BibTex RIS Cite

The treatment of rhinophyma with excision and full-thickness skin graft

Year 2012, Volume: 34 Issue: 4, 504 - 509, 06.02.2012

Kerem Polat , İsmail Uysal Canan Karakuş Emine Altuntaş Togay Müderris Ersin Tuncer Suphi Müderris

Abstract

Abstract

Rhinophyma is a rarely seen benign, chronic disease of nasal skin, characterized by nodular growing of sebaceous glands that affect the distal half of the nose and cause several functional and aesthetic problems. This uncommon disease is especially seen in Caucasian males between the ages of 45-60 and the incidence is 12 times higher in men than in women. There are different methods for treatment of rhinophyma, and surgical treatment is accepted as gold standard. In this study, we reported a case with rhinophyma that was followed and surgically treated with excision and full-thickness skin graft in Cumhuriyet Universty School of Medicine Hospital.

Keywords: Rhinophyma, surgical excision, full-thickness skin graft

Özet

Rinofima burun derisinin nadir görülen, benign, kronik bir hastalığıdır. Burun distal kısmında sebase glandların progresif nodüler hipertrofisiyle karakterize bir hastalıktır ve çeşitli estetik ve fonksiyonel sorunlara neden olmaktadır. Nadir görülen bu hastalık özellikle 45-60 yaş aralığındaki Kafkas ırkı erkeklerinde izlenmektedir ve insidansı erkeklerde bayanlara oranla 12 kat daha fazladır. Rinofima tedavisinde farklı metodlar uygulanmakta ve cerrahi tedavi altın standart olarak kabul edilmektedir. Bu çalışmada biz Cumhuriyet Üniversitesi Tıp Fakültesi Hastanesinde takip ve cerrahi olarak eksizyon ve tam kat deri grefti ile tedavi edilen bir olguyu bildirdik.

Anahtar sözcükler: Rinofima, cerrahi eksizyon, tam kat deri grefti

Keywords

-

References

  • Bogetti P, Boltri M, Spagnoli G, Dolcet M. Surgical treatment of rhinophyma: a comparison of techniques. Aesthetic Plast Surg 2002; 26: 57-60.
  • Rohrich RJ, Griffin JR, Adams WP Jr. Rhinophyma: review and update. Plast Reconstr Surg 2002; 110: 860-69.
  • Fincher EF, Gladstone HB. Use of a dual-mode erbium: YAG laser for the surgical correction of rhinophyma. Arch Facial Plast Surg 2004; 6: 267-71.
  • Goon PK, Dalal M, Peart FC. The gold standard for decortication of rhinophyma: combined erbium-YAG/CO2 laser. Aesthetic Plast Surg 2004; 28: 456-60.
  • Hsu CK, Lee JY, Wong TW. Good cosmesis of a large rhinophyma after carbon dioxide laser treatment. J Dermatol 2006; 33: 227-9.
