Rojas GP, Cuervo VMA, Gutiérrez SJE, Márquez EC

Language: Spanish
References: 12
Page: 82-86
PDF size: 323.81 Kb.

ABSTRACT

Rhinophyma is a term that derives from Greek and means «nasal growth». It is a benign cutaneous deformity that is characterized by a slow and progressive growth of the nose which can generate important changes in its morphology. It mainly affects Caucasian men between the 5th and 7th decade of life, due to an increase in sebaceous glands and soft tissue. As the exact cause of its origin is not known, it is considered a multifactorial disease. The rhinophyma belongs to the group of rosacea, included in the advanced stage or stage IV or fimatous or bulbous rosacea. The diagnosis is clinical as a consequence of the characteristics that favor chronic edema, local inflammation, fibrosis and sebaceous and dermal hyperplasia, and surgery is the basis of treatment. There are multiple techniques described for early and late stages; however, surgical resection is the best alternative for an optimal result and so far the ideal technique has not been found. We describe the technique for the reconstructive management of patients with rhinophyma carried out at the Hospital Central Sur de Alta Especialidad de Petróleos Mexicanos, in 8 patients treated surgically on an outpatient basis using electrocautery resection, sanding to even out the surface and then the application of patches of cultured keratinocytes to cover the resected area with removal at seven days. The functional and aesthetic results were excellent.

REFERENCES

1. Laun J, Gopman J, Elston JB, Harrington MA. Rhinophyma. Eplasty 2015; 15: ic25.

2. Troncoso RA, Torrealba PR, Bozán SF, Lazo CA. Rinofima severo. Rev Chil Cir 2012; 64 (2): 194-198.

3. Curnier A, Choudhary S. Triple approach to rhinophyma. Ann Plast Surg 2002; 49: 211-214.

4. Sahin C, Turker M, Celasun B. Giant rhinophyma: excision with coablation assisted surgery. Indian J Plast Surg 2014; 47 (3): 450-452.

5. Payne W, Wang X, Walusimbi M et al. Further evidence for the role of fibrosis in the pathobiology of rhinophyma. Ann Plast Surg 2002; 48: 641-645.

6. Zide MF. Surgical removal of rhinophyma. J Oral Maxillofac Surg 2008; 66: 2168-2177.

7. Sadick H, Goepel B, Bersch C, et al. Rhinophyma: diagnosis and treatment options for a disfiguring tumor of the nose. Ann Plast Surg 2008; 61: 114-120.

8. Erisir F, Isildak H, Haciyev Y. Management of mild to moderate rhinophyma with a radiofrequency. J Craniofac Surg 2009; 20: 455-456.

9. Delikonstantinou I, Itte V, Frew Q, Muttardi E. Management of advanced rhinophyma with shave excision and noncultured autologous skin cell transplantation. Eur J Plast Surg 2014; 37: 619-622.

10. Karacor-Altuntas Z, Dadaci M, Ince B, Altuntas M. A new surgical technique of rhinophyma (gull-wing technique). J Craniofac Surg 2015; 26 (1): e28-e30.

11. Stucker FJ, Nathan ChA, Lian T. Management experience in 142 cases of rhinophyma. International Congress Series 2003. pp. 615-619.

12. Rex J, Ribera M, Isabel B et al. Surgical management of rhinophyma: report of eight patients treated with electro section. Dermatol Surg 2002; 28: 347-349.