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Five-blade scratcher for treating severe rhinophyma: A retrospective study.
Yu-Ping Zheng1, Xu-Feng He1, Yan-Feng Zhang1
1Department of Dermatology, Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai 201203, China.
World Journal of Clinical Cases
|July 17, 2024
Summary
The five-blade scratcher offers a safe and effective treatment for severe rhinophyma, significantly improving patient outcomes and reducing inflammation with a low recurrence rate. This method provides a cost-effective and simple surgical option for rhinophyma patients.
Area of Science:
- Dermatology
- Surgical Oncology
- Inflammatory Diseases
Background:
- Rhinophyma, a severe rosacea subtype, causes nasal hyperplasia, impacting breathing and psychological well-being.
- Current surgical treatments for rhinophyma often result in complications like bleeding, scarring, and high recurrence rates.
Purpose of the Study:
- To evaluate the clinical effectiveness and recurrence rates of treating severe rhinophyma using the five-blade scratcher technique.
- To assess the impact of this surgical method on patient quality of life and inflammatory markers.
Main Methods:
- Retrospective analysis of 28 patients with severe rhinophyma treated with a five-blade scratcher.
- Assessment of outcomes using Global Flushing Severity Score (GFSS), Clinician Erythema Assessment (CEA), Rhinophyma Severity Index (RHISI), Glasgow Benefit Inventory (GBI), and patient satisfaction.
- Measurement of serum pro-inflammatory factors (TNF-α, IL-1β, IL-6) pre- and post-surgery via ELISA.
Main Results:
- Significant reductions in GFSS, CEA, and RHISI scores were observed at 6 months and 5 years post-surgery (P < 0.001).
- The five-blade scratcher demonstrated significant patient benefits, evidenced by improved GBI scores and high satisfaction rates.
- Recurrence occurred in 25% of patients but was not more severe than pre-treatment; pro-inflammatory factor levels were significantly reduced post-surgery.
Conclusions:
- The five-blade scratcher is a simple, safe, effective, and cost-efficient treatment for severe rhinophyma.
- This technique offers reduced bleeding, minimal scarring, lower recurrence rates, decreased inflammation, and enhanced patient satisfaction.
- The five-blade scratcher presents a viable therapeutic option for managing severe rhinophyma.
