Surgical Treatment of Rhinophyma: A Comparison of Techniques

Bogetti, Paolo; Boltri, M.; Spagnoli, Giada; Dolcet, Massimo

doi:10.1007/s00266-001-0039-1

Cited by 61 publications

(44 citation statements)

References 12 publications

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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%

“…Bogetti et al [1] In another study Lim et al [8] used Carbon dioxide laser in 9 patients and obtained good results.…”

Section: Discussionmentioning

confidence: 99%

“…Genetic factors, alcoholism, and increased steroid hormon levels are being accused in etiology but there is no proven relationship between them. In addition, microorganisms such as Demodex folliculorum were isolated in many cases, but their exact role in the etiology is not proven yet [1]. The only etiologic relation confirmed is the one with rosacea.…”

Section: Discussionmentioning

confidence: 99%

“…It is a disease characterized by the progressive nodular hypertrophy of sebaceous glands and soft tissues at the distal part of the nose [1]. The surface of the nasal skin becomes erythematous and telangiectatic, and the pores grow large [2].…”

Section: Introductionmentioning

confidence: 99%

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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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Section: Discussionmentioning

confidence: 88%

“…Bogetti et al [1] In another study Lim et al [8] used Carbon dioxide laser in 9 patients and obtained good results.…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

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

Polat¹,

Uysal²,

Karakus³

et al. 2012

CMJ

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“…Bogetti et al believe that the best method is a combination of cut and bipolar electrocoagulation and the local administration of epinephrine to reduce bleeding [28]. The use of gelatin-thrombin mixture may reduce bleeding [29].…”

Section: E Et Ti Io Ol Lo Og Gy Ymentioning

confidence: 99%

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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Use of a Dual-Mode Erbium:YAG Laser for the Surgical Correction of Rhinophyma

Fincher

Gladstone

2004

Archives of Facial Plastic Surgery

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Surgical Treatment of Rhinophyma: A Comparison of Techniques

Cited by 61 publications

References 12 publications

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

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

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

Use of a Dual-Mode Erbium:YAG Laser for the Surgical Correction of Rhinophyma

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