Surgical Management of Rhinophyma: Report of Eight Patients Treated with Electrosection

Rex, Jordi; Ribera, Miquel; Bielsa, Isabel; Paradelo, Cristina; Ferrándiz, Carlos

doi:10.1046/j.1524-4725.2002.01209.x

Cited by 35 publications

(34 citation statements)

References 8 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%

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%

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

Wetzig¹,

Averbeck²,

Simon³

et al. 2013

Dermatology

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“…Surgical reduction can be performed in two forms, either partial-thickness excision or full-thicness excision. In partial excision method the rhinophyma is shaved off tangentially and the residual deep pilosebaceous appendages produce re-epitelization [1,19,21]. At the time of surgical excision, particularly in patients with deep infiltrating advanced rhinophyma as in our case, with the presence of a neoplasm, complete layer excision of rhinophyma fibrous variant may be preferable and could be better to get more decent results in terms of cosmetics and recurrence.…”

Section: Discussionmentioning

confidence: 88%

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

Polat¹,

Uysal²,

Karakus³

et al. 2012

CMJ

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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

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“…Laser treatment takes more time, is more complicated, requiring expensive equipment, greater outlay, and the treatment results are comparable with other methods [32]. Rex et al, using the method of laser and electroresection, observed similar efficacy of the two of them, at a much lower cost of electrocautery [46].…”

Section: Discussionmentioning

confidence: 91%

Evaluation of surgical treatment of rhinophyma with tangential shear of the lesion

Witmanowski¹,

Lewandowicz²,

Sobieszek³

et al. 2012

pdia

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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.

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Surgical Management of Rhinophyma: Report of Eight Patients Treated with Electrosection

Abstract: Electrosection is as effective as laser treatments and less expensive. Although living in a laser era, electrosurgical remodeling of the nose is a good alternative for the treatment of rhinophyma.

Cited by 35 publications

References 8 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

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

Evaluation of surgical treatment of rhinophyma with tangential shear of the lesion

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