OUTPATIENT RADIOWAVE SURGERY OF RHINOPHYMA
https://doi.org/10.57256/2949-0715-2024-4-66-71
Abstract
Relevance. Rhinophyma is treated by plastic surgeons, otorhinolaryngologists and dermatologists. It is observed mainly in men over 40 years of age, manifested by disfiguring face and nose nodes, which progressively enlarge. Surgical methods can achieve a rapid and cosmetically significant effect, but can be associated with complications and scarring.
Case descriptions. The article presents a case of successful radio wave treatment of 70-year-old man with rhinophyma. It was noted that radiowave surgery has advantages over other methods: the pain syndrome during and after surgery was insignificant, good hemostasis was noted due to the use of the cutting-coagulation mode, which provided good visual control over the tissues being removed. Different types of tips allowed manipulation on the uneven convex and concave surfaces of the external nose, the removed material was not subjected to destruction, which made it possible to take all tissues for histological examination. Due to the gentle effect on tissues during radiowave removal, it was not necessary to apply skin flaps or free skin grafting for a satisfactory cosmetic result.
Conclusion. Clinical observation shows that outpatient radiowave surgery of rhinophyma is possible without skin grafting with a good cosmetic effect.
About the Author
Maria V. SubbotinaRussian Federation
Cand. Sci. (Med.), Associate Professor, Head of the Department of Otorhinolaryngology, Irkutsk State Medical University, Russia, 664003, Irkutsk, st. Krasnogo Vosstaniya, 1. ORCID: 0000-0002-3663-3577
References
1. ЛИТЕРАТУРА / REFERENCES
2. Tarasenko G.N., Kukushkina S.V., Tarasenko J.G., Shabelskaya V.V. Rhinophyma at the junction of professions: dermatology, cosmetology, plastic surgery. Hospital medicine: science and practice. 2024; 7(3): 24-28. (In Russ.). doi: 10.34852/GM3CVKG.2024.32.28.013
3. Chiru R., Margaj V., Maheshwari K., Gladko V.V., Masyukova S.A., Ilyina I.V., Burova E.P. Rhinophyma - from the genetics of the disease to a new therapeutic protocol. Bulletin of the Medical Institute of Continuing Education. 2023; 3(3): 14–20. (In Russ.). doi: 10.36107/2782-1714_2023-3-3-14-20
4. Kozlov V.S., Shilenkov A.A. Optimization of the surgical approach in the treatment of rhinophyma. Kremlin medicine. Clinical Bulletin. 2013; (1): 27-30. (In Russ.).
5. Federal clinical guidelines for the management of rosacea patients. Moscow, 2015, ICD-10 L71. (In Russ.).
6. Zhu Y., Liu W., Wang M., Wang X., Wang S. Causal roles of skin and gut microbiota in skin appendage disorders suggested by genetic study. Front Immunol. 2024; (15): 1427276. doi: 10.3389/fimmu.2024.1427276
7. Golenkov A.V. Rhinophyma and alcoholism. Medical sister. 2015; (2): 50-52. (In Russ.).
8. Ryazantsev S.V. In the world of smells and sounds. Secrets of the senses. GEOTAR Media, 2021. (In Russ.).
9. Sadretdinov R.A., Mamina R.M. Clinical neurodermatology: a look at the problem. A review. Comorbid neurology. 2024; (3): 95-100. (In Russ.). doi: 10.62505/3034-185x-2024-1-3-95-100
10. Shatokhina S.N., Chumakov F.I., Deryugina O.V. About rhinophyme and its cytological features. Russian Bulletin of Otorhinolaryngology. 1999; (3): 50—51. (In Russ.)].
11. Daruish M., Patalay R., Calonje E., Stefanato C.M. Lipid-Laden Floret-Like Multinucleated Giant Cells: A Novel Histopathologic Observation in Rhinophyma. Am J Dermatopathol. 2024. doi: 10.1097/DAD.0000000000002834.
12. Drozhdina M.B., Bobro V.A. Rhinophyma: patient management. Vestnik Dermatologii i Venerologii. 2022; 98(1): 64–71. (In Russ.). doi: 10.25208/vdv1243
13. Chauhan R., Loewenstein S.N., Hassanein A.H. Rhinophyma: prevalence, severity, impact and management. Clin. Cosmet. Investig. Dermatol. 2020; (13): 537–551. doi: 10.2147/CCID.S201290
14. Reshetov I.V., Petrosyan K.A. Nonstandard situation in plastic surgery in case of giant nose rhinophyma. Head and neck. Russian Journal. 2019; 7(1): 24–28 (in Russ.). doi: 10.25792/HN.2019.7.1.24–28
15. Ravodin R.A., Kruglova L.S., Seleznev S.P. Regression of rhinophyma on the background of photodynamic therapy of basal cell carcinoma of the skin of the tip of the nose. Effective pharmacotherapy. 2024; 20(1): 84-88. (in Russ.). doi: 10.33978/2307-3586-2024-20-1-84-88
16. Egorov V.I., Magomedov M.U., Mustafaev D.M. Effectiveness of no-therapy in the complex treatment of rhinophyma. Results of a clinical trial. Head and neck. Russian Journal. 2021; 9(4): 8-13. (in Russ.). doi: 10.25792/HN.2021.9.4.8-13
17. Malitskaya I.Yu., Ivakin A.A., Ivakina M.A., Vissarionov V.A., Senchikhina O.A. Rhinofima: history and reality. Metamorphoses. 2018; (24): 36-45. (in Russ.).
18. Krasnozhen V.N. Radio wave surgery in otorhinolaryngology. Medical Council. 2016; (6): 52-54. (in Russ.).
19. Egorov V.I., Sambulov V.I., Magomedov M.U., Mustafaev D.M. The rhinophyma through the prism of time. Russian Bulletin of Otorhinolaryngology. 2021. 86(4): 95-98. (in Russ.). doi: 10.17116/otorino20218604195
20. Dolgov O.I., Karpishchenko S.A., Rudneva Yu.A., Ulupov M.Yu. Successful treatment of rhinophyma with the electric coagulator loop (series of observations). Folia Otorhinolaryngologiae et Pathologiae Respiratoriae. 2022. Т. 28. № 1. С. 105-109. (in Russ.)]. doi: 10.33848/foliorl23103825-2022-28-1-105-109
Supplementary files
Review
For citations:
Subbotina M.V. OUTPATIENT RADIOWAVE SURGERY OF RHINOPHYMA. Baikal Medical Journal. 2024;3(4):66-71. (In Russ.) https://doi.org/10.57256/2949-0715-2024-4-66-71