Tratamento dos angiofibromas múltiplos da face com radiofrequência

Abstract

Resumo: Esclerose tube ro sa é uma doen ça gené ti ca rara, com heran ça autos sô mi ca domi nan te, asso cia da à for ma ção de hamar to mas múl ti plos em vários órgãos, como cére bro, pele, pul mões, rins, cora ção e olhos. Os auto res deste estu do apre sen tam um caso de uma pacien te do sexo femi ni no, com 30 anos de idade, por ta do ra de escle ro se tube ro sa, apre sen tan do múl ti plos angio fi bro mas em face, tra ta da com equi pa mento de alta fre quên cia (radio fre quên cia), e dis cu tem as opções tera pêu ti cas para tra ta men to de indi ví duos por ta do res de escle ro se tube ro sa com exten so envol vi men to cutâ neo. Palavras-chave: Angiofibroma, Eletrocirurgia; Esclerose tube ro sa Abstract: Tuberous scle ro sis is a rare gene tic disea se with auto so mal domi nant inhe ri tan ce, asso cia ted with mul ti ple hamar to mas in seve ral organs, such as the brain, skin, lung, kid ney, heart and eyes. The authors of this study report a case of a 30 years old fema le patient with tube rous scle ro sis, pre sen ting multi ple angio fi bro mas on face trea ted with high fre quency equip ment (radio fre quency), and dis cuss the thera peu tic options for treat ment of indi vi duals with exten si ve cuta neous invol ve ment in tube rous scle ro sis.

Rhinophyma in tuberous sclerosis complex: case report with brief review of literature

“…This case report describes the successful reduction of a rhinophyma in a patient affected by TSC. Disfigurement of the nose due to proliferation of angiofibroma in TSC patients was repeatedly reported [ 11 ], [ 13 ], [ 16 ], [ 30 ]. However, following the case report of Bernstein in 1978 [ 2 ] this is likely to be the second description of a rhinophyma in conjunction with an angiofibroma (adenoma sebaceum).…”

“…Several surgical techniques for ablation of rhinophyma have been suggested, such as a blade/shave excision [ 2 ], [ 7 ], dermabrasion [ 9 ], [ 19 ], [ 20 ], cryosurgery [ 8 ], laser with different energy sources [ 15 ], [ 16 ], [ 18 ], [ 22 ], carbondioxide laser resurfacing with fibrin sealing [ 21 ], electrosurgery/diathermy [ 4 ], [ 18 ], a combination of laser and electrosurgery [ 1 ] or further techniques in a single patient [ 1 ], [ 18 ], and high-frequency ablation [ 11 ]. All techniques proved to be sufficient to reduce the soft tissue overgrowth without damage to the cartilage.…”

“…However, different attitudes exist concerning the coverage of the defects. Some authors used skin graft for coverage of the defects [ 2 ], others do not [ 11 ]. Hyperpigmentation was noted after laser ablation [ 16 ] and radiofrequency [ 30 ].…”

“…Facial angiofibroma can cause severe facial disfigurement [ 18 ]. The lesions usually arise bilaterally in the cheek region but may also involve the perioral region and even the nose, producing thick layers of nodular and pustular skin [ 12 ], [ 11 ]. Debulking procedures with different tools to ablate the skin are the measures applied in facial aesthetic surgery to improve physical appearance [ 1 ], [ 2 ], [ 19 ], [ 21 ], [ 30 ].…”

Do you know this syndrome?

“…Can be treated by cryosurgery, dermabrasion, curettage, peelings, laser or high radiofrequency. 6 Recent studies described good results with topical rapamycin, that was also efficient in the treatment of hypomelanotic maculae. 7,8 …”