Database : MEDLINE
Search on : Rhinophyma [Words]
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[PMID]: 29493731
[Au] Autor:Chow W; Jeremic G; Sowerby L
[Ad] Address:Department of Otolaryngology-Head and Neck Surgery, University of Ottawa Faculty of Medicine, Ottawa, Ont., Canada.
[Ti] Title:Use of the microdebrider in the surgical management of rhinophyma.
[So] Source:Ear Nose Throat J;97(1-2):E42-E45, 2018 Jan-Feb.
[Is] ISSN:1942-7522
[Cp] Country of publication:United States
[La] Language:eng
[Ab] Abstract:Rhinophyma is a disfiguring end-stage manifestation of acne rosacea. It is characterized by a painless hyperplasia of the sebaceous glands and connective tissues of the nose. Numerous surgical modalities-including scalpel surgery, dermabrasion, CO laser ablation, and electrocautery-have been reported with varying results. We describe our experience with using a microdebrider to treat 2 patients-a 65-year-old man and a 74-year-old man-who presented with rhinophyma. The instrument we used was the Medtronic Straightshot M4 Microdebrider. Using a low revolution speed, we easily excised the bulky superficial tissue. At higher revolution speeds with the use of a small shaver tip, we were able to achieve delicate contouring of the nasal tip and ala without causing scarring. Postoperatively, both patients exhibited an excellent cosmetic outcome and expressed a high degree of patient satisfaction. We conclude that the microdebrider is an excellent surgical tool for treating rhinophyma lesions. Its ease of use and its availability at most surgical centers makes it a favorable surgical option.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1803
[Cu] Class update date: 180301
[Lr] Last revision date:180301
[St] Status:In-Process

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[PMID]: 29360653
[Au] Autor:Monheit G
[Ad] Address:Private PracticeTotal Skin and Beauty Dermatology Center, PCBirmingham, AlabamaDepartment of DermatologyUniversity of Alabama at Birmingham Birmingham, Alabama.
[Ti] Title:Regional Dermabrasion of Nasal Surgical Scars and Rhinophyma Using Electrocautery Scratch Pads.
[So] Source:Dermatol Surg;44(2):303, 2018 Feb.
[Is] ISSN:1524-4725
[Cp] Country of publication:United States
[La] Language:eng
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1801
[Cu] Class update date: 180208
[Lr] Last revision date:180208
[St] Status:In-Data-Review
[do] DOI:10.1097/DSS.0000000000001204

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[PMID]: 29409106
[Au] Autor:Gentile RD
[Ad] Address:Medical Director, Facial Plastic and Aesthetic Laser Center, Youngstown, Ohio.
[Ti] Title:Cool Atmospheric Plasma (J-Plasma) and New Options for Facial Contouring and Skin Rejuvenation of the Heavy Face and Neck.
[So] Source:Facial Plast Surg;34(1):66-74, 2018 Feb.
[Is] ISSN:1098-8793
[Cp] Country of publication:United States
[La] Language:eng
[Ab] Abstract:Treating patients with heavy or thick features comes with challenges not present in those patients lacking these physical characteristics. The authors report our experience with cool atmospheric plasma for facial contouring and skin rejuvenation of the heavy face and neck including rhinophyma. Cool atmospheric plasma is generated by running helium gas over radiofrequency energy. The resulting plasma is a fourth state of matter and has enhanced clinical effects for ablation and thinning of skin and soft tissues as well of contouring and tightening of deeper soft tissues and fascia. Cool helium plasma has been a very effective tool for skin rejuvenation and skin tightening as well as using it as a tool for nonexcisional microinvasive face and neck rejuvenation. Future research may indicate that it can help treat primary or recurrent superficial cutaneous malignancies.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1802
[Cu] Class update date: 180206
[Lr] Last revision date:180206
[St] Status:In-Process
[do] DOI:10.1055/s-0037-1621713

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[PMID]: 29401164
[Au] Autor:Chuang GS; Alfaresi F
[Ad] Address:Department of Dermatology, Tufts Medical Center, Boston, Massachusetts Division of Dermatology, UCLA Medical Center, Los Angeles, California Department of Dermatology, Tufts Medical Center, Boston, Massachusetts.
[Ti] Title:Regional Dermabrasion of Nasal Surgical Scars and Rhinophyma Using Electrocautery Scratch Pads.
[So] Source:Dermatol Surg;44(2):300-302, 2018 Feb.
[Is] ISSN:1524-4725
[Cp] Country of publication:United States
[La] Language:eng
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1802
[Cu] Class update date: 180205
[Lr] Last revision date:180205
[St] Status:In-Data-Review
[do] DOI:10.1097/DSS.0000000000001196

