Figure 1.

Pre- and postoperative pictures of a patient with CNH. 79-year-old woman with recurrence of CNH on the left antihelix. Two years prior to referral the patient was treated surgically (unknown method) for CNH in the same location. Recurrence occurred 3 months before referral and was initially treated with topical sodium fusidate with no effect. Treated with excision of skin and underlying cartilage and coverage of the defect with full thickness skin graft, all symptoms resolved and an acceptable cosmetic outcome was obtained at 3-month follow-up.