Popis: |
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. |