Severe Phymatous Rosacea of the Nose, Cheeks, and Chin Treated With Hydrosurgery

Abstract

Phymatous rosacea is a rare and severe form of rosacea that manifests as disfiguring soft-tissue hypertrophy and sebaceous gland hyperplasia and fibrosis. Most cases are surgically treated; surgical modalities vary, however, ranging from cryosurgery to conventional excision, and consensus guidelines for surgical management do not exist. The Versajet II Hydrosurgery System (Smith-Nephew) is a highpressure, pulsatile lavage system. We present the case of a 75-yearold man with severe phymatous rosacea of the nose, cheeks, and chin who was successfully treated with the Versajet II Hydrosurgery System, yielding excellent contouring.

„Wasser marsch“ im Haut OP mittels Wasserstrahlskalpell

“…Eine sehr schöne dermatologische Indikation ist auch das Abtragen eines Rhinophyms und Gnatophyms. Dabei wird das kürzere 8 mm-Handstück mit 45°-Neigung eingesetzt [9,10].…”

From the Cochrane Library: Hydrosurgical Debridement Versus Conventional Surgical Debridement for Acute Partial-Thickness Burns

“…For example, in a study of axillary osmidrosis (n=93), hydrosurgery showed improved patient satisfaction and fewer postoperative complications compared to traditional surgery [ 3 ]. Case reports of severe phymatous rosacea, which currently lacks standard surgical guidelines, document successful treatment with hydrosurgery [ 4 ]. Additionally, hydrosurgery can safely and rapidly debride various ulcer types in outpatient settings [ 5 ].…”