Rhinophyma: a surgical treatment option

Lucchese, Inara do Carmo; Barazzetti, Daniel Ongaratto; Avila, Diego Fernando Villagra; Walter, Gustavo Palmeiro; D'Avila, Arthur Koerich

doi:10.5935/2177-1235.2017rbcp0046

Cited by 2 publications

(1 citation statement)

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“…The extravasation leads to chronic edema of the dermal interstitium leading to local inflammation, fibrosis, and dermal and sebaceous gland hyperplasia [3,12,16]. There is evidence of associated genetic factors as cases of twins, uncles, or grandparents of patients affected have been described [18]. This goes with our two brother patients with rhinophyma.…”

Section: Discussionmentioning

confidence: 53%

Untitled

2020

JTTE

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Rhinophyma is a rare disease that primarily affects Caucasian men in the fifth to seventh decades of life. It is characterized by a progressive thickening of nasal skin, involving the lower two-thirds of the nose which may progress to large bulbous growths with dilated pores, causing lot of cosmetic and psychological concern and serving as a medium for occult cancers. Furthermore, impairment of breathing may coexist, making the surgical treatment necessary. Many treatment options are available for rhinophyma, but there is no standard treatment protocol. We report our experience in two bother patients with rhinophyma who underwent a combination of surgical excision with bipolar electrocautery and local infiltration of dilute epinephrine. It permits a spontaneous re-epithelialization in two weeks. Histological examination of the biopsy specimens revealed a hyperkeratosis of the epidermis and sebaceous gland hyperplasia. Both patients had excellent cosmetic and functional results. The described technique is simple, safe, efficient, and cost-effective approach to the treatment of rhinophyma.

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