Fractionated ablative carbon dioxide laser for the treatment of rhinophyma

Serowka, Kathryn; Saedi, Nazanin; Dover, Jeffrey S.; Zachary, Christopher B.

doi:10.1002/lsm.22184

Cited by 33 publications

(20 citation statements)

References 41 publications

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“…1 This rare disease is mostly noted in middle-aged Caucasian men, 2 and few reports have focused on Asian patients. It is commonly seen in association with chronic rosacea and historically has been considered as the end stage of rosacea.…”

Section: Introductionmentioning

confidence: 99%

“…It is commonly seen in association with chronic rosacea and historically has been considered as the end stage of rosacea. 1 This rare disease is mostly noted in middle-aged Caucasian men, 2 and few reports have focused on Asian patients. There have been several attempts by Western researchers to establish a unified standard classification and grading systems for this disease, and standard classification and severity grading systems were proposed by the National Rosacea Society (NRS) Expert Committee in 2002 and 2004, respectively.…”

Section: Introductionmentioning

confidence: 99%

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Clinical features of Korean patients with rhinophyma

Kim

Yun

Lee

2016

The Journal of Dermatology

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Rhinophyma results from hyperplasia of the sebaceous glands and connective tissue. Clinical features in Asian rhinophyma patients are largely underreported. In this study, we aimed to evaluate the clinical features of rhinophyma in Korean patients. We reviewed clinical photos and medical records of 39 Korean patients diagnosed with rhinophyma and assessed the severity and clinical course by using the classical National Rosacea Society index. The male : female ratio was 6.8:1, and over 90% of the patients were older than 40 years. The mild-grade rhinophyma was the most dominant (46.1%), followed by the moderate (41.0%) and severe (12.8%) grades. Disease progression to severe grade occurred over an average of 8.2 years. Furthermore, 70% of all cases revealed lesion distribution limited to the nose. As disease severity progressed to higher grades, the extent of nasal involvement increased (Pearson correlation coefficient, 0.685). Rhinophyma is a slowly progressing disease showing male predominance unrelated to specific trigger factors. In many cases, this disease often exclusively affects the nose in Asian patients.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Clinical features of Korean patients with rhinophyma

Kim

Yun

Lee

2016

The Journal of Dermatology

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“…More recently, Serowka et al. successfully treated a small group of rhinophyma patients with the 10,600 nm fractional CO 2 laser using aggressive settings . In fractional laser therapy, highly reproducible columns of ablation are created surrounded by intact skin.…”

Section: Discussionmentioning

confidence: 99%

“…In 2010, González et al introduced the fractional yttrium scandium gallium garnet laser in the treatment of cystic lesions associated with rhinophyma (10). More recently, Serowka et al successfully treated a small group of rhinophyma patients with the 10,600 nm fractional CO2 laser using aggressive settings (11). In fractional laser therapy, highly reproducible columns of ablation are created surrounded by intact skin.…”

Section: Discussionmentioning

confidence: 99%

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

et al. 2015

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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.

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“…[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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Fractionated ablative carbon dioxide laser for the treatment of rhinophyma

Cited by 33 publications

References 41 publications

Clinical features of Korean patients with rhinophyma

Clinical features of Korean patients with rhinophyma

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

Update on the Management of Rosacea

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