrospective.
Jacob K 2005 [50]	Excision of cartilage (+ necrotic muscle)	1	6 months	100%	0	Case report surgical procedure not well described.
Moncrieff 2004 [26]	Excision biopsy of nodule, paring the underlying cartilage, foam-padding	41	77 (15–150) weeks	66%	34%	Retrospective review, confounding treatment modalities.
De Ru 2002 [34]	Skin-sparing cartilage resection. All previously treated with Kenacort inj.	34 pt/37 lesions	31 months (3–111)	92%	3%	Retrospective. Confounding treatment modalities.
Hudson-Peacock 1999 [24]	Punch biopsy + cartilage resection + shaving + suture of skin	77	52 (helix) + 55 (antihelix) months	84% (helix); 75% (antihelix)	Helix: 16%; Antihelix: 25% (all in excision margin)	Retrospective.
Zuber 1999 [39]	Modified shave-technique followed by electrosurgical feathering	4	Not reported	Not reported	Not reported	No relevant information available.
Munnoch 1996 [35]	Minimal skin excision and extensive cartilage resection	50	37 months (18–78)	100%	0	Retrospective.
Lawrence 1991 [8]	Intralesional steroid therapy/excision of cartilage without skin excision	46	16 months	88%	12% (at excision margins)	Confounding treatment modalities.