Carbon dioxide laser treatment of rhinophyma: a review of 124 patients

Madan, Vishal; Ferguson, Jennifer; August, P.J.

doi:10.1111/j.1365-2133.2009.09317.x

Cited by 94 publications

(75 citation statements)

References 22 publications

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“…Most studies on surgical treatment of rhinophyma show good aesthetic results after very short follow-up periods [11,15,16,17]. However, the mid- and long-term efficacy of different modalities have not been established.…”

Section: Introductionmentioning

confidence: 99%

“…Surgery thus represents the gold standard treatment of this disease [6]. A wide range of ablative and excisional techniques to treat rhinophyma have been described, including CO 2 laser surgery, argon laser surgery, dermabrasion, cryosurgery, scalpel excision, razor blade excision, resection with heated loops and knives as well as electrosurgery [2,9,10,11,12,13,14]. …”

Section: Introductionmentioning

confidence: 99%

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New Rhinophyma Severity Index and Mid-Term Results following Shave Excision of Rhinophyma

Wetzig¹,

Averbeck²,

Simon³

et al. 2013

Dermatology

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Background: Rhinophyma is a progressive nasal deformity resulting from hyperplasia of the sebaceous glands and connective tissue, with a negative effect on quality of life. Partial-thickness shave excision has been used for the treatment of rhinophyma, but the mid- and long-term efficacy of the treatment is unknown. Objectives: We analysed the clinical outcomes of shave excision in patients with rhinophyma in our centre between 2005 and 2009. Methods: The entire nose was shaved using a scalpel while under tumescent anaesthesia. The clinical assessment was scored using a novel Rhinophyma Severity Index. Results: Thirty-three patients with rhinophyma and shave excision were recruited for the study. A mid-term follow-up examination was possible in 23/33 (69.7%) patients. After a mean follow-up of 37.4 ± 13.2 months, 21 (91.3%) patients showed an improved Rhinophyma Severity Index (3.3 ± 1.1 to 1.7 ± 0.9, p < 0.0001). All patients reported a high level of satisfaction after surgery (excellent or good result). Eleven (47.8%) patients developed rhinophyma recurrence. Conclusion: Shave excision under tumescent anaesthesia is an effective treatment for rhinophyma. The treatment is associated with high patient satisfaction and minimal side effects. A possible recurrence of rhinophyma must be addressed, however, while obtaining informed consent.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

New Rhinophyma Severity Index and Mid-Term Results following Shave Excision of Rhinophyma

Wetzig¹,

Averbeck²,

Simon³

et al. 2013

Dermatology

View full text Add to dashboard Cite

show abstract

“…[120][121][122][123][124][125][126][127][128][129][130][131][132][133][134][135][136][137][138][139] All may be cosmetically limited due to excessive intraoperative bleeding obstructing visualization and causing imprecise tissue removal, along with the risk of scarring. Technological enhancements such as scanned and "superpulsed" systems emit shorter pulses with high power, reducing common adverse effects such as scarring and dyspigmentation.…”

Section: Co 2 Laser and Erbium:yttrium-aluminum-garnet Lasermentioning

confidence: 99%

Update on the Management of Rosacea

Weinkle

Doktor

Emer

2015

Plastic Surgical Nursing

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Abstract:Refining diagnostic criteria has identified key characteristics differentiating rosacea, a chronic skin disorder, from other common cutaneous inflammatory conditions. The current classification system developed by the National Rosacea Society Expert Committee consists of erythematotelangiectatic, papulopustular, phymatous, and ocular subtypes. Each subtype stands as a unique entity among a spectrum, with characteristic symptoms and physical findings, along with an intricate pathophysiology. The main treatment modalities for rosacea include topical, systemic, laser, and light therapies. Topical brimonidine tartrate gel and calcineurin inhibitors are at the forefront of topical therapies, alone or in combination with traditional therapies such as topical metronidazole or azelaic acid and oral tetracyclines or isotretinoin. Vascular laser and intense pulsed light therapies are beneficial for the erythema and telangiectasia, as well as the symptoms (itching, burning, pain, stinging, swelling) of rosacea. Injectable botulinum toxin, topical ivermectin, and microsecond long-pulsed neodymium-yttrium aluminum garnet laser are emerging therapies that may prove to be extremely beneficial in the future. Once a debilitating disorder, rosacea has become a well known and manageable entity in the setting of numerous emerging therapeutic options. Herein, we describe the treatments currently available and give our opinions regarding emerging and combination therapies.

