Soto OJA, Gómez NJA

Language: Spanish
References: 17
Page: 221-227
PDF size: 282.51 Kb.

ABSTRACT

Background: rhinophyma is a dermatological condition considered the last and most serious expression of rosacea. Phymas are characterized by slow and progressive growth of the sebaceous glands and connective tissue, causing severe anatomical alterations. Surgical treatment options: partial or full-thickness excision with or without skin grafting or flap reconstruction, dermabrasion, cryosurgery, electrosurgery, and CO2 laser. High-frequency electrosurgery is one of the methods in which satisfactory results have been obtained.
Material and methods: we present a prospective observational study of 20 patients with rhinophyma of various degrees of severity treated with high-frequency electrosurgery, whose objective is to evaluate the cosmetic results and the level of patient satisfaction.
Results: among the results we found 14 (70%) patients, with excellent cosmetic remodeling and six (30%), with good results. The level of satisfaction reported by the patients was very satisfactory in 18 cases (90%), and two (10%) were satisfied. Complications associated with the procedure were: hypopigmentation and persistent erythema in four (20%), followed by telangiectasias in three (15%) and hypertrophic scarring in two (10%); and none in eight (40%).
Conclusions: radiofrequency electrosurgery is a safe, low-cost method and, above all, with good aesthetic results, which is why we consider it an excellent tool for treating phymas, particularly in the nasal area.

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