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Rhinophyma: Prevalence, Severity, Impact and Management.
Ruvi Chauhan1, Scott N Loewenstein1, Aladdin H Hassanein1
1Indiana University School of Medicine, Department of Surgery, Division of Plastic Surgery, Indianapolis, IN, USA.
Clinical, Cosmetic and Investigational Dermatology
|August 28, 2020
Summary
Rhinophyma, an advanced rosacea stage, causes nasal disfigurement. Scalpel excision offers cost-effectiveness and fewer complications compared to laser therapy or the subunit method, with high patient satisfaction across treatments.
Area of Science:
- Dermatology
- Plastic Surgery
Background:
- Rhinophyma is a severe manifestation of rosacea affecting nasal soft tissues.
- It leads to significant disfigurement, airway obstruction, and psychosocial distress.
- Understanding and treatment options for rhinophyma have advanced.
Purpose of the Study:
- To review the pathophysiology, clinical presentation, and epidemiology of rhinophyma.
- To systematically evaluate treatment outcomes for rhinophyma using laser therapy, scalpel excision, and the subunit method.
Main Methods:
- Literature review using OVID Medline and PubMed for rhinophyma and rosacea.
- Systematic review of treatment outcomes for laser therapy, scalpel excision, and subunit method.
Main Results:
- The subunit method showed the highest complication and revision rates, followed by CO2 laser therapy.
- Outcomes for CO2 laser, scalpel therapy, and electrocautery were comparable.
- Scalpel excision is cost-effective with fewer complications but risks intraoperative bleeding.
Conclusions:
- Treatment choice depends on practitioner and patient goals, with varying options available.
- High patient satisfaction is reported across all treatment modalities.
- Over 89% of patients would recommend rhinophyma treatment regardless of method.
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