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“…Tedaviden 3 ay sonraki değerlendirmede 118 hasta iyi ve çok iyi sonuç bildirirken, 6 hasta zayıf yanıt bildirmiş. 4 hastada hipopigmentasyon ve skar, 2 hastada por genişlemesi saptanmış 40 . Port Wine malformasyonların hipertrofik ve nodüler komponentlerinde etkili bulunmuş.41, buna karşın ileri yaşlarda dirençli olgular da bildirilmiş 42 .…”

Section: Diğer Tıbbi Endikasyonlarunclassified

Ablatif Lazerler

...

2012

Turkderm

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ÖzetEstetik düzenlemeler için geliştirilen cerrahi olmayan lazerler ile cilt yenileme alanı, yeni araştırmalar ve teknik ilerlemelerle gelişimini devam ettirmektedir.1980'lerdeki ilk kullanımlarından bu yana lazerle cilt yenileme endüstrisi ablatif, nonablatif ve fraksiyonel ablatif özellikte çok sayıda cihaz geliştirmiştir. Ablatif cilt yenileme, yaşlanmış derinin rejuvenasyonu ve çok sayıdaki deri lezyonunun tedavisi için oldukça güçlü bir araçtır. Uygun ellerde kullanıldıklarında, cerrahi ve nonablatif metodların tavsiye edilmediği fotoyaşlanma problemlerinin çoğunda etkili ve güvenli bir yöntemdir. Ablatif lazerler, ürettikleri infrare ışık sayesinde "su" molekülünü hedefleyerek, doku kontraksiyonu ve kollajen üretimine neden olurlar. İlk ablatif lazer sistemleri, belirgin termal hasar oluşturduklarından kabul edilemez yüksek oranlarda skarlaşma ve uzamış yara iyileşmesine neden olmuşlardır. Yüksek enerjili pulse lazerler ve fraksiyonel lazerler gibi yeni cihazlar, daha az yan etki ve kıssa yara iyileşme süreleri ile belirgin düzelmelere ulaşabilme kapasitesine sahiptirler. Ablatif cilt yenileme giderek daha güvenli olmakla beraber, tedavi sonrası skarlaşma, pigment düzensizlikleri ve enfeksiyonları engellemek için dikkatli ve uygun hasta seçimi halen çok önemlidir. Hasta tatmini ve klinik sonuçların en üst düzeyde olabilmesi için , ablatif cihazları kullanan klinisyenlerin muhtamel yan etkilerin farkında olmaları gereklidir. Sum maryThe field of nonsurgical laser resurfacing for aesthetic enhancement continues to improve with new research and technological advances. Since its beginnings in the 1980s, the laser-resurfacing industry has produced a multitude of devices employing ablative, nonablative, and fractional ablative technologies. Ablative resurfacing is a powerful tool for rejuvenation of the aging face and for the treatment of a wide array of skin lesions. In the proper hands, it is a safe and effective way to treat many of the problems of photodamaged skin that surgery or nonablative methods cannot address. Ablative lasers emit infrared light, which targets water resulting in tissue contraction and collagen formation. The first ablative laser systems created significant thermal damage resulting in unacceptably high rates of scarring and prolonged healing. Newer devices, such as high-energy pulsed lasers and fractional ablative lasers, are capable of achieving significant improvements with fewer side effects and shorter recovery times. While ablative resurfacing has become safer, careful and appropriate patient selection is still important to avoid post-treatment scarring, dyspigmentation, and infections. Clinicians utilizing ablative devices need to be aware of possible side effects in order to maximize results and patient satisfaction. Gi riflAblatif cilt yenileme lazerleri çevre dokularda sınırlı bir koagülatif nekrozla birlikte kontrollü bir doku ablasyonu sağlayan lazerlerdir. Ablatif cilt yenileyici lazerlerin fototermal hasar ile epidermis ve dermisin bir kısmını ortadan kaldırarak oluşturdu...

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Carbon dioxide laser treatment of rhinophyma: a review of 124 patients

Abstract: The CO(2) laser is an effective and durable treatment for rhinophyma. Treatment carries a low risk of side-effects and is associated with high patient acceptability and satisfaction.

Cited by 94 publications

References 22 publications

New Rhinophyma Severity Index and Mid-Term Results following Shave Excision of Rhinophyma

New Rhinophyma Severity Index and Mid-Term Results following Shave Excision of Rhinophyma

Update on the Management of Rosacea

Ablatif Lazerler

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