Single-stage reconstruction of rhinophyma: a case report
DOI:
https://doi.org/10.18203/2320-6012.ijrms20251667Keywords:
Rhinophyma, Forehead flap, Nasal reconstruction, Surgical managementAbstract
Rhinophyma, an advanced form of rosacea, is characterized by progressive nasal enlargement leading to significant cosmetic and functional impairments. This case report details the management of a 54-year-old male presenting with a 10-year history of nasal hypertrophy consistent with rhinophyma. The patient had surgery in steps that included using a flap from his forehead to rebuild the shape of his nose. Postoperative care included targeted antibiotic therapy and meticulous wound management. Over a nine-month follow-up period, the patient's recovery was satisfactory, with significant aesthetic and functional improvements. This case demonstrates the effectiveness of a systematic surgical strategy in treating advanced rhinophyma.
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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. 2018;135(1):17-20. DOI: https://doi.org/10.1016/j.anorl.2017.08.005
UT Southwestern Medical Center. Rhinophyma. Available at: https://utswmed.org/conditions-treatm ents/rhinophyma/. Accessed on 12 April 2025.
Dick MK, Patel BC. Rhinophyma. In: StatPearls. Treasure Island (FL): StatPearls Publishing. 2025.
WebMD. Rhinophyma: Causes and Treatment. Available at: https://www.webmd.com/skin-proble ms-and-treatments/what-to-know-about-rhinophyma. Accessed on 12 April 2025.
Brambullo T, Franchi A, Masciopinto G, De Lazzari A, Vindigni V, Bassetto F. Case Report: A new variant of the forehead flap for subtotal nose reconstruction in a single stage: the dragonfly flap. Front Surg. 2024;11:1420673. DOI: https://doi.org/10.3389/fsurg.2024.1420673
Saad M, Matteucci P. A very severe case of rhinophyma requiring a three-stage reconstruction with a forehead flap. Ann R Coll Surg Engl. 2020;102(8):e219-22.
Saad M, Matteucci P. A very severe case of rhinophyma requiring a three-stage reconstruction with a forehead flap. Ann R Coll Surg Engl. 2020;102(8):e219-22. DOI: https://doi.org/10.1308/rcsann.2020.0164
Zuo J, Wang R, Fan X, Zhang H, Zhai Z, Sun H. Case Report: Clinical effect of combining auricular cartilage, full-thickness auricular skin graft, and local flap from the right nasal ala in complex nasal defect reconstruction. Front Surg. 2024;11:1440418. DOI: https://doi.org/10.3389/fsurg.2024.1440418
Benyo S, Saadi RA, Walen S, Lighthall JG. A Systematic Review of Surgical Techniques for Management of Severe Rhinophyma. Cranio-maxillofacial Trauma Reconstr. 2021;14(4):299-307. DOI: https://doi.org/10.1177/1943387520983117
Racić G, Gluncić I, Tomić S, Petric S. Giant rhinophyma--a case report. Rhinology. 1999;37(1):43-5.
Correa BJ, Weathers WM, Wolfswinkel EM, Thornton JF. The forehead flap: the gold standard of nasal soft tissue reconstruction. Semin Plast Surg. 2013;27(2):96-103. DOI: https://doi.org/10.1055/s-0033-1351231
Seiverling EV, Neuhaus IM. Nare obstruction due to massive rhinophyma treated using the Shaw scalpel. Dermatol Surg. 2011;37(6):876-9. DOI: https://doi.org/10.1111/j.1524-4725.2011.02026..x
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