  • Simo R, Sharma VL. Treatment of rhinophyma with carbon dioxide laser. J. Laryngol Otol 1996; 110: 841-6.
  • Fisher WJ. Rhinophyma: Its surgical treatment. Plast Reconstr Surg 1970; 45: 466-70.
  • Lim SW, Lim SW, Bekhor P. Rhinophyma: Carbon dioxide laser with computerized scanner is still an outstanding treatment. Australas J Dermatol 2009; 50: 289-93.
  • Rİrdam OM, Guldbakke K. Rhinophyma: big problem, simple solution. Acta Derm Venereol 2011; 91: 188-9.
  • Har-El G, Shapshay SM, Bohigian RK, Krespi YP, Lucente FE. The treatment of rhinophyma. 'Cold' vs laser techniques. Arch Otolaryngol Head Neck Surg 1993; 119: 628-31.
  • Plenk HP. Rhinophyma, associated with carcinoma, treated successfully with radiation. Plast Reconstr Surg 1995; 95: 559-62.
  • Wiemer DR. Rhinophyma. Clin Plast Surg 1987; 14: 357-65.
  • Botero GES. Giant Rhinophyma: A Case Report. J Otolaryngol Head Neck Surg 1996; 24: 69-71.
  • Callé SC, Nickerson R, Evans JT. Rhinophyma. Otolaryngol Head Neck Surg 1994; 110: 253-4.
  • Pu LL, Smith PD, Payne WG, Kuhn MA, Wang X, Ko F, Robson MC. Overexpression of transforming growth factor beta-2 and its receptor in rhinophyma: an alternative mechanism of pathobiology. Ann Plast Surg 2000; 45: 515-9.
  • Odou BL, Odou ER. Rhinophyma. Am J Surg 1961; 102: 3-16.
  • Hoasjoe DK, Stucker FJ. Rhinophyma: Review of pathophysiology and treatment. J Otolaryngol 1995; 24: 51-6.
  • Karim Ali M, Streitmann MJ. Excision of rhinophyma with the carbon dioxide laser: a ten-year experience. Ann Otol Rhinol Laryngol 1997; 106: 952-5.
  • Redett RJ, Manson PN, Goldberg N, Girotto J, Spence RJ. Methods and results of rhinophyma treatment. Plast Reconstr Surg 2001; 107: 1115-23.
  • Orenstein A, Haik J, Tamir J, Winkler E, Frand J, Zilinsky I, Kaplan H. Treatment of rhinophyma with Er:YAG laser. Lasers Surg Med 2001; 29: 230-5.
  • Rex J, Ribera M, Bielsa I, Paradelo C, Ferrándiz C. Surgical management of rhinophyma: report of eight patients treated with electrosection. Dermatol Surg 2002; 28: 347-9.
  • Ersek RA, Denton DR. Rhinophyma: treatment with electrocautery and silver- impregnated porcine xenograft. Plast Reconstr Surg 1984; 74: 269-73.
  • Stucker FJ, Hoasjoe DK, Aarstad RF. Rhinophyma: a new approach to hemostasis. Ann Otol Rhinol Laryngol 1993; 102: 925-9.
  • Furukawa M, Kanetou K, Hamada T. Rhinophyma in Japan. Int J Dermatol 1994; 33: 35-7.
  • Riefkohl R, Georgiade GS, Barwick WJ, Georgiade NG. Rhinophyma: a thirty- five-year experience. Aesthetic Plast Surg 1983; 7: 131-4.

