Rhinophyma: our thirty-year experience in treatment applying the combined techniques of decortication and electrocautery

Cilj: Rozacea je jedna od najčešćih kroničnih dermatoloških bolesti. Dijeli se u četiri podtipa, a podtip III naziva se rinofima i karakteriziran je povećanjem nosa. Etiologija bolesti još je uvijek nepoznata. Cilj je ovoga rada prikazati naše tridesetogodišnje iskustvo u liječenju rinofime kombiniranim kirurškim pristupom (dekortikacijom i elektrokauterizacijom). Materijal i metode: U istraživanju je sudjelovalo 55 bolesnika muškog spola, starije životne dobi, u periodu od 1980. do 2010. godine. Rezultati: Prednost tehnike koju smo koristili je u očuvanju izvornog oblika nosa i izvorne boje kože nosa. Značajno je istaknuti da nismo primijetili recidiv bolesti niti godinu dana nakon operacijskog zahvata. Zaključak: Osvrnuli smo se na sve do sada poznate kirurške metode rada u liječenju rinofime te ukazali na njihove prednosti i nedostatke. Osim kirurškog liječenja, navodimo i pokušaj liječenja medikamentima, od kojih je vrijedno izdvojiti liječenje novijim lijekom pod imenom Tamoxifen.Rosacea is one of the most common chronic dermatological diseases. It has four subtypes and the third one is referred to as rhinophyma. