In 5 years 19 patients with a total of 16 painful ear nodules (chondro
dermatitis helicis) have been treated as follows. A small excision is
carried out with local anaesthesia for histological examination. The r
est of the nodule or any other nodules are carbonized by means of the
argon laser, also with local anaesthesia, including the surface of the
cartilage under the nodules. There have been no cases of postoperativ
e inflammation or infection. New nodules occurring several months afte
r treatment have been successfully treated in the same way. There have
been no real recurrences. The cosmetic result is very good in all cas
es. The patients are free of pain immediately after the laser therapy.
Laser therapy for painful nodules of the ear has good and lasting res
ults, with a lower rate of recurrences than any other form of treatmen
t.