A Ad dd dr re es ss s f fo or r c co or rr re es sp po on nd de en nc ce e: : Prof.

A Ad dd dr re es ss s f fo or r c co or rr re es sp po on nd de en nc ce e: : Prof. Henryk Witmanowski MD, PhD, Department of Plastic, Reconstructive and Aesthetic Surgery, Nicolaus Copernicus University, Collegium Medicum, 9 M. Original paper A b s t r a c t I In nt tr ro od du uc ct ti io on n: : Tuberosity of the nose is a slow, progressive, gentle process, leading to distortion and dysfunction of the nose. Underlying the change is perifollicular hypertrophy of the sebaceous glands, fibrous tissue proliferation and vascular changes of telangiectasia type. It is believed that it is the final stage of rosacea. A Ai im m: : To evaluate the effectiveness of surgical treatment using the method of tangential shear, based on a medical examination and subjective assessment of the effects of treatment by the patient. M Ma at te er ri ia al l a an nd d m me et th ho od ds s: : In the years 1998 to 2008 nine patients with moderate degree of rhinophyma were treated surgically by tangential shear, followed by electrocoagulation. The results were assessed according to a 4-point scale as very good, good, fair and poor. We evaluated the presence of postoperative complications (bleeding, infection, or other), healing time, the shape of the nose (size and symmetry), improved patency, reduction in the number of inflammatory conditions, widening of the field of view and long-term effects of treatment: disfiguring scars, uneven surface of the nose, nasal deformity and recurrence. R Re es su ul lt ts s: : Among the 9 patients studied in 2 cases a very good result was achieved, in 5 good and in 2 satisfactory; no poor result was observed. Healing took an average of 6 weeks (1-15 weeks). None of the patients had postoperative complications. Seven patients were satisfied with both the size and symmetry of the nose, one unsatisfied with the size and 1 dissatisfied with the symmetry. Following the operation, 1 patient had disfiguring scars, 3 uneven surface of the nose, nasal deformity was observed in 2 cases and there was 1 recurrence. Of the 2 patients with a satisfactory result, 1 has been re-operated on, while the other was set an additional term of treatment. C Co on nc cl lu us si io on ns s: : Surgical treatment of nasal tuberosity by tangential shear followed by electrocoagulation is effective, and burdened by low rates of complications. To achieve a good aesthetic and functional effect, a very experienced operator is recommended. K Ke ey y w wo or rd ds s: : rhinophyma, nasal tuberosity surgical treatment, rhinophyma treatment effects.

1. 3–6 years are the optimal age to partial macroglossia reduction. 2. Analyze of surgical macroglossia treatment showed effectiveness of methods based on partial resection of tongue. Surgical treatment with own modified Reynwald method lead to increase of number of satisfied postoperative results. 3. Partial resection of macroglossia influence on patients look, integration and environment acceptance; in children with deep retardation it simplify nursing.

1. Surgical correction of protruding ears does not burden with any significant complications. 2. Surgery treatment by Mustarde method gives satisfactory aesthetic results. 3. We confirmed favourable influence of corrected ears on patent's mental status. 4. Severity of protruding ears, coexisting anomaly of external ears together with age of the patient determine individual surgical treatment.