Microdebrider-Assisted Rhinophyma Excision

Autor: Abdulaziz Abushaala, Marios Stavrakas, Hisham Khalil
Jazyk: angličtina
Rok vydání: 2019
Předmět:
Zdroj: Case Reports in Otolaryngology, Vol 2019 (2019)
Druh dokumentu: article
ISSN: 2090-6765
2090-6773
DOI: 10.1155/2019/4915416
Popis: Rhinophyma represents a progressive deformity of the nose which leads to cosmetic disfigurement and has a significant impact on the patient’s quality of life. This pathological entity originates from hyperplasia of sebaceous gland tissue, connective tissue, and vessels of the nose and is associated with rosacea and more specifically, stage III rosacea. Surgical treatment is the method of choice. We present five cases of rhinophyma that we treated with microdebrider-assisted excision. The procedure was divided in two main steps: scalpel excision of the main bulk of the rhinophyma and then further contouring with the microdebrider. All patients had weekly follow-up for the first four weeks, and then three-monthly. All patients had uneventful recovery and satisfactory cosmetic outcomes. No postoperative infections or other complications were reported in our case series. The use of the microdebrider reduces the operating time, preserves the islands of skin regeneration, and allows finer manipulations than the standard scalpel techniques. Microdebrider-assisted rhinophyma excision is a safe approach, with good aesthetic results. Larger series of patients need to be examined in order to establish the value of the method.
Databáze: Directory of Open Access Journals
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