Frontal rhytidectomy as surgical treatment for pachydermoperiostosis: A case report

Abstract

The thickened folded skin of Touraine-Solente-Golé syndrome can result in cosmetic and functional deformities. The treatment of pachydermoperiostosis is usually centered around improving the cosmetic appearance through plastic surgery. We describe the case of a 27-year-old male who had pachydermoperiostosis with a leonine facies that was managed with frontal rhytidectomy. A greatly improved cosmetic appearance was achieved with this procedure.

Comprehensive Surgical Strategies for the Management of Pachydermoperiostosis

“…[7][8][9] Treatment modalities that have been tried in PDP for cutaneous manifestations include steroids, 10 isotretinoin, 11 colchicine, 12 and botulinum toxin. 13 Meanwhile, as the typical course of PDP is self-limited, plastic surgery mainly focuses on cosmetic improvements through procedures like bilateral blepharoplasties, 14 tarsal wedge resections, 15 frontal rhytidectomy, 16,17 along with facelifts 18 as highlighted by many physicians mainly to meet the aesthetic goals of the patients.…”

Pachydermoperiostosis: a case report

“…Выраженные изменения внешности, в частности складчатость кожи лица, могут снижать каче-ство жизни пациента. Методы пластической хирургии спо-собствуют устранению эстетических дефектов и довольно часто используются за рубежом [35][36][37].…”

Pachydermoperiostosis

“…Upon literary review, clinical reports show the use of frontal rhytidectomy, blepharoplasty, facelift, and direct skin excision. [5][6][7][8] We are unaware of any previous use of surgery with concurrent use of botulinum toxin A for the treatment plan of facial pachydermoperiostosis. Our patient underwent primary lateral SMASectomy facelift, secondary glabellar skin and corrugator muscle excision, and concurrent botulinum toxin A to the forehead region.…”

“…[1][2][3][4] Phthisis bulbi is the most commonly associated pathology. 5 Our patient had a 20-year loss of vision probably owing to a long-standing retinal detachment because he denied any history of ocular trauma. He also had phthisis bulbi of the affected eye.…”