Rinofimanın eksizyon ve tam kat deri grefti ile onarımı

Year 2012, Volume: 34 Issue: 4, 504 - 509, 06.02.2012

Kerem Polat , İsmail Uysal Canan Karakuş Emine Altuntaş Togay Müderris Ersin Tuncer Suphi Müderris

Abstract

Rinofima burun derisinin nadir görülen, benign, kronik bir hastalığıdır. Burun distal kısmında sebase glandların progresif nodüler hipertrofisiyle karakterize bir hastalıktır ve çeşitli estetik ve fonksiyonel sorunlara neden olmaktadır. Nadir görülen bu hastalık özellikle 45-60 yaş aralığındaki Kafkas ırkı erkeklerinde izlenmektedir ve insidansı erkeklerde bayanlara oranla 12 kat daha fazladır. Rinofima tedavisinde farklı metodlar uygulanmakta ve cerrahi tedavi altın standart olarak kabul edilmektedir. Bu çalışmada biz Cumhuriyet Üniversitesi Tıp Fakültesi Hastanesinde takip ve cerrahi olarak eksizyon ve tam kat deri grefti ile tedavi edilen bir olguyu bildirdik

Keywords

Rinofima cerrahi eksizyon tam kat deri grefti

References

  • Bogetti P, Boltri M, Spagnoli G, Dolcet M. Surgical treatment of rhinophyma: a comparison of techniques. Aesthetic Plast Surg 2002; 26: 57-60.
  • Rohrich RJ, Griffin JR, Adams WP Jr. Rhinophyma: review and update. Plast Reconstr Surg 2002; 110: 860-69.
  • Fincher EF, Gladstone HB. Use of a dual-mode erbium: YAG laser for the surgical correction of rhinophyma. Arch Facial Plast Surg 2004; 6: 267-71.
  • Goon PK, Dalal M, Peart FC. The gold standard for decortication of rhinophyma: combined erbium-YAG/CO2 laser. Aesthetic Plast Surg 2004; 28: 456-60.
  • Hsu CK, Lee JY, Wong TW. Good cosmesis of a large rhinophyma after carbon dioxide laser treatment. J Dermatol 2006; 33: 227-9.
  • Simo R, Sharma VL. Treatment of rhinophyma with carbon dioxide laser. J. Laryngol Otol 1996; 110: 841-6.
  • Fisher WJ. Rhinophyma: Its surgical treatment. Plast Reconstr Surg 1970; 45: 466-70.
  • Lim SW, Lim SW, Bekhor P. Rhinophyma: Carbon dioxide laser with computerized scanner is still an outstanding treatment. Australas J Dermatol 2009; 50: 289-93.
  • Rİrdam OM, Guldbakke K. Rhinophyma: big problem, simple solution. Acta Derm Venereol 2011; 91: 188-9.
  • Har-El G, Shapshay SM, Bohigian RK, Krespi YP, Lucente FE. The treatment of rhinophyma. 'Cold' vs laser techniques. Arch Otolaryngol Head Neck Surg 1993; 119: 628-31.
  • Plenk HP. Rhinophyma, associated with carcinoma, treated successfully with radiation. Plast Reconstr Surg 1995; 95: 559-62.
  • Wiemer DR. Rhinophyma. Clin Plast Surg 1987; 14: 357-65.
  • Botero GES. Giant Rhinophyma: A Case Report. J Otolaryngol Head Neck Surg 1996; 24: 69-71.
  • Callé SC, Nickerson R, Evans JT. Rhinophyma. Otolaryngol Head Neck Surg 1994; 110: 253-4.
  • Pu LL, Smith PD, Payne WG, Kuhn MA, Wang X, Ko F, Robson MC. Overexpression of transforming growth factor beta-2 and its receptor in rhinophyma: an alternative mechanism of pathobiology. Ann Plast Surg 2000; 45: 515-9.
  • Odou BL, Odou ER. Rhinophyma. Am J Surg 1961; 102: 3-16.
  • Hoasjoe DK, Stucker FJ. Rhinophyma: Review of pathophysiology and treatment. J Otolaryngol 1995; 24: 51-6.
  • Karim Ali M, Streitmann MJ. Excision of rhinophyma with the carbon dioxide laser: a ten-year experience. Ann Otol Rhinol Laryngol 1997; 106: 952-5.
  • Redett RJ, Manson PN, Goldberg N, Girotto J, Spence RJ. Methods and results of rhinophyma treatment. Plast Reconstr Surg 2001; 107: 1115-23.
  • Orenstein A, Haik J, Tamir J, Winkler E, Frand J, Zilinsky I, Kaplan H. Treatment of rhinophyma with Er:YAG laser. Lasers Surg Med 2001; 29: 230-5.
  • Rex J, Ribera M, Bielsa I, Paradelo C, Ferrándiz C. Surgical management of rhinophyma: report of eight patients treated with electrosection. Dermatol Surg 2002; 28: 347-9.
  • Ersek RA, Denton DR. Rhinophyma: treatment with electrocautery and silver- impregnated porcine xenograft. Plast Reconstr Surg 1984; 74: 269-73.
  • Stucker FJ, Hoasjoe DK, Aarstad RF. Rhinophyma: a new approach to hemostasis. Ann Otol Rhinol Laryngol 1993; 102: 925-9.
  • Furukawa M, Kanetou K, Hamada T. Rhinophyma in Japan. Int J Dermatol 1994; 33: 35-7.
  • Riefkohl R, Georgiade GS, Barwick WJ, Georgiade NG. Rhinophyma: a thirty- five-year experience. Aesthetic Plast Surg 1983; 7: 131-4.
There are 25 citations in total.

Details

Primary Language English
Journal Section Case Reports
Authors

Kerem Polat

İsmail Uysal

Canan Karakuş

Emine Altuntaş

Togay Müderris

Ersin Tuncer

Suphi Müderris

Publication Date February 6, 2012
Published in Issue Year 2012Volume: 34 Issue: 4

Cite

AMA Polat K, Uysal İ, Karakuş C, Altuntaş E, Müderris T, Tuncer E, Müderris S. The treatment of rhinophyma with excision and full-thickness skin graft. CMJ. December 2012;34(4):504-509.