González L F, Herrera H, Motta A
Universidad El Bosque, Bogotá, Colombia.
Universidad El Bosque, Bogotá, Colombia.
Actas Dermosifiliogr (Engl Ed). 2018 May;109(4):e23-e26. doi: 10.1016/j.ad.2017.02.033. Epub 2017 Aug 9.
Rhinophyma, a rare and progressive disfiguring condition, is thought to be the final stage of rosacea. Several surgical treatments are available, including dermabrasion, cryosurgery, scalpel excision, electrosurgery, and carbon dioxide laser. The last 2 techniques are the most effective for the management of rhinophyma. We describe a series of cases of moderate or severe rhinophyma treated with high-frequency electrosurgery in the dermatology department of Hospital Simón Bolivar and in private clinics in Bogota, Colombia, between 2012 and 2016. The cosmetic result, as assessed by both the clinicians and the patients, was satisfactory in all cases. Three patients presented hypertrophic scars that were treated with steroid injections and silicone gel sheeting. Two patients presented persistent erythema. However, there were no serious infections and none of the patients required further surgery. Electrosurgery is one of the simplest and most cost-effective techniques currently available for the treatment of rhinophyma by dermatologists.
酒渣鼻赘生物是一种罕见的、渐进性毁容病症，被认为是酒渣鼻的终末期。有多种外科治疗方法可供选择，包括皮肤磨削术、冷冻手术、手术刀切除、电外科手术和二氧化碳激光治疗。后两种技术对酒渣鼻赘生物的治疗最为有效。我们描述了2012年至2016年间在哥伦比亚波哥大的西蒙·玻利瓦尔医院皮肤科和私人诊所，用高频电外科手术治疗的一系列中度或重度酒渣鼻赘生物病例。临床医生和患者评估的美容效果在所有病例中均令人满意。3例患者出现增生性瘢痕，采用类固醇注射和硅胶片治疗。2例患者出现持续性红斑。然而，没有发生严重感染，也没有患者需要进一步手术。电外科手术是目前皮肤科医生治疗酒渣鼻赘生物最简单且最具成本效益的技术之一。
