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Zusammenfassung

Hintergrund

Das Rhinophym ist eine seltene, progressiv verlaufende, entstellende Veränderung der Nase, die üblicherweise bei männlichen Weißen im mittleren Lebensalter auftritt. Die heute immer noch angenommene Assoziation mit einem erhöhten Alkoholkonsum stellt für die Patienten eine enorme psychische Belastung dar.

Patienten und Methode

Wir berichten über zehn Patienten mit seit Jahren bestehender, langsam progredienter, knollenförmiger Deformation der Nase. Es wurde eine abgestufte chirurgische Therapie mit tangentialer Exzision zur Tumorverkleinerung, Glättung mit dem Skalpell und abschließender Konturierung mit dem Dermabrasionsgerät durchgeführt.

Ergebnisse

In allen Fällen konnten ästhetisch überzeugende Ergebnisse erzielt werden, was den Patienten eine gute soziale Rehabilitation ermöglichte. Während der mindestens 12-monatigen Nachbeobachtungszeit zeigte sich weder eine Narbenbildung noch kam es zu einem Rezidiv.

Abstract

Background

Rhinophyma is an uncommon progressively disfiguring process of the nose which occurs most often in middle-aged white men. The supposed association with increased alcohol abuse often leads to psychological problems for the person concerned.

Patients and methods

We describe ten cases of patients with slowly progressive tumorous deformation of the nose. They were treated with a stepwise surgical approach consisting of tangential excision for debulking, sculpting with scissors, and finally contouring by dermabrasion.

Results

An esthetically pleasing result was achieved in all cases , making social reintegration for the patients possible. In the follow-up of at least 12 months no recurrence was seen and no scars occurred.

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Literatur

  1. Baker TM (1998) Dermabrasion. As a complement to aesthetic surgery. Clin Plast Surg 25:81–88

    CAS  PubMed  Google Scholar 

  2. Broadbent NR, Cort DF (1977) Squamous carcinoma in longstanding rhinophyma. Br J Plast Surg 30:308–309

    CAS  PubMed  Google Scholar 

  3. Elliott RA, Hoehn, JG, Stayman, JW (1978) Rhinophyma: surgical refinements. Ann Plast Surg 1:298–301

    PubMed  Google Scholar 

  4. Erdogan FG, Yurtsever P, Aksoy D, Eskioglu F (1998) Efficacy of low-dose isotretinoin in patients with treatment-resistant rosacea. Arch Dermatol 134:884–885

    Article  CAS  PubMed  Google Scholar 

  5. Ertl GA, Levine N, Kligman AM (1994) A comparison of the efficiency of topical tretinoin and low-dose oral isotretinoin in rosacea. Arch Dermatol 130:319–324

    Article  CAS  PubMed  Google Scholar 

  6. Freeman BS (1970) Reconstructive rhinoplasty for rhinophyma. Plast Reconstr Surg 46:265–270

    Google Scholar 

  7. Goldstein JA, Comite H, Mescon H, Pochi PE (1982) Isotretinoin in the treatment of acne. Arch Dermatol 118:555–558

    Article  CAS  PubMed  Google Scholar 

  8. Har-El G, Shapshay SM, Bohigian K, Krespi YP, Lucente FE (1993) The treatment of rhinophyma. „Cold“ vs. laser techniques. Arch Otolaryngol Head Neck Surg 119:628–631

    CAS  PubMed  Google Scholar 

  9. Motley RJ, Douglas-Jones AF, Holt PJ (1991) Sebaceous carcinoma: An unusual cause of a rapidly enlarging rhinophyma. Br J Dermatol 124:283–284

    CAS  PubMed  Google Scholar 

  10. Nelson B, Fuciarelli K (1998) Surgical management of rhinophyma. Cutis 61:313–316

    CAS  PubMed  Google Scholar 

  11. Plenk HP (1995) Rhinophyma, associated with carcinoma, treated successfully with radiation. Plast Reconstr Surg 95:559–562

    Google Scholar 

  12. Rebora A (1987) Rosacea. J Invest Dermatol 88 (Suppl):56s–60s

    CAS  PubMed  Google Scholar 

  13. Redett RJ, Manson PN, Goldberg N, Girotto J, Spence RJ (2001) Methods and results of rhinoplasty treatment. Plast Reconstr Surg 107:1115–1123

    Google Scholar 

  14. Rohrich RJ, Griffin JR, Adams WP (2002) Rhinophyma: review and update. Plast Reconstr Surg 110:860–870

    Google Scholar 

  15. Sams WM (1932) Rhinophyma, with unusual involvement of the chin. Arch Dermatol Syphilol 26:834

    Google Scholar 

  16. Wiemer DR (1987) Rhinophyma. Clin Plast Surg 14:357–365

    Google Scholar 

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Correspondence to J. D. Raguse.

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Raguse, J., Schwerdtner, O., Klein, M. et al. Ästhetische Rehabilitation beim Rhinophym. Mund Kiefer GesichtsChir 8, 24–27 (2004). https://doi.org/10.1007/s10006-003-0514-8

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  • DOI: https://doi.org/10.1007/s10006-003-0514-8

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