el-Azhary R A, Roenigk R K, Wang T D
Department of Dermatology, Mayo Clinic, Rochester, MN 55905.
Mayo Clin Proc. 1991 Sep;66(9):899-905. doi: 10.1016/s0025-6196(12)61576-6.
Between 1986 and 1989, 30 patients with rhinophyma were treated with the carbon dioxide (CO2) laser at our institution. The duration of disease ranged from 1 to 20 years, and the duration of follow-up ranged from 1 to 4 years. All the patients were men, and all had fair skin (predominantly type I skin); their mean age was 63 years. Patients with minor and moderate rhinophyma were treated with CO2 laser vaporization only, whereas patients with major rhinophyma were treated sequentially with CO2 laser excision and then vaporization. A spectrum of long-term results is presented. Although dilated pores developed in many patients, no re-treatment with the CO2 laser was necessary. In one patient each, leukoderma, unilateral alar lift, and mild hypertrophic scarring developed. In general, use of the CO2 laser is effective for precise decortication of rhinophyma in an office-outpatient setting.
1986年至1989年间，我院用二氧化碳（CO2）激光治疗了30例酒渣鼻患者。病程为1至20年，随访时间为1至4年。所有患者均为男性，且均为白皙皮肤（主要为I型皮肤）；平均年龄为63岁。轻度和中度酒渣鼻患者仅采用CO2激光汽化治疗，而重度酒渣鼻患者则先采用CO2激光切除，然后再进行汽化治疗。本文展示了一系列长期治疗结果。尽管许多患者出现了毛孔扩张，但无需再次使用CO2激光治疗。各有1例患者出现了白斑、单侧鼻翼上提和轻度肥厚性瘢痕。总体而言，在门诊环境中，使用CO2激光对酒渣鼻进行精确的去皮治疗是有效的。
