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Chamli A, Hammami H, Mrad M, Frioui R, Zaouak A, Fenniche S. Gnatophyma associated with Morbihan disease: An unusual form of rosacea successfully treated with ablative carbon dioxide laser. J Cosmet Dermatol 2024. [PMID: 38923159 DOI: 10.1111/jocd.16435] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/28/2024] [Revised: 05/24/2024] [Accepted: 06/12/2024] [Indexed: 06/28/2024]
Affiliation(s)
- Amal Chamli
- Dermatology Department, Habib Thameur Hospital, Tunis, Tunisia
- University of Tunis El Manar, Faculty of Medicine of Tunis, Tunis, Tunisia
| | - Houda Hammami
- Dermatology Department, Habib Thameur Hospital, Tunis, Tunisia
- University of Tunis El Manar, Faculty of Medicine of Tunis, Tunis, Tunisia
| | - Malek Mrad
- Dermatology Department, Habib Thameur Hospital, Tunis, Tunisia
- University of Tunis El Manar, Faculty of Medicine of Tunis, Tunis, Tunisia
| | - Refka Frioui
- Dermatology Department, Habib Thameur Hospital, Tunis, Tunisia
- University of Tunis El Manar, Faculty of Medicine of Tunis, Tunis, Tunisia
| | - Anissa Zaouak
- Dermatology Department, Habib Thameur Hospital, Tunis, Tunisia
- University of Tunis El Manar, Faculty of Medicine of Tunis, Tunis, Tunisia
| | - Samy Fenniche
- Dermatology Department, Habib Thameur Hospital, Tunis, Tunisia
- University of Tunis El Manar, Faculty of Medicine of Tunis, Tunis, Tunisia
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Vorbeck J, Technau-Hafsi K, Schauer F. [Abscessing swelling of the chin in a young woman]. DERMATOLOGIE (HEIDELBERG, GERMANY) 2024:10.1007/s00105-024-05366-z. [PMID: 38856792 DOI: 10.1007/s00105-024-05366-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 05/05/2024] [Indexed: 06/11/2024]
Affiliation(s)
| | | | - Franziska Schauer
- Klinik für Dermatologie und Venerologie, Universitätsklinikum Freiburg, Medizinische Fakultät, Albert-Ludwigs-Universität Freiburg, Hauptstr. 7, 79104, Freiburg, Deutschland.
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Veraldi S, Schianchi R, Nazzaro G. Gnathophyma: Two Cases and Review of the Literature. THE JOURNAL OF CLINICAL AND AESTHETIC DERMATOLOGY 2024; 17:6-7. [PMID: 38638183 PMCID: PMC11022839] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Subscribe] [Scholar Register] [Indexed: 04/20/2024]
Affiliation(s)
| | - Rossana Schianchi
- Dr. Schianchi is with the European Institute of Dermatology in Milan, Italy
| | - Gianluca Nazzaro
- Dr. Nazzaro is with Dermatology Unit, Foundation IRCCS Ca’ Granda Ospedale Maggiore Policlinico in Milan, Italy
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Zwierz A, Maciejewska J, Masna K. Rare auriculae entity. Eur Ann Otorhinolaryngol Head Neck Dis 2021; 139:103-104. [PMID: 34417141 DOI: 10.1016/j.anorl.2021.05.021] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/06/2021] [Revised: 04/17/2021] [Accepted: 05/05/2021] [Indexed: 11/03/2022]
Affiliation(s)
- A Zwierz
- Department of Otolaryngology, Phoniatrics and Audiology, Faculty of Health Sciences, Ludwik Rydygier Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University in Toruń, Ujejskiego Street 75, 85-168 Bydgoszcz, Poland.
| | - J Maciejewska
- Dr Jan Biziel University Hospital No. 2 in Bydgoszcz, Poland
| | - K Masna
- Department of Otolaryngology, Phoniatrics and Audiology, Faculty of Health Sciences, Ludwik Rydygier Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University in Toruń, Ujejskiego Street 75, 85-168 Bydgoszcz, Poland
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Chellappan B, Castro J. Management of severe rhinophyma with electrocautery dermabrasion - A case report. Int J Surg Case Rep 2020; 72:511-514. [PMID: 32698277 PMCID: PMC7317162 DOI: 10.1016/j.ijscr.2020.06.039] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/20/2020] [Revised: 06/09/2020] [Accepted: 06/09/2020] [Indexed: 11/27/2022] Open
Abstract
INTRODUCTION Rhinophyma is benign hypertrophic thickening of the skin and edema of the nasal pyramid. The affected tissue enlarges slowly before reaching its permanent size. The lobulated skin surface with hundreds of pores can become cosmetically embarrassing and cause significant psychosocial stress, anxiety, and depression for patients. In addition, extensive alar thickening can obstruct the external nasal valves making treatment necessary to alleviate respiratory issues. No consensus has been reached regarding management of rhinophyma and many surgeons follow the "to each his own technique" mindset. Our objective was to present a case report to support the use of electrocautery and dermabrasion as the mainstay of treatment. PRESENTATION OF CASE Here we describe the case of a 62-year-old Caucasian male with a long-standing history of acne rosacea who developed severe rhinophyma overtime which lead to nasal obstruction and major cosmetic deformity. Electrocautery and dermabrasion in the operating room were utilized to obtain an outstanding cosmetic result and respiratory function improvement. Loop and Colorado cautery tips were used with cutting current to remove the hypertrophic skin and create a smooth contour. The patient tolerated the procedure well without any complications. The patient's skin was scab-free with normal pigmentation by four weeks post-op. He was satisfied with the cosmetic outcome and reported substantial improvement in his breathing. DISCUSSION There have been several case reports published which describe using different surgical methods to treat rhinophyma including lasers, electrocautery dermabrasion, surgical blade, cryosurgery, and radio excision. The main limitations of laser therapy are imprecise tissue removal, risk of scarring, dyspigmentation, and bleeding. Other therapies such as surgical excision and skin grafts may require multiple procedures before obtaining a satisfactory cosmetic outcome. CONCLUSION This case report supports electrocautery dermabrasion as the mainstay of treatment as it is a management technique which allows for smooth contouring, efficient hemostasis, more control in the operating room, and does not require multiple procedures.
