Ponomarev Igor V, Topchiy Sergey B, Klyuchareva Svetlana V, Pushkareva Alexandra E
P.N. Lebedev Physics Institute, RAS, 53, Leninskiy Prospect, Moscow, 119991, Russian Federation.
I.I. Mechnikov North-West State Medical University, 47, Piskarevkiy Prospect, Saint-Petersburg, 195067, Russian Federatio.
J Lasers Med Sci. 2019 Spring;10(2):153-156. doi: 10.15171/jlms.2019.24. Epub 2019 Feb 25.
Rhinophyma is recognized as a common and severe skin disease manifested as progressive thickening of the nasal skin due to hypertrophy of the soft tissue. The most severe complication of rhinophyma is telangiectasis. So far the pathogenetic approach for the treatment of rhinophyma should be based on the removal of the dysplastic vessels to provide the appropriate revascularization of the involved skin area. This study presented the experience of the treatment of rhinophyma with the copper vapor laser (CVL) designed with the computerized scanner device. A 52-year-old elderly Caucasian male patient with typical clinical signs of rhinophyma was successfully managed during three sessions of CVL treatment. CVL emits light with a wavelength of 578 nm, exposure time of 0.2 seconds. The settings used for the CVL in scanner mode were set at 1.2 W. The scanner device has a hexagonal frame with a maximum width of 12 mm with the distance of 1 mm between centers of laser spots. The CVL treatment resulted in a restoration of the natural appearance of the nose without side effect during 18 months after treatment. The described clinical case demonstrates excellent results of the management of rhinophyma by means of the scanned CVL. CVL treatment was associated with the removal both of dysplastic superficial skin vessels, the solution of the inflammation, decline of the sebum production and the disappearance of the nasal hypertrophy.
鼻赘被认为是一种常见的严重皮肤病，表现为由于软组织肥大导致鼻皮肤逐渐增厚。鼻赘最严重的并发症是毛细血管扩张。到目前为止，治疗鼻赘的致病方法应基于去除发育异常的血管，以实现受累皮肤区域的适当血管重建。本研究介绍了使用配备计算机扫描装置的铜蒸气激光（CVL）治疗鼻赘的经验。一名52岁的白种男性老年患者，具有典型的鼻赘临床体征，在三次CVL治疗过程中成功治愈。CVL发射波长为578nm的光，曝光时间为0.2秒。扫描模式下CVL的设置为1.2W。扫描装置有一个六边形框架，最大宽度为12mm，激光光斑中心之间的距离为1mm。CVL治疗在治疗后18个月内使鼻子恢复了自然外观，且无副作用。所述临床病例证明了通过扫描CVL治疗鼻赘的优异效果。CVL治疗与去除发育异常的浅表皮肤血管、解决炎症、减少皮脂分泌以及鼻肥大消失有关。
