Original paper Evaluation of surgical treatment of rhinophyma with tangential shear of the lesion

H. Witmanowski, E. Lewandowicz, Daria Sobieszek, Magdalena Łuczkowska, J. Rykala
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引用次数: 2

Abstract

Introduction: Tuberosity of the nose is a slow, progressive, gentle process, leading to distortion and dysfunction of the nose. Underlying the change is perifollicular hypertrophy of the sebaceous glands, fibrous tissue proliferation and vascular changes of telangiectasia type. It is believed that it is the final stage of rosacea. Aim: To evaluate the effectiveness of surgical treatment using the method of tangential shear, based on a medical examination and subjective assessment of the effects of treatment by the patient. Material and methods: In the years 1998 to 2008 nine patients with moderate degree of rhinophyma were treated surgically by tangential shear, followed by electrocoagulation. The results were assessed according to a 4-point scale as very good, good, fair and poor. We evaluated the presence of postoperative complications (bleeding, infection, or other), healing time, the shape of the nose (size and symmetry), improved patency, reduction in the number of inflammatory conditions, widening of the field of view and long-term effects of treatment: disfiguring scars, uneven surface of the nose, nasal deformity and recurrence. Results: Among the 9 patients studied in 2 cases a very good result was achieved, in 5 good and in 2 satisfactory; no poor result was observed. Healing took an average of 6 weeks (1-15 weeks). None of the patients had postoper ative complications. Seven patients were satisfied with both the size and symmetry of the nose, one unsatisfied with the size and 1 dissatisfied with the symmetry. Following the operation, 1 patient had disfiguring scars, 3 uneven sur face of the nose, nasal deformity was observed in 2 cases and there was 1 recurrence. Of the 2 patients with a sat isfactory result, 1 has been re-operated on, while the other was set an additional term of treatment. Conclusions: Surgical treatment of nasal tuberosity by tangential shear followed by electrocoagulation is effective, and burdened by low rates of complications. To achieve a good aesthetic and functional effect, a very experienced operator is recommended.
鼻肿切向切变手术治疗的评价
鼻结节是一个缓慢、渐进、温和的过程,导致鼻子变形和功能障碍。这种变化的基础是皮脂腺的毛囊周围肥大,纤维组织增生和毛细血管扩张型血管改变。一般认为这是酒渣鼻的最后阶段。目的:在医学检查和患者对治疗效果的主观评价的基础上,评价切向切线法手术治疗的有效性。材料与方法:对1998 ~ 2008年9例中度鼻肿患者行切向切变后电凝手术治疗。结果根据4个等级被评估为非常好、好、一般和差。我们评估了术后并发症(出血、感染或其他)、愈合时间、鼻子形状(大小和对称)、通畅程度的改善、炎症数量的减少、视野的扩大和治疗的长期影响:毁容疤痕、鼻子表面不均匀、鼻畸形和复发。结果:研究的9例患者中,2例效果很好,5例良好,2例满意;未观察到不良结果。愈合时间平均为6周(1-15周)。所有患者均无术后并发症。7例患者对鼻部大小和对称性均满意,1例患者对鼻部大小不满意,1例患者对鼻部对称性不满意。术后1例出现毁容疤痕,3例鼻面凹凸不平,2例出现鼻畸形,1例复发。结果满意的2例患者中,1例再次手术,另1例延长治疗期。结论:切向切变后电凝治疗鼻结节有效,并发症发生率低。为达到良好的美观和功能效果,建议由经验丰富的操作人员操作。
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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