Excision of Rhinophyma with the Carbon Dioxide Laser: A Ten-Year Experience

Ali, Mazen; Streitmann, Michael J.

doi:10.1177/000348949710601111

Cited by 35 publications

(18 citation statements)

References 11 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…(A) The nose of patient 3 at baseline showing erythema, textural changes, and a beginning lobule. (B) there is a serious risk of causing persistent side effects such as scar formation, alar notching, alar fistula, or even airway obstruction (7)(8)(9). Conventional CO2 laser ablation largely depends on the physician's surgical skills.…”

Section: Discussionmentioning

confidence: 99%

Fractionated carbon dioxide laser therapy as treatment of mild rhinophyma: report of three cases

et al. 2015

View full text Add to dashboard Cite

Rhinophyma is a bothersome condition of the nose that is regarded as a manifestation of rosacea (subtype 3). Whereas the efficacy of medical treatments, including antibiotics and retinoids, is often dissatisfying, conventional invasive procedures are limited by their unfavorable side effect profile. We present three patients who were treated by a minimally invasive approach using fractionated carbon dioxide (CO2) laser therapy, showing variable response. We observed that fractionated CO2 laser therapy may improve patient-reported outcome in some patients with mild rhinophyma and is associated with a relatively favorable side effect profile compared with conventional surgical techniques.

show abstract

Section: Discussionmentioning

confidence: 99%

Fractionated carbon dioxide laser therapy as treatment of mild rhinophyma: report of three cases

et al. 2015

View full text Add to dashboard Cite

show abstract

“…In the Hoasjoe and Stucker's study in which they treated the patients using CO2 laser, it has been noted that laser use is restricted because of the cost, safety conditions and requirement for special education to use laser [17]. Among the reported side effects of CO 2 laser include erythema, hypopigmentation, hyperpigmentation, bleeding and fistula formation [18]. Furthermore, deep thermal damage can occur at adjacent normal tissues [4].…”

Section: Discussionmentioning

confidence: 99%

“…For this reason, it is recommended to ensure a good control of hemostasis with a minimal thermal damage to the underlying sebaceous gland tissue, to allow spontaneous re-epithelialization with a quick and minimal scar tissue, and in order to minimize the risk of hypopigmentation; performing local dilute epinephrine injection and using bipolar cautery before the excision with a scalpel are also recommended [13][14][15][16][17][18][19]. Cauterization of the great vessels will take a long time, can give thermal damage to the underlying perikondrium and cartilage, and can also delay the healing, desiccate the cartilage and terminate with a likely deformity of the nose.…”

Section: Discussionmentioning

confidence: 99%

The treatment of rhinophyma with excision and full-thickness skin graft

Polat¹,

Uysal²,

Karakus³

et al. 2012

CMJ

View full text Add to dashboard Cite

Rhinophyma is a rarely seen benign, chronic disease of nasal skin, characterized by nodular growing of sebaceous glands that affect the distal half of the nose and cause several functional and aesthetic problems. This uncommon disease is especially seen in Caucasian males between the ages of 45-60 and the incidence is 12 times higher in men than in women. There are different methods for treatment of rhinophyma, and surgical treatment is accepted as gold standard. In this study, we reported a case with rhinophyma that was followed and surgically treated with excision and full-thickness skin graft in

show abstract

“…Láser de Co2 como monoterapia. Se encontraron dos estudios descriptivos retrospectivos 168,169 , tres serie de casos 168,170,171 y seis reportes de casos [172][173][174][175][176][177] . Se obtuvieron excelentes resultados cosméticos, sin recurrencias entre los 6 y 41,6 meses de seguimiento.…”

Section: Manejo Con Láser De Co2unclassified

Guías clínicas para el tratamiento de la rosácea

Molina¹,

Londoño²,

Escobar³

et al. 2012

rev. asoc. colomb. dermatol. cir. dematol.

View full text Add to dashboard Cite

ResumenLa rosácea es una condición inflamatoria crónica que afecta la piel y los ojos, caracterizada por eritema transitorio o persistente, pápulas y pústulas, y cuando está en etapas avanzadas, se presenta con "fimatosis". Existen múltiples modalidades terapéuticas para esta entidad, pero es poco claro cuál es la más efectiva. objetivo. Recolectar y analizar los diferentes estudios que hay en la literatura científica sobre el tratamiento de la rosácea y dar recomendaciones clínicas basadas en el nivel de evidencia. Métodos. La búsqueda de artículos sobre las diferentes modalidades de tratamiento de la rosácea pápulo-pustular, eritemato-telangiectásica y "fimatosa", se hizo en las bases de datos Embase, Medline, Lilacs, Ovid, con el buscador Pubmed, desde enero de 1980 hasta junio de 2011. Luego de recolectar la literatura científica disponible, se analizó la información y se calificó la calidad de los estudios utilizando las escalas de Jadad para ensayos clínicos de asignación aleatoria, y CASPE para estudios de casos y controles, cohortes y estudios cualitativos. Finalmente, se dan recomendaciones clínicas según el grado de evidencia encontrado. Resultados. Se encontraron 178 artículos de las diferentes modalidades terapéuticas. En la rosácea pápulo-pustular los tratamientos con mayor nivel de evidencia son el metronidazol, el ácido azelaico, la sulfacetamida y la doxiciclina; en la rosácea eritemato-telangiectásica, las modalidades más utilizadas son los medios físicos, y en la rosácea "fimatosa", el tratamiento de primera línea es el láser de CO 2 . Conclusiones. Este documento presenta una revisión actualizada de la literatura científica y formula recomendaciones terapéuticas basadas en el mejor nivel de evidencia que se encontró. Su implementación permitirá la unificación de criterios, con el objetivo de ofrecer un mejor tratamiento a los pacientes con la enfermedad.Palabras clave: rosácea, metronidazol, rayo láser. SummaryRosacea is a chronic inflammatory disease that affects the skin and the eyes. It is characterized by papules, pustules, persisting flushing and development of phymas. There are many different options of treatment but it is unclear which one is the most effective. objective: To recollect and to analyze all the available trials in dermatological Rev Asoc Colomb Dermatol Artículo de RevisiónRev Asoc Colomb Dermatol.

show abstract

Excision of Rhinophyma with the Carbon Dioxide Laser: A Ten-Year Experience

Cited by 35 publications

References 11 publications

Fractionated carbon dioxide laser therapy as treatment of mild rhinophyma: report of three cases

Fractionated carbon dioxide laser therapy as treatment of mild rhinophyma: report of three cases

The treatment of rhinophyma with excision and full-thickness skin graft

Guías clínicas para el tratamiento de la rosácea

Contact Info

Product

Resources

About