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Affiliation(s)
- Brinda Chellappan
- Department of Surgery, Texas Tech University Health Sciences Center, El Paso, TX, United States.
| | - Jose Castro
- Department of Surgery, Texas Tech University Health Sciences Center, El Paso, TX, United States.
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Stepwise Surgical Treatment of Gnathophyma. Dermatol Surg 2018; 45:158-160. [PMID: 29642112 DOI: 10.1097/dss.0000000000001514] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Clarós P, Sarr MC, Nyada FB, Clarós A. Rhinophyma: Our experience based on a series of 12 cases. Eur Ann Otorhinolaryngol Head Neck Dis 2017; 135:17-20. [PMID: 28943211 DOI: 10.1016/j.anorl.2017.08.005] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Abstract
INTRODUCTION Rhinophyma is a rare, benign and unsightly disease of the skin of the nose that was first described a very long time ago, as illustrated by portrait of an old man with a bulbous nose holding his grandson, by Ghirlandaio in 1490. It was described for the first time by Ferdinando Hebra Von (1816-1880), as the third stage of rosacea. The objective of this study is to report the author's experience and propose a new treatment option in the management of rhinophyma. MATERIAL AND METHODS We describe our experience of rhinophyma based on a retrospective case study. RESULTS We identified 12 cases over a 12-year period, with a marked male predominance. The therapeutic approach was the same in all patients, consisting of a combination of dermabrasion, decortication and application of fibrin glue, with a favourable outcome in every case with complete epithelialisation. CONCLUSION Rhinophyma is a rare condition of uncertain pathophysiology. Management is surgical and, in view of the many techniques and procedures proposed, we advocate the slogan "to each his own technique", until a consensus has been reached. Our technique combining dermabrasion, decortication and application of fibrin glue has given very good results.
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Affiliation(s)
- P Clarós
- Clínica Clarós, C/Los Vergós, 31, CP 08017, Barcelona, Spain.
| | - M-C Sarr
- Clínica Clarós, C/Los Vergós, 31, CP 08017, Barcelona, Spain
| | - F-B Nyada
- Clínica Clarós, C/Los Vergós, 31, CP 08017, Barcelona, Spain
| | - A Clarós
- Clínica Clarós, C/Los Vergós, 31, CP 08017, Barcelona, Spain
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Cameli N, Cavallotti C, Muscardin L, Mariano M. Two Cases of Gnatophyma, an Unusual Form of Rosacea. Skin Appendage Disord 2017; 2:180-182. [PMID: 28232929 DOI: 10.1159/000453004] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/26/2016] [Accepted: 11/01/2016] [Indexed: 12/14/2022] Open
Affiliation(s)
- Norma Cameli
- Department of Dermatology, San Gallicano Institute IRCCS, Rome, Italy
| | | | - Luca Muscardin
- Department of Dermatology, San Gallicano Institute IRCCS, Rome, Italy
| | - Maria Mariano
- Department of Dermatology, San Gallicano Institute IRCCS, Rome, Italy
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Cardwell LA, Alinia H, Moradi Tuchayi S, Feldman SR. New developments in the treatment of rosacea - role of once-daily ivermectin cream. Clin Cosmet Investig Dermatol 2016; 9:71-7. [PMID: 27051311 PMCID: PMC4807898 DOI: 10.2147/ccid.s98091] [Citation(s) in RCA: 28] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/30/2023]
Abstract
Rosacea is a chronic dermatological disorder with a variety of clinical manifestations localized largely to the central face. The unclear etiology of rosacea fosters therapeutic difficulty; however, subtle clinical improvement with pharmacologic treatments of various drug categories suggests a multifactorial etiology of the disease. Factors that may contribute to disease pathogenesis include immune abnormality, vascular abnormality, neurogenic dysregulation, presence of cutaneous microorganisms, UV damage, and skin barrier dysfunction. The role of ivermectin in the treatment of rosacea may be as an anti-inflammatory and anti-parasitic agent targeting Demodex mites. In comparing topical ivermectin and metronidazole, ivermectin was more effective; this treatment modality boasted more improved quality of life, reduced lesion counts, and more favorable participant and physician assessment of disease severity. Patients who received ivermectin 1% cream had an acceptable safety profile. Ivermectin is efficacious in decreasing inflammatory lesion counts and erythema.
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Affiliation(s)
- Leah A Cardwell
- Department of Dermatology, Center for Dermatology Research, Winston-Salem, NC, USA
| | - Hossein Alinia
- Department of Dermatology, Center for Dermatology Research, Winston-Salem, NC, USA
| | - Sara Moradi Tuchayi
- Department of Dermatology, Center for Dermatology Research, Winston-Salem, NC, USA
| | - Steven R Feldman
- Department of Dermatology, Center for Dermatology Research, Winston-Salem, NC, USA; Department of Pathology, Wake Forest School of Medicine, Winston-Salem, NC, USA; Department of Public Health Sciences, Wake Forest School of Medicine, Winston-Salem, NC, USA
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