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Fuenmayor P, Gottenger R, Pujadas Z, Varma B. Successful Rhinophyma Treatment Utilizing the Versajet II Hydrosurgery System: A Case Report and Systematic Review of the Literature. Cureus 2024; 16:e63921. [PMID: 39104983 PMCID: PMC11298325 DOI: 10.7759/cureus.63921] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/05/2024] [Indexed: 08/07/2024] Open
Abstract
Rhinophyma, characterized by hypertrophy of sebaceous glands, often necessitates surgical intervention. This is the second case report of the off-label use of the Versajet II Hydrosurgery System (VJHS) (Smith & Nephew, London, UK) in the United States for the treatment of rhinophyma and the first systematic review of the literature, emphasizing its efficacy and safety for this indication. A surgical debulking and resurfacing was performed on a patient with rhinophyma. The patient underwent general anesthesia along with bilateral infraorbital blocks and local infiltration of lidocaine 1% with epinephrine. The VJHS was utilized for progressive debulking followed by debridement using sharp instruments until the desired nasal form and contour were achieved. Hemostasis was obtained through monopolar electrocautery and topical hemostatic agents. The patient exhibited excellent nasal shape and healing following VJHS debulking and without perioperative complications, suggesting both the effectiveness and safety of the VJHS in rhinophyma treatment. A literature review was conducted using the PubMed Central database. Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, employing inclusion and exclusion criteria, were utilized to narrow down results to include original studies discussing rhinophyma surgical debridement with the VJHS. Six articles were included in the review for results analysis. This case report aligns with findings from international literature, emphasizing the versatility of the VJHS in rhinophyma treatment. Notably, this report marks the second documented off-label use of the VJHS in the United States for rhinophyma. The success of this case reinforces the potential of the VJHS in treating rhinophyma. This innovative approach yielded promising outcomes in several international reports. Further research is warranted to establish a standardized protocol to validate the long-term benefits of this technology applied to rhinophyma patients.
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Affiliation(s)
- Pedro Fuenmayor
- Plastic and Reconstructive Surgery, Larkin Community Hospital, Miami, USA
| | - Rafael Gottenger
- Plastic Surgery, Baptist Health South Miami Hospital, Miami, USA
| | - Zoe Pujadas
- Plastic Surgery, Hospital Universitario de Caracas, Caracas, VEN
| | - Bhawna Varma
- Plastic Surgery, Larkin Community Hospital, Miami, USA
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Toshima S, Asahina Y, Sakurai K, Fukuzumi S, Sato T. Bulky rhinophyma treated by the combination of electrosurgery and a hydrosurgery system: A case report. J Dermatol 2021; 48:e269-e270. [PMID: 33768566 DOI: 10.1111/1346-8138.15863] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/23/2021] [Revised: 03/05/2021] [Accepted: 03/09/2021] [Indexed: 11/29/2022]
Affiliation(s)
- Susumu Toshima
- Department of Dermatology, Teikyo University Chiba Medical Center, Chiba, Japan
| | - Yasuhiko Asahina
- Department of Dermatology, Teikyo University Chiba Medical Center, Chiba, Japan
| | - Koki Sakurai
- Department of Plastic and Reconstructive Surgery, Teikyo University Chiba Medical Center, Chiba, Japan
| | - Satoshi Fukuzumi
- Department of Plastic and Reconstructive Surgery, Teikyo University Chiba Medical Center, Chiba, Japan
| | - Tomotaka Sato
- Department of Dermatology, Teikyo University Chiba Medical Center, Chiba, Japan
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Liu B, Chen HH, Liu ZH, Liang JF, Xue RJ, Chen PJ, Li CX, Liang XD, Deng J, Ye RX, Zhang XB, Liang JY. The clinical efficacy of treatment using the autologous non-cultured epidermal cell suspension technique for stable vitiligo in 41 patients. J DERMATOL TREAT 2019; 32:90-94. [PMID: 31084382 DOI: 10.1080/09546634.2019.1619657] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
Affiliation(s)
- Bin Liu
- Guangzhou New Centre Institute of Vitiligo, Guangzhou, PR China
| | - Hui-Heng Chen
- Dongguan Eighth People’s Hospital & Dongguan Children’s Hospital, Dongguan, PR China
| | - Zhong-Hai Liu
- Guangzhou New Centre Institute of Vitiligo, Guangzhou, PR China
| | - Jing-Feng Liang
- Guangzhou New Centre Institute of Vitiligo, Guangzhou, PR China
| | - Ru-Jun Xue
- Institute of Dermatology, Guangzhou Medical University, Guangzhou, PR China
- Department of Dermatology, Guangzhou Institute of Dermatology, Guangzhou, PR China
| | - Ping-Jiao Chen
- Department of Dermatology, Nanfang Hospital, Southern Medical University, Guangzhou, PR China
| | - Chang-Xing Li
- Department of Dermatology, Nanfang Hospital, Southern Medical University, Guangzhou, PR China
| | - Xiao-Dong Liang
- Institute of Dermatology, Guangzhou Medical University, Guangzhou, PR China
- Department of Dermatology, Guangzhou Institute of Dermatology, Guangzhou, PR China
| | - Jie Deng
- Department of Dermatology, Guangzhou Institute of Dermatology, Guangzhou, PR China
| | - Rui-Xian Ye
- Institute of Dermatology, Guangzhou Medical University, Guangzhou, PR China
- Department of Dermatology, Guangzhou Institute of Dermatology, Guangzhou, PR China
| | - Xi-Bao Zhang
- Institute of Dermatology, Guangzhou Medical University, Guangzhou, PR China
- Department of Dermatology, Guangzhou Institute of Dermatology, Guangzhou, PR China
| | - Jing-Yao Liang
- Institute of Dermatology, Guangzhou Medical University, Guangzhou, PR China
- Department of Dermatology, Guangzhou Institute of Dermatology, Guangzhou, PR China
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