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2007, Number 35

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Med Univer 2007; 9 (35)

Double approach in the treatment of rhino

Castro GY, Chacón MH, Pérez PS, García SA, Vallejo ERO
Full text How to cite this article

Language: Spanish
References: 10
Page: 82-84
PDF size: 150.45 Kb.


Key words:

Rhinophyma, sebaceous glands, acne rosacea.

ABSTRACT

Rhinophyma, a word derived from the Greek rhino-nose and phyma-growth, is a deforming and progressive disease characterized by the thickening of the skin of the nose, hyperplasia of the sebaceous glands, occlusion of the ducts with formation of cysts and a certain degree of fibrosis. Diverse factors for the development of rhinophyma have been proposed, such as vitamin deficiencies, hormonal components, stress, alcoholism or infections, but the only etiologically confirmed cause is its relationship with acne rosacea, of which rhinophyma is its most severe form. The case of one patient with rhinophyma is communicated in the present paper. A double surgical approach was used in him, which consisted of a total thickness excision of the skin with direct closure, more tangential excision with a razor blade and placement of a fine mesh over the nose. A gauze with “petroleum jelly” was placed after the procedure, which began to peel off after the fifth day and was completely taken off on the 12th day post surgery. The patient was treated on an outpatient basis and recovery went without complications. The results of this technique were satisfactory.


REFERENCES

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  2. Rohrich RJ, Griffin JR, Adams WP Jr. Rhinophyma: review and update. Plast Reconstr Surg 2002;110:860-9.

  3. Rees TD. Basal cell carcinoma in association with rhinophyma. Plast Reconstr Surg 1995;16:283-7.

  4. Matton G, Pickrell K, Huger W, Pound E. The surgical treatment of rhinophyma. An analysis of fifty-seven cases. Plast Reconstr Surg 1962;30:403-14.

  5. Bogetti P, Boltri M, Spagnoli G, Dolcet M. Surgical treatment of rhinophyma: a comparison of techniques. Aesthetic Plast Surg 2002;26:57-60.

  6. Curnier A, Choudhary S. Rhinophyma: dispelling the myths. Plast Reconstr Surg 2004;114:351-4.

  7. Marquez A, Brenda E, Souza LH. Surgical management of nasal hypertrophy secondary to resacea. Eur J Plast Surg 1995;18:121-23.

  8. Curnier A, Choudhary S. Triple approach to rhinophyma. Ann Plast Surg 2002;49:211-4.

  9. Hallock GG. Laser treatment of rhinophyma. Aestethic Plast Surg. 1988;12:171-4.

  10. Goon PK, Dalal M, Peart FC. The gold standard for decortication of rhinophyma: combined erbium-YAG/CO2 laser. Aesthetic Plast Surg 2004;28:456-60.




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Med Univer. 2007;9