29. Surgical treatment of nasal deformity in rhinophyma: A case report
Main Article Content
Abstract
Rhinophyma is characterized by nasal deformity due to progressive hypertrophy of the sebaceous and subcutaneous tissues of the nose. This disease is common in Caucasians but very rare in Asians. This article described the clinical features, operative process and the results of a Vietnamese male patient, 79 years old, with a rhinophyma at severe grade according to el-Azhary and stage 4 according to Clark, who was effectively treated by surgery. With rhinophyma disease, clinical symptoms are suggestive and pathology will help confirm the diagnosis. There are several available methods for treatment of rhinophyma, each has its own pros and cons. However, surgery to remove the lesion and cover the defect is the best choice for severe cases.
Article Details
Keywords
rhynophyma, nasal tumour, nasal defomity
References
2. el-Azhary RA, Roenigk RK, Wang TD. Spectrum of results after treatment of rhinophyma with the carbon dioxide laser. Mayo Clin Proc. 1991;66(9):899-905. doi: 10.1016/s0025-6196(12)61576-6.
3. Clarós P, Sarr MC, Nyada FB, Clarós A. Rhinophyma: Our experience based on a series of 12 cases. Eur Ann Otorhinolaryngol Head Neck Dis. 2018;135(1):17-20. doi: 10.1016/j.anorl.2017.08.005.
4. Ole Martin Rørdam, Kjetil Guldbakke. Rhinophyma: Big Problem, Simple Solution. Acta Dermato-Venereologica. Accessed November 15, 2022. https://www.medicaljournals.se/acta/content/abstract/10.2340/00015555-0976.
5. H P Plenk. Rhinophyma, associated with carcinoma, treated successfully with radiation. Plast Reconstr Surg. 1995 Mar;95(3):559-62. https://pubmed.ncbi.nlm.nih.gov/7870783/.
6. T Roihu, A L Kariniemi. Demodex mites in acne rosacea - PubMed. Accessed November 15, 2022. J Cutan Pathol. 1998 Nov;25(10):550-2. doi: 10.1111/j.1600-0560.1998.tb01739.x.
7. D R Wiemer. Rhinophyma. Clin Plast Surg. 1987;14(2). Accessed November 15, 2022. https://pubmed.ncbi.nlm.nih.gov/2953521/.
8. Elliott RA, Hoehn JG, Stayman JW. Rhinophyma: surgical refinements. Ann Plast Surg. 1978;1(3):298-301. doi: 10.1097/00000637-197805000-00009.
9. Rohrich RJ, Griffin JR, Adams WP. Rhinophyma: Review and update. Plast Reconstr Surg. 2002;110(3):860-869; quiz 870. doi: 10.1097/00006534-200209010-00023.
10. Tope WD, Sangueza OP. Rhinophyma’s fibrous variant. Histopathology and immunohistochemistry. Am J Dermatopathol. 1994;16(3):307-310.
11. Hoasjoe DK, Stucker FJ. Rhinophyma: Review of pathophysiology and treatment. J Otolaryngol. 1995;24(1):51-56.