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[PMID]: 28468207
[Au] Autor:Hassanein AH; Vyas RM; Erdmann-Sager J; Caterson EJ; Pribaz JJ
[Ad] Address:Division of Plastic Surgery, Brigham and Women's Hospital, Harvard Medical School, Boston, MA.
[Ti] Title:Management of Rhinophyma: Outcomes Study of the Subunit Method.
[So] Source:J Craniofac Surg;28(3):e247-e250, 2017 May.
[Is] ISSN:1536-3732
[Cp] Country of publication:United States
[La] Language:eng
[Ab] Abstract:BACKGROUND: Rhinophyma causes a nasal deformity and functional airway obstruction. Partial excision (eg, tangential) with secondary healing commonly removes hypertrophic soft tissues but does not improve nasal support. The subunit method for rhinophyma uses 6 nasal flaps to provide exposure for removal of rhinophymatous tissue and enhance structure. The purpose of this study was to evaluate outcomes of subunit method. METHODS: Medical records of patients with rhinophyma treated with the subunit method between 2013 and 2016 were analyzed. The technique comprises degloving the distal half of the nose by elevating 6 subunit-based flaps; debulking phymatous tissues to perichondrium; enhancing nasal support with sutures/cartilage grafts; trimming excess skin; and redraping the soft tissues. Patient age, gender, need for cartilage grafts or skin grafts, revisions, and follow-up were assessed. RESULTS: The study comprised 8 patients (6 male). Mean age was 63 years (range 34-72). All individuals had interdomal sutures for tip enhancement and 4 patients underwent cartilage grafts (alar batten) to correct external valve collapse. One patient had 2 subunits (alar) replaced with skin graft. Average follow-up was 1.6 years (range 0.2-3.7). Six patients underwent revisional procedures primarily to modify the scar between the dorsum and tip subunits. CONCLUSION: The subunit method addresses the 3 fundamental problems of the rhinophymatous nose: hypertrophic sebaceous tissues, excess skin, and destruction of support. Most patients may benefit from a minor revisional procedure to optimize the result. Individuals should be counseled that operation will likely require 2 stages.
[Mh] MeSH terms primary: Rhinophyma/surgery
Rhinoplasty/methods
Surgical Flaps
[Mh] MeSH terms secundary: Adult
Aged
Female
Follow-Up Studies
Humans
Male
Middle Aged
Treatment Outcome
[Pt] Publication type:EVALUATION STUDIES; JOURNAL ARTICLE
[Em] Entry month:1802
[Cu] Class update date: 180202
[Lr] Last revision date:180202
[Js] Journal subset:D
[Da] Date of entry for processing:170505
[St] Status:MEDLINE
[do] DOI:10.1097/SCS.0000000000003467

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[PMID]: 29327702
[Au] Autor:Merigo E; Cella L; Oppici A; Fornaini C
[Ad] Address:Special Needs and Maxillo-Facial Surgery Unit, Hospital "Guglielmo da Saliceto", Piacenza, Italy; MicOralIS Laboratory EA7354, UFR of Odontology, University of Nice-Sophia Antipolis, Nice, France.
[Ti] Title:Laser-assisted surgery and bioscaffold for the treatment of rhinophyma.
[So] Source:Indian J Dermatol Venereol Leprol;, 2018 Jan 09.
[Is] ISSN:0973-3922
[Cp] Country of publication:India
[La] Language:eng
[Pt] Publication type:LETTER
[Em] Entry month:1801
[Cu] Class update date: 180112
[Lr] Last revision date:180112
[St] Status:Publisher
[do] DOI:10.4103/ijdvl.IJDVL_781_16

  7 / 446 MEDLINE  
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[PMID]: 29269374
[Au] Autor:Geyton T; Henderson AH; Morris J; McDonald S
[Ad] Address:Department of ENT Surgery, Royal United Hospitals NHS Trust, Bath.
[Ti] Title:Nasal tip schwannoma mimicking rhinophyma.
[So] Source:BMJ Case Rep;2017, 2017 Dec 20.
[Is] ISSN:1757-790X
[Cp] Country of publication:England
[La] Language:eng
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1712
[Cu] Class update date: 171222
[Lr] Last revision date:171222
[St] Status:In-Data-Review

