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Treatment of rhinophyma with carbon dioxide laser

Published online by Cambridge University Press:  29 June 2007

R. Simo  and
V. L. Sharma
R. Simo*
Affiliation:
Department of Otorhinolaryngology, The Royal Oldham Hospital, Greater Manchester, UK.
V. L. Sharma
Affiliation:
Department of Otorhinolaryngology, The Royal Oldham Hospital, Greater Manchester, UK.
*
Address for correspondence: Mr Ricard Simo, F.R.C.S., 12 Rutland Road, Worsley, Manchester M28 7DT.
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Abstract

Rhinophyma is a slowly progressive, disfiguring disorder of the nose which represents the end stage of acne rosacea. The cosmetic deformity is often the reason for patients to seek medical attention. Over the years many treatment modalities, including dermabrasion, electrocautery, excision and grafting, decortication and cryosurgery amongst others, have been described to treat this condition, but none of them are very satisfactory. Special concern about the droplet dispersion of blood in dermabrasion have made this method less acceptable as it poses a potential risk to health workers.

We describe a technique in which this proliferative disorder can be treated, using carbon dioxide laser excision and vaporization. This method provides a very dry surgical field which allows the sculpting of the hypertrophic areas to be very effective, giving a very satisfactory cosmetic result.

Keywords

RhinophymaLaser surgeryCarbon dioxide
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 110 , Issue 9 , September 1996 , pp. 841 - 846
Copyright
Copyright © JLO (1984) Limited 1996

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Footnotes

Presented as a poster display at the Ninth British Academic Conference in Otolaryngology. Manchester, July 1995.

References

Amedee, R. G., Routman, M. H. (1987) Methods and complications of rhinophyma excision. Laryngoscope 97: 1316–1318.Google Scholar
Bohigian, R. K. (1988) Management of rhinophyma with carbon dioxide laser: Lahey Clinic Experience. Lasers in Surgery and Medicine 8: 397–401.CrossRefGoogle ScholarPubMed
Dicken, C. H. (1986) Treatment of the red nose with the argon laser. Mayo Clinic Proceedings 61: 893–895.Google Scholar
Dolezal, R., Shultz, R. (1983) Early treatment of rhinophyma – a neglected entity. Annals of Plastic Surgery 11: 393–396.Google Scholar
Dotz, W. (1984) Rhinophyma, a master's depiction, a patron's affliction. American Journal of Dermatopathology 6: 231–235.Google Scholar
Eisen, R. F., Katz, A. E., Bohigian, R. K., Grande, D. J. (1986) Surgical treatment of rhinophyma with the Shaw scalpel. Archives of Dermatology 122: 307–309.Google Scholar
El-Azhary, R. A., Roenigk, R. K., Wang, T. D. (1991) Spectrum of results after treatment of rhinophyma with the carbon dioxide laser. Mayo Clinic Proceedings 66: 899–905.CrossRefGoogle ScholarPubMed
Elliott, R. A., Hoehn, J. G., Stayman, J. W. (1978) Rhinophyma; Surgical refinements. Annals of Plastic Surgery 1: 298–301.Google Scholar
Farina, R. (1950) Rhinophyma; plastic correction. Plastic Surgery 6: 461–466.Google Scholar
Fisher, W. J. (1970) Rhinophyma; its surgical treatment. Plastic and Reconstructive Surgery 45: 466–470.Google Scholar
Haas, A., Wheeland, R. G. (1990) Treatment of massive rhinophyma with the carbon dioxide laser. Journal of Dermatology and Surgical Oncology 16: 645–649.CrossRefGoogle ScholarPubMed
Hassard, A. D. (1988) Carbon dioxide laser treatment of acne rosacea and rhinophyma; How I do it. Journal of Otolaryngology 17: 336–337.Google Scholar
Hulsbergn, J. P., van Gemert, M. J. C. (1983) Rhinophyma treated by argon laser. Lasers in Surgery and Medicine 2: 211–215.Google Scholar
Karim Ali, M. (1989) Resection of rhinophyma with CO2 laser. Laryngoscope 99: 453–455.Google Scholar
Linehan, J. W. (1970) Surgery vs electrosurgery for rhinophyma. Archives of Otolaryngology 91: 444–448.Google Scholar
Nolan, J. O. (1973) Criosurgical treatment of rhinophyma. Plastic and Reconstructive Surgery 2: 437–438.Google Scholar
Pastorek, N. J. (1972) The management of rhinopyma. Otolaryngologic Clinics of North America 5: 693–646.Google Scholar
Reinisch, L., Mendenhall, M., Charous, S., Ossoff, R. H. (1994) Computer-assisted surgical techniques using the Vanderbilt free electron laser. Laryngoscope 104: 1323–1329.Google Scholar
Roenigk, R. K. (1987) CO2 laser vaporization for treatment of rhinophyma. Mayo Clinic Proceedings 62: 676–680.Google Scholar
Shapshay, S. M., Strong, M. S., Anastasi, G. W., Vaughan, C. W. (1980) Removal of rhinophyma with the carbon dioxide laser, a preliminary report. Archives of Otolaryngology 106: 257–259.Google Scholar
Simpson, G. T. (1983) Rhinologic laser surgery. Otolaryngologic Clinics of North America 16: 829–837.Google Scholar
Staindel, O. (1981) Surgical management of rhinophyma. Acta Otolaryngologica 92: 137–140.Google Scholar
Wenig, B. L., Weingarten, R. T. (1993) Excision of rhinophyma with Nd: YAG laser: A new technique. Laryngoscope 103: 101–103.Google Scholar
Wiemer, R. (1987) Rhinophyma. Clinics in Plastic Surgery 14: 357–365.Google Scholar
Wilkin, K. J. (1983) Rosacea. International Journal of Dermatology 22: 393–400.Google Scholar