Electro-rhinosculpture for the surgical management of rhinophyma
نویسندگان
چکیده
We describe a simple technique for excision of rhinophyma using equipment found commonly in theatre. The nose is infi ltrated with lignocaine and adrenaline, and a colposcopic loop electrode (15mm disposable loop electrode; Meditech, Shaftesbury, UK) is used to shave excess tissue in smooth planes while providing simultaneous haemostasis. The burr (6mm Bud Trimmer Burr; Mercian, Bromsgrove, UK) is then used to soften the nasal contours into the desired appearance. Additional haemostasis is performed with loop diathermy before the wound is dressed. Excision of rhinophyma is typically a bloody and time consuming affair. Our technique creates a smoothly contoured appearance and simultaneous haemostasis with only a few passes of the loop cautery tip.
منابع مشابه
Combination Surgical Excision and Fractional Carbon Dioxide Laser for Treatment of Rhinophyma
Rhinophyma is a severe late complication of rosacea, which is characterized by progressive hyperplasia of sebaceous glands and connective tissue involving the lower two-thirds of the nose. It can be an emotionally devastating disorder, and serve as a medium for occult cancers and other health problems. Many surgical treatments have been advocated, as well as dermabrasion and laser therapy. In l...
متن کامل188 Management of Rhinophyma
Rhinophyma is a condition that can cause significant disfigurement as well as functional impairment of the nose. It results from hypertrophy and hyperplasia of the sebaceous glands and can be a manifestation of advanced staged rosacea. If left untreated, not only can it cause disfigurement, rhinophyma can also result in nasal airway obstruction by marked ptosis and collapse of the external nasa...
متن کاملManagement of Rhinophyma
Cosmetic surgeons are often asked to evaluate and treat a host of different dermatologic diseases. Some conditions may fall outside the realm of what they see daily in their practice, as they are not very common. We were recently presented with a patient with rhinophyma, which is considered the most severe expression of acne rosacea. In its severe form, rhinophyma is quite disÞ guring and can l...
متن کاملCME Rhinophyma: Review and Update
Rhinophyma may have been first recognized in ancient Greece and Arabia.1,2 Elliott et al. and Matton et al. credit Hebra with naming the disease in the mid-nineteenth century.3,4 The name is derived from the Greek rhis, for nose, and phyma, meaning growth. Many imaginative terms have been used to describe the erythematous, hypertrophied, and inflamed nose that typifies rhinophyma. In the past, ...
متن کاملNasal tip schwannoma mimicking rhinophyma.
Geyton T, et al. BMJ Case Rep 2017. doi:10.1136/bcr-2017-223495 Description Rhinophyma meaning ‘nose growth’ in Greek is a relatively common condition that describes thickening of the nasal skin with enlargement of the sebaceous glands. While not fully understood, it is believed to be a result of vascular instability causing leakage of fluid into the tissues. This subsequently triggers inflamma...
متن کامل