Simo R, Sharma V L
Department of Otorhinolaryngology, Royal Oldham Hospital, Greater Manchester, UK.
J Laryngol Otol. 1996 Sep;110(9):841-6. doi: 10.1017/s0022215100135121.
Rhinophyma is a slowly progressive, disfiguring disorder of the nose which represents the end stage of acne rosacea. The cosmetic deformity is often the reason for patients to seek medical attention. Over the years many treatment modalities, including dermabrasion, electrocautery, excision and grafting, decortication and cryosurgery amongst others, have been described to treat this condition, but none of them are very satisfactory. Special concern about the droplet dispersion of blood in dermabrasion have made this method less acceptable as it poses a potential risk to health workers. We describe a technique in which this proliferative disorder can be treated, using carbon dioxide laser excision and vaporization. This method provides a very dry surgical field which allows the sculpting of the hypertrophic areas to be very effective, giving a very satisfactory cosmetic result.
鼻赘是一种缓慢进展、毁容性的鼻部疾病，是酒渣鼻的终末期表现。外观畸形常常是患者寻求医疗帮助的原因。多年来，人们描述了多种治疗方法，包括皮肤磨削术、电灼术、切除及移植术、剥脱术和冷冻手术等，但均不太令人满意。对皮肤磨削术中血液飞沫传播的特别关注使得该方法不太容易被接受，因为它对医护人员构成潜在风险。我们描述了一种利用二氧化碳激光切除和汽化治疗这种增生性疾病的技术。该方法提供了一个非常干燥的手术视野，使肥厚区域的塑形非常有效，能带来非常令人满意的美容效果。
