Göktay Fatih, Erfan Gamze, Çelik Nil Su, Öztürk Canan, Doruk Tuba, Albayrak Hülya, Yanık Mehmet Emin, Albayrak Şule
1 Department of Dermatology, University of Health Sciences, Haydarpaşa Numune Training and Research Hospital, İstanbul, Turkey.
2 Department of Dermatology, Acibadem University Faculty of Medicine, İstanbul, Turkey.
J Cutan Med Surg. 2017 May/Jun;21(3):221-226. doi: 10.1177/1203475417694860. Epub 2017 Feb 1.
Different methods can be used in the surgical treatment of patients with rhinophyma. There are limited numbers of reports on high-frequency electrosurgery treatment. In addition, an efficient scoring system is required to evaluate severity of the disease in clinical progress and recurrence after treatment.
We evaluated patients with rhinophyma who were treated with high-frequency electrosurgery and discussed the methods used to assess severity of the disease.
Data and photos of 13 patients were retrospectively evaluated and scored via 2 different forms of the rhinophyma severity index.
Median rhinophyma severity index scores of patients at first visits were significantly higher than those at second and third visits ( P = .002 and P = .002, respectively). Likewise, median modified rhinophyma severity scores of patients at first visits were significantly higher than those at second and third visits ( P = .001 and P = .001, respectively). Also, there was a strong positive correlation between these 2 assessment methods ( r = 0.838, P < .001).
The rhinophyma severity assessment methods used in this study are positively correlated. High-frequency electrosurgery seems to be a procedure that is safe, effective, and relatively cost-effective in the treatment of rhinophyma lesions.
酒渣鼻患者的外科治疗可采用不同方法。关于高频电刀治疗的报道数量有限。此外，需要一种有效的评分系统来评估疾病在临床进展和治疗后复发中的严重程度。
我们评估了接受高频电刀治疗的酒渣鼻患者，并讨论了评估疾病严重程度的方法。
回顾性评估13例患者的数据和照片，并通过两种不同形式的酒渣鼻严重程度指数进行评分。
患者首次就诊时的酒渣鼻严重程度指数中位数显著高于第二次和第三次就诊时（分别为P = .002和P = .002）。同样，患者首次就诊时的改良酒渣鼻严重程度评分中位数显著高于第二次和第三次就诊时（分别为P = .001和P = .001）。此外，这两种评估方法之间存在强正相关（r = 0.838，P < .001）。
本研究中使用的酒渣鼻严重程度评估方法呈正相关。高频电刀治疗酒渣鼻病变似乎是一种安全、有效且相对经济的方法。
