Wound excision and closure by secondary intention and growth factor application in the management of rosacea complicated by giant rhinophyma.

IF 1.4 4区医学 Q3 DERMATOLOGY

Wounds : a compendium of clinical research and practice Pub Date : 2023-11-01 DOI:10.25270/wnds/23064

Fan Zhang, Zhehao Shi, Lei Cai, Bin Chen, Wei Qiu, Li Zhang, Xiaohua Lin

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引用次数: 0

Abstract

BACKGROUND Rosacea is a significant problem, affecting 5.5% of the world population. Currently used treatment techniques such as transfer flaps and implants are insufficient to meet the needs of many patients, which suggests that alternative approaches are needed. CASE REPORT This report describes a case of rosacea complicated by giant rhinophyma treated with excision and closure by secondary intention and growth factor application. The patient was admitted to the Department of Dermatology at The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, China, in July 2021, and underwent excision of the external nasal redundancy under general anesthesia. The postoperative wound was left open. The patient's wounds healed completely 2 months after surgery, and there was no recurrence at 6-month follow-up. The wounds recovered well, with only slight scarring. CONCLUSION The positive outcomes for this patient suggest that wound excision and closure by secondary intention and growth factor application may be beneficial for patients with rosacea complicated by giant rhinophyma.

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在治疗并发巨大鼻赘瘤的酒渣鼻时，通过二次意向和应用生长因子进行伤口切除和闭合。

背景红斑痤疮是一个严重的问题，影响着全球 5.5%的人口。目前使用的转移皮瓣和植入物等治疗技术不足以满足许多患者的需求，这表明需要采用其他方法。病例报告本报告描述了一例红斑痤疮并发巨大鼻赘瘤的病例，患者接受了二次意向切除和闭合治疗，并应用了生长因子。患者于 2021 年 7 月入住温州医科大学附属第一医院皮肤科，在全麻下接受了外鼻赘瘤切除术。术后伤口开放。患者术后 2 个月伤口完全愈合，随访 6 个月无复发。伤口恢复良好，仅留下轻微疤痕。结论该患者的积极治疗结果表明，通过二次意向和应用生长因子进行伤口切除和闭合可能对并发巨大鼻赘瘤的酒渣鼻患者有益。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Wounds : a compendium of clinical research and practice 医学-皮肤病学

CiteScore

1.50

自引率

11.80%

发文量

审稿时长

6-12 weeks

期刊介绍： Wounds is the most widely read, peer-reviewed journal focusing on wound care and wound research. The information disseminated to our readers includes valuable research and commentaries on tissue repair and regeneration, biology and biochemistry of wound healing, and clinical management of various wound etiologies. Our multidisciplinary readership consists of dermatologists, general surgeons, plastic surgeons, vascular surgeons, internal medicine/family practitioners, podiatrists, gerontologists, researchers in industry or academia (PhDs), orthopedic surgeons, infectious disease physicians, nurse practitioners, and physician assistants. These practitioners must be well equipped to deal with a myriad of chronic wound conditions affecting their patients including vascular disease, diabetes, obesity, dermatological disorders, and more. Whether dealing with a traumatic wound, a surgical or non-skin wound, a burn injury, or a diabetic foot ulcer, wound care professionals turn to Wounds for the latest in research and practice in this ever-growing field of medicine.