Combined treatment for rhinophyma

Silva, Daniel Nunes e; Santos, Byanca Rossetti Moreira dos; Branquinho, Luciano Ipólito; Melo, Marcus Machado de; Rosseto, Marcelo

doi:10.5935/scd1984-8773.201682645

Cited by 2 publications

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“…In some degree, a similar technique has been reported in the literature. Silva et al have described two patients with rhinophyma that underwent tangential excision associated with electrocoagulation with good long-term results [11]. The extent of tissue growth and the severity of the condition can help determine the preferred treatment method.…”

Section: Discussionmentioning

confidence: 99%

Large Rhinophyma Treated by Surgical Excision and Electrocautery

Hamzawi¹,

Baaj²

2019

Case Reports in Surgery

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Rhinophyma is a benign condition characterized by a large, bulbous nose with prominent pores. It is commonly associated with untreated cases of rosacea. The disease can carry a substantial psychological impact that causes patients to seek advice about how to improve their physical appearance. Many treatment options are available for rhinophyma, but there is no standard treatment protocol. Here, we describe the case of a 65-year-old man with a large rhinophyma that caused him cosmetic and psychosocial embarrassment. The condition was treated by surgical excision and bipolar electrocautery. No complications occurred after the procedures, and healing was completed 2 weeks later by secondary intention and reepithelialization. A simple surgical removal using a scalpel to shave off the abnormal tissue with electrocauterization of the bleeding points can be considered as a good treatment option for rhinophyma, as it results in an excellent cosmetic outcome and has short recovery time.

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Section: Discussionmentioning

confidence: 99%

Large Rhinophyma Treated by Surgical Excision and Electrocautery

Hamzawi¹,

Baaj²

2019

Case Reports in Surgery

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“…This allows accurate removal of the diseased tissue to the desired depth where the remaining fundi of hypertrophic sebaceous glands should be sufficient to re-epithelize the nose. This tangential excision and spontaneous re-epithelialization technique has been recommended by many authors [4,13,14,[23][24][25][26]. It is commonly reported that re-epithelialization of the wound after electrocoagulation takes between 10 and 15 days [27].…”

Section: Treatment Of Rhinophyma By Surgical Excision and Electrocautmentioning

confidence: 99%

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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Combined treatment for rhinophyma

Cited by 2 publications

References 0 publications

Large Rhinophyma Treated by Surgical Excision and Electrocautery

Large Rhinophyma Treated by Surgical Excision and Electrocautery

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