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Gouty Tophus
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Gouty Tophus

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Gouty tophi are the result of the subcutaneous accumulation of deposits of monosodium urate crystals. These tophi present as painful, skin coloured nodules occurring most frequency on the helix. Tophi...

Chondrodermatis Nodularis Helicus Chronica [Winkler's Nodule]
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Chondrodermatis Nodularis Helicus Chronica [Winkler's...

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Chondrodermatis Nodularis Helicus Chronica is the formal name given to a discrete, firm, raised and frequently painful nodule located on the pinna. This nodule is most commonly located on the apex of...

Herpes Zoster Of The Pinna
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Herpes Zoster Of The Pinna

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Over time, the pustules rupture, dry out and become crusted. When herpes zoster involves the sensory portion of the geniculate ganglion of the facial nerve, it may produce a lower motor neuron facial...

Acute Erysipelas
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Acute Erysipelas

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Erysipelas is an acute localized but superficial spreading cellulitis usually caused by group A beta hemolytic streptococci and characterized by involvement of the lymphatics. The cutaneous lesions are...

Idiopathic Cystic Chondromalacia of the Pinna
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Idiopathic Cystic Chondromalacia of the Pinna

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Idiopathic Cystic Chondromalacia is a cystic degeneration of the auricular cartilage of unknown origin, which may be mistaken both clinically and histologically for relapsing polychondritis. Clinically,...

Psoriasis of the External Ear Canal
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Psoriasis of the External Ear Canal

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Psoriatic dermatitis may extend into the external auditory canal. In this case, the superficial external auditory canal shows a collection of white, silvery, scaly debris.

Psoriasis Pinna
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Psoriasis Pinna

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Note the sharply demarcated salmon coloured plaques of psoriasis just below the helical rim. The upper portion of the lesion is covered with the characteristic silvery scales.

Psoriasis
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Psoriasis

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Psoriasis vulgaris is a hereditary disorder of skin characterized by an increased rate of epidermal cell replication.

Accessory Auricle
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Accessory Auricle

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A preauricular appendage that contains a cartilaginous core is called an "accessory auricle". Accessory auricles represent a small ectopic remnant of one of the embryological hillocks.

Preauricular Pit
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Preauricular Pit

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Preauricular pits are relatively shallow pits that result either from a failure in the fusion of the primitive ear hillocks or from the defective closure of the first brachial cleft. Preauricular pits...

Infected Preauricular Sinus [left]
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Infected Preauricular Sinus [left]

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A preauricular sinus is deeper than a preauricular pit. The sinus tract is lined with a stratified squamous epithelium. The tract of a preauricular sinus may become chronically infected and emit a painless,...

Preauricular Cyst
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Preauricular Cyst

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If the external opening of the tract of the preauricular sinus becomes closed, the epithelium lining the tract will continue to shed epithelial squames into the tract thereby producing a preauricular...

Creased Lobule
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Creased Lobule

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In some patients with increasing age and oblique crease may appear in the lobule. This is known as a "creased lobule" and appears to indicate a significant predisposition to obstructive coronary...

Traumatic Seroma of the Pinna
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Traumatic Seroma of the Pinna

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That trauma from friction may irritate the perichondrium and produce a subperichondial serous or serosanguinous seroma. A seroma will usually persist for several days after the original injury.

Aspirate from Traumatic Seroma of the Pinna
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Aspirate from Traumatic Seroma of the Pinna

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When a seroma fails to resolve spontaneously, aspiration of the subperichondrial blood tinged serous transudate may be necessary.

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