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Published on: June 20, 2018
Sculpting resection of rhinophyma using the Shaw scalpel
Emre Vural1, Mark C Royer, Mimi S Kokoska
1Departments of Otolaryngology-Head and Neck Surgery, Central Arkansas Veterans Healthcare System, Little Rock, USA.
Background:
Rhinophyma is a disfiguring disorder of the nasal skin characterized by hypervascularity, sebaceous gland hyperplasia, occluded sebaceous ducts, and dermal fibrosis. It has no known effective medical treatment; however, a myriad of surgical treatments have been reported. We report an effective, efficient, and safe approach to treat this disorder using the Shaw scalpel to surgically sculpt the nose.
Objective:
To evaluate the efficacy and safety of using the Shaw scalpel to treat rhinophyma.
Methods:
We performed a retrospective review of 7 male patients (age range, 58-81 years) who underwent primary surgical treatment of rhinophyma with the Shaw scalpel.
Results:
A good to excellent outcome was noted in all 7 patients. No perioperative complications occurred. Essentially no blood loss was noted during or after the procedures.
Conclusion:
Use of the Shaw scalpel as the sole surgical instrument and method is a safe, efficient, and effective means to treat rhinophyma.
