CHRONDRODERMATITIS NODULARIS HELICIS (CNH)



Serving Hamilton, Stoney Creek, Grimsby and surrounding areas.

Chrondrodermatitis Nodularis Helicis (CNH) for Hamilton, Grimsby and Stoney Creek

General Information:

  • Is caused by pressure from sleeping on one side or holding a phone receiver against the ear for long periods of time.
  • Appears as a tender pink 1 mm to 5 mm bump or open sore on the part of the ear which sticks out the most.
  • May be very painful.
  • Is NOT cancer.
  • Will NOT turn into a cancer.

Treatment:

  • Reduce Pressure to the affected area:

    • Sleep on your other side.
    • Cover the affected area with a cotton ball and bandage at night time. 
    • Use a piece of foam with a hole cut out of the centre as a pillow. Rest the affected ear inside the cut-out-area while sleeping so that there is no pressure from the foam on the ear.

  • Liquid Nitrogen: 

    • A cold freezing spray may help the area heal.
    • After a treatment, the area will become swollen and crusted.
    • This will heal in about 2 weeks time.
    • You may bathe or shower normally after a treatment.
    • Cortisone-Antibiotic cream mixtures may help.
    • The should be applied to the affected area once daily.
  • Intralesional Steroids (Cortisone Injections):

    • The cortisone is injected directly into the affected area with a small needle.
    • Only one injection is required to treat the entire lesion.
    • The main side effect from the injections includes, but is not limited to: is thinning of the skin in the area of injection, although this is uncommon and reversible.
  • Surgery:

    • If all of the above fail, a small piece of cartilage can be removed from the affected portion of the ear.