Jaramillo M J, Stewart K J, Kolhe P S
Department of Plastic Surgery, Aberdeen Royal Infirmary, Foresterhill, Aberdeen, UK.
Br J Plast Surg. 2000 Sep;53(6):521-3. doi: 10.1054/bjps.2000.3377.
A 49-year-old man suffering from post-traumatic epilepsy presented with a severe rhinophyma probably induced by phenytoin. Initial surgical shaving was soon followed by recurrence, formation of intraepidermal cysts and persistent infection. Ultimate treatment by full thickness excision and a full thickness skin graft resulted in a pleasing cosmetic result. Radical excision of the affected skin followed by full thickness skin graft nasal reconstruction should be considered for cases of recurrent severe rhinophyma with inclusion cysts to eradicate chronic infection and improve cosmesis.
一名患有创伤后癫痫的49岁男性出现了可能由苯妥英钠引起的严重鼻赘。最初的手术刮除术后很快复发，形成表皮内囊肿并持续感染。最终通过全层切除和全厚皮片移植进行治疗，取得了满意的美容效果。对于伴有包涵囊肿的复发性严重鼻赘病例，应考虑彻底切除受累皮肤，然后进行全厚皮片移植鼻重建，以根除慢性感染并改善美观。