  8 / 446 MEDLINE  
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[PMID]: 29140869
[Au] Autor:Fink C; Lackey J; Grande DJ
[Ad] Address:*Department of Dermatology, Walter Reed National Military Medical Center, Bethesda, Maryland; †Boston University School of Medicine, Boston, Massachusetts.
[Ti] Title:Rhinophyma: A Treatment Review.
[So] Source:Dermatol Surg;, 2017 Nov 14.
[Is] ISSN:1524-4725
[Cp] Country of publication:United States
[La] Language:eng
[Ab] Abstract:BACKGROUND: Rhinophyma is the overgrowth of sebaceous glands in nasal tissue and its etiology unclear. Without treatment, rhinophyma can be progressive and cause concern both with respect to function and cosmesis. OBJECTIVE: The objective of this work is to describe treatment options for rhinophyma and their respective risks and benefits. MATERIALS AND METHODS: A PubMed search was performed to include the terms "rhinophyma" and "treatment." RESULTS: Numerous physically destructive modalities exist for treatment of rhinophyma, falling primarily into 3 categories: mechanical destruction, directed electrical energy/radiofrequency, and directed laser energy. CONCLUSION: There are multiple treatment modalities available to dermatologists for the treatment of rhinophyma. To the best of our knowledge, there are no randomized, prospective, control studies for any treatment, which makes it difficult to recommend a single treatment over another. Nonetheless, it is important to recognize that scarring and hypopigmentation most often occur on or near the nasal ala. Moreover, risks may increase if tissue destruction extends to the papillary dermis or pilosebaceous units are ablated.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1711
[Cu] Class update date: 171115
[Lr] Last revision date:171115
[St] Status:Publisher
[do] DOI:10.1097/DSS.0000000000001406

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[PMID]: 29091565
[Au] Autor:van Zuuren EJ
[Ad] Address:From the Department of Dermatology, Leiden University Medical Center, Leiden, the Netherlands.
[Ti] Title:Rosacea.
[So] Source:N Engl J Med;377(18):1754-1764, 2017 Nov 02.
[Is] ISSN:1533-4406
[Cp] Country of publication:United States
[La] Language:eng
[Mh] MeSH terms primary: Rosacea/therapy
[Mh] MeSH terms secundary: Administration, Topical
Adult
Anti-Bacterial Agents/therapeutic use
Antihypertensive Agents/therapeutic use
Dermatologic Agents/therapeutic use
Female
Humans
Male
Phenotype
Phototherapy
Practice Guidelines as Topic
Rhinophyma
Rosacea/classification
Rosacea/drug therapy
Sunscreening Agents/therapeutic use
[Pt] Publication type:JOURNAL ARTICLE; REVIEW
[Nm] Name of substance:0 (Anti-Bacterial Agents); 0 (Antihypertensive Agents); 0 (Dermatologic Agents); 0 (Sunscreening Agents)
[Em] Entry month:1711
[Cu] Class update date: 171109
[Lr] Last revision date:171109
[Js] Journal subset:AIM; IM
[Da] Date of entry for processing:171102
[St] Status:MEDLINE
[do] DOI:10.1056/NEJMcp1506630

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[PMID]: 29064982
[Au] Autor:Crispin MK; Hruza GJ; Kilmer SL
[Ad] Address:*Department of Dermatology, University of California, Davis, Sacramento, California; †Laser and Skin Surgery Center of Northern California, Sacramento, California; ‡Laser and Dermatologic Surgery Center, Chesterfield, Missouri.
[Ti] Title:Lasers and Energy-Based Devices in Men.
[So] Source:Dermatol Surg;43 Suppl 2:S176-S184, 2017 Nov.
[Is] ISSN:1524-4725
[Cp] Country of publication:United States
[La] Language:eng
[Ab] Abstract:BACKGROUND: The demand for cosmetic treatments with lasers and energy-based devices has increased among men, but there is a dearth of literature that addresses the approach and treatment of cosmetic male patients. OBJECTIVE: To summarize common cosmetic concerns for which male patients seek cosmetic treatments and to provide sex-specific recommendations for the lasers and energy-based devices that can be used for treatment. MATERIALS AND METHODS: The authors conducted a literature search using the PubMed/MEDLINE and Google Scholar databases using the search terms male, men, gender, and cosmetic dermatology. RESULTS: The authors review sex-specific treatment recommendations regarding the use of lasers and energy-based devices for the conditions for which men most commonly seek cosmetic treatment, which include photo-/actinic damage, acne scarring, rhinophyma, hair removal, axillary hyperhidrosis, and loose neck/submental skin. Cosmetic issues the authors will touch on, but whose approaches or considerations vary less in men compared with women, are hyperpigmentation, vascular lesions, and facial rejuvenation. CONCLUSION: Sex-specific treatment approaches with lasers and energy-based devices should be used to best serve male cosmetic patients.
[Mh] MeSH terms primary: Cosmetic Techniques
Laser Therapy/methods
Skin Aging/radiation effects
Skin Diseases/radiotherapy
[Mh] MeSH terms secundary: Cicatrix/radiotherapy
Esthetics
Hair Removal/methods
Humans
Hyperhidrosis/radiotherapy
Male
Rejuvenation
[Pt] Publication type:JOURNAL ARTICLE; REVIEW
[Em] Entry month:1710
[Cu] Class update date: 171103
[Lr] Last revision date:171103
[Js] Journal subset:IM
[Da] Date of entry for processing:171025
[St] Status:MEDLINE
[do] DOI:10.1097/DSS.0000000000001274


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