使用肖氏手术刀对酒渣鼻进行塑形切除术。
Sculpting resection of rhinophyma using the Shaw scalpel.
作者信息
Vural Emre, Royer Mark C, Kokoska Mimi S
机构信息
Departments of Otolaryngology-Head and Neck Surgery, Central Arkansas Veterans Healthcare System, Little Rock, USA.
出版信息
Arch Facial Plast Surg. 2009 Jul-Aug;11(4):263-6. doi: 10.1001/archfacial.2009.34.
BACKGROUND
Rhinophyma is a disfiguring disorder of the nasal skin characterized by hypervascularity, sebaceous gland hyperplasia, occluded sebaceous ducts, and dermal fibrosis. It has no known effective medical treatment; however, a myriad of surgical treatments have been reported. We report an effective, efficient, and safe approach to treat this disorder using the Shaw scalpel to surgically sculpt the nose.
OBJECTIVE
To evaluate the efficacy and safety of using the Shaw scalpel to treat rhinophyma.
METHODS
We performed a retrospective review of 7 male patients (age range, 58-81 years) who underwent primary surgical treatment of rhinophyma with the Shaw scalpel.
RESULTS
A good to excellent outcome was noted in all 7 patients. No perioperative complications occurred. Essentially no blood loss was noted during or after the procedures.
CONCLUSION
Use of the Shaw scalpel as the sole surgical instrument and method is a safe, efficient, and effective means to treat rhinophyma.
背景
酒渣鼻是一种鼻部皮肤的毁容性疾病，其特征为血管增生、皮脂腺增生、皮脂腺导管阻塞及真皮纤维化。目前尚无已知有效的药物治疗方法；然而，已有大量手术治疗方法的报道。我们报告一种使用肖氏手术刀对鼻子进行手术塑形来治疗该疾病的有效、高效且安全的方法。
目的
评估使用肖氏手术刀治疗酒渣鼻的疗效和安全性。
方法
我们对7例男性患者（年龄范围58 - 81岁）进行了回顾性研究，这些患者均接受了使用肖氏手术刀对酒渣鼻进行的初次手术治疗。
结果
所有7例患者均取得了良好至极佳的效果。未发生围手术期并发症。手术过程中及术后基本未出现失血情况。
结论
将肖氏手术刀作为唯一的手术器械和方法是治疗酒渣鼻的一种安全、高效且有效的手段。
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