酒渣鼻的激光手术
Laser surgery in rhinophyma.
作者信息
Bassi Andrea, Campolmi Piero, Dindelli Margherita, Bruscino Nicola, Conti Rossana, Cannarozzo Giovanni, Pimpinelli Nicola
机构信息
Section of Dermatology, Department of Surgery and Translational Medicine, University of Florence Medical School, Florence, Italy -
出版信息
G Ital Dermatol Venereol. 2016 Feb;151(1):9-16. Epub 2014 Sep 18.
BACKGROUND
Rhinophyma is a benign, disfiguring disorder, commonly referred to as the end-stage of severe rosacea and characterized by a progressive thickening and hypertrophy of the nasal skin and soft tissues. The aim of this paper was to evaluate the efficacy of CO2 laser compared to other laser techniques and surgical methods in the treatment of rhinophyma.
METHODS
Twenty-four rhinophyma patients were treated with CO2 laser in our institution from 2003 to 2013. A 10,600-nm CO2 pulsed laser was used in all patients, with a 6-month, post-treatment follow-up.
RESULTS
Six months after the last laser session, all patients showed global improvement of their clinical conditions: 19 (79.1%) high improvement (>75%), 4 (16.7%) moderate improvement (50-75%), and 1 (4.2%) low improvement (<25%).
CONCLUSIONS
Our study demonstrates that carbon dioxide laser warrants a careful nasal surface ablation, allowing the remodeling of the hypertrophic areas, with an excellent cosmetic result, a very short healing time, and virtually no side effects.
背景
鼻赘是一种良性的毁容性疾病，通常被认为是重度酒渣鼻的终末期，其特征为鼻皮肤和软组织进行性增厚和肥大。本文旨在评估二氧化碳激光与其他激光技术及手术方法相比在治疗鼻赘方面的疗效。
方法
2003年至2013年期间，我们机构对24例鼻赘患者采用二氧化碳激光进行治疗。所有患者均使用波长为10600纳米的脉冲二氧化碳激光，并在治疗后进行了6个月的随访。
结果
最后一次激光治疗6个月后，所有患者的临床状况均有整体改善：19例（79.1%）改善明显（改善率>75%），4例（16.7%）改善中等（改善率50%-75%），1例（4.2%）改善轻微（改善率<25%）。
结论
我们的研究表明，二氧化碳激光可对鼻表面进行精细消融，使肥厚区域重塑，具有极佳的美容效果、极短的愈合时间且几乎无副作用。
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