Abstract
An: 2017, Nr.4, Articol Nr. 12
Title: 

SURGICAL TREATMENT OF RHINOPHYMA

Authors: 

      Mihaela Perţea - . University of Medicine and Pharmacy “Gr.T. Popa” Iaşi, Faculty of Medicine, Department of Surgery; Emergency Clinical Hospital “Sf. Spiridon” Iaşi, Clinic of Plastic Surgery and Reconstructive Microsurgery
      Oxana-Mădălina Grosu - Emergency Clinical Hospital “Sf. Spiridon” Iaşi, Clinic of Plastic Surgery and Reconstructive Microsurgery
      S. Luncă - . University of Medicine and Pharmacy “Gr.T. Popa” Iaşi, Faculty of Medicine, Department of Surgery; Regional Institute of Oncology, Iaşi, Second Surgical Oncology Clinic
      SURGICAL TRATMENT OF RHINOPHYMA (Abstract): Introduction: Rhinophyma is today considered to be a severe form of rosacea and is characterized by an increase in nose volume that gives a markedly unsightly appearance and can cause respiratory distress. The purpose of this study is to present the outcomes of surgical treatment of rhinophyma using two surgical techniques. Material and method: The study is based on a group of 7 patients with medium and severe rhinophyma and disease progression between 3-7 years. In all cases, the excision of the involved nasal skin was done with the classic scalpel, followed in 3 cases by coverage with free skin and in four cases by directed epithelialization. Results: Long term outcomes were good in all cases studied, with full patient satisfaction. Their complication rate was null and at 2 years there were no vicious scars, contractions or recurrences. The anatomo-pathological exam has established specific features of rhinophyma, the presence of Demodex folliculorum being noted in all cases. Conclusions: Both surgical techniques offer good aesthetic and functional outcomes, however, rhinophymectomy followed by directed epithelialization, although associated with a longer healing period, seems to provide greater satisfaction to patients.
Key words: RHINOPHYMA, DEMODEX FOLLICULORUM, RHINOPHYMECTOMY
Full text
archive
Current edition
Previous editions