{"title":"Minimally invasive approach for the surgical treatment of Rhinophyma: the effectiveness of Microdebrider.","authors":"Stefania Troise, Emanuele Carraturo, Rebecca Napolitano, Paola Bonavolontà, Antonio Romano, Pasquale Piombino","doi":"10.1016/j.jormas.2025.102512","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Rhinophymas are disfiguring disorders of the face that represent the end-stage of sebaceous gland hyperplasia in patients with rosacea. The literature reports different surgical approaches to treat this pathology, but the Microdebrider have proved to be successful in sinonasal surgery as it enables precise control of tissue that needs to be removed, proving to be a safe approach, with good aesthetic results.</p><p><strong>Objective: </strong>The aim of this paper is to conduct a pilot study on 10 patients with rhinophyma treated with the use of microdebrider, comparing our results with the most recent articles in literature, carrying out a narrative review.</p><p><strong>Methods: </strong>10 cases of rhinophyma were presented. All patients underwent mininvasive surgical treatment based on the use of the Microdebrider and different long-term medications with Fitostimoline gauzes or Condress in the postoperative management. All patients underwent periodic outpatient follow-ups, with a minimum follow-up of 12 months. The aesthetic results were compared with the use of the Vancouver scar scale.</p><p><strong>Results: </strong>In all cases, the cosmetic outcomes, at 1 year follow-up, were satisfactory, regardless of the postoperative used medication. The mean of the total VSS values for patients treated with the combination of Fitostimoline gauze and gentamicin was 2.29±1.03SD, while for patients treated with Condress gauze the mean was 2.33±0.47SD. The literature review also confirms these results.</p><p><strong>Conclusions: </strong>Microdebrider is a valuable tool for precise and effective surgical treatment of rhinophyma, ensuring good aesthetic results, regardless of the type of dressing used in post-operative management.</p>","PeriodicalId":56038,"journal":{"name":"Journal of Stomatology Oral and Maxillofacial Surgery","volume":" ","pages":"102512"},"PeriodicalIF":2.0000,"publicationDate":"2025-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Stomatology Oral and Maxillofacial Surgery","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1016/j.jormas.2025.102512","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"Dentistry","Score":null,"Total":0}
引用次数: 0
Abstract
Background: Rhinophymas are disfiguring disorders of the face that represent the end-stage of sebaceous gland hyperplasia in patients with rosacea. The literature reports different surgical approaches to treat this pathology, but the Microdebrider have proved to be successful in sinonasal surgery as it enables precise control of tissue that needs to be removed, proving to be a safe approach, with good aesthetic results.
Objective: The aim of this paper is to conduct a pilot study on 10 patients with rhinophyma treated with the use of microdebrider, comparing our results with the most recent articles in literature, carrying out a narrative review.
Methods: 10 cases of rhinophyma were presented. All patients underwent mininvasive surgical treatment based on the use of the Microdebrider and different long-term medications with Fitostimoline gauzes or Condress in the postoperative management. All patients underwent periodic outpatient follow-ups, with a minimum follow-up of 12 months. The aesthetic results were compared with the use of the Vancouver scar scale.
Results: In all cases, the cosmetic outcomes, at 1 year follow-up, were satisfactory, regardless of the postoperative used medication. The mean of the total VSS values for patients treated with the combination of Fitostimoline gauze and gentamicin was 2.29±1.03SD, while for patients treated with Condress gauze the mean was 2.33±0.47SD. The literature review also confirms these results.
Conclusions: Microdebrider is a valuable tool for precise and effective surgical treatment of rhinophyma, ensuring good aesthetic results, regardless of the type of dressing used in post-operative management.
期刊介绍：
J Stomatol Oral Maxillofac Surg publishes research papers and techniques - (guest) editorials, original articles, reviews, technical notes, case reports, images, letters to the editor, guidelines - dedicated to enhancing surgical expertise in all fields relevant to oral and maxillofacial surgery: from plastic and reconstructive surgery of the face, oral surgery and medicine, … to dentofacial and maxillofacial orthopedics.
Original articles include clinical or laboratory investigations and clinical or equipment reports. Reviews include narrative reviews, systematic reviews and meta-analyses.
All manuscripts submitted to the journal are subjected to peer review by international experts, and must:
Be written in excellent English, clear and easy to understand, precise and concise;
Bring new, interesting, valid information - and improve clinical care or guide future research;
Be solely the work of the author(s) stated;
Not have been previously published elsewhere and not be under consideration by another journal;
Be in accordance with the journal''s Guide for Authors'' instructions: manuscripts that fail to comply with these rules may be returned to the authors without being reviewed.
Under no circumstances does the journal guarantee publication before the editorial board makes its final decision.
The journal is indexed in the main international databases and is accessible worldwide through the ScienceDirect and ClinicalKey Platforms.
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号
