Traitement d’un volumineux rhinophyma

Annales d'oto-laryngologie et de chirurgie cervico faciale : bulletin de la Societe d'oto-laryngologie des hopitaux de Paris Pub Date : 2008-12-01 DOI:10.1016/j.aorl.2008.10.001

K. Nadour , R. Rtail , K. Chahine , C.A. Righini

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Abstract

Objective

The purpose of this study was to present an advanced case of rhinophyma and to discuss the pathophysiology, clinical presentation and treatment of this pathology.

Case report

A 75-year-old patient presented to the ENT out-patient department with a large rhinophyma causing nasal obstruction and eating problems in addition to its aesthetic social burden.

Results

The patient was operated under antibiotic coverage. The operated site was left to heal and later covered with a full-thickness skin graft. During the 5-year postoperative follow-up period, there were no complications, no recurrence of the rhinophyma, and the patient retained a good aesthetic result.

Conclusion

Rhinophyma is the highest of the four grades of rosacea progression. The diagnosis is usually clinical. Surgical treatment is reserved for the advanced nodular forms and is performed under antibiotic coverage in order to prevent the risk of chondrolysis of the nasal cartilages.

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大量鼻肿的治疗

目的报告1例晚期鼻肿，探讨其病理生理、临床表现及治疗方法。病例报告:一名75岁的患者就诊于耳鼻喉科门诊部，其大的鼻赘造成鼻塞和进食问题，以及审美和社会负担。结果患者在抗生素覆盖下手术。手术部位留下愈合，然后用全层皮肤移植物覆盖。术后5年随访期间无并发症发生，鼻肿无复发，美观效果良好。结论鼻肿是酒渣鼻四个级别中最高的。诊断通常是临床诊断。手术治疗保留给晚期结节形式，并在抗生素覆盖下进行，以防止鼻软骨软骨松解的风险。

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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Annales d'oto-laryngologie et de chirurgie cervico faciale : bulletin de la Societe d'oto-laryngologie des hopitaux de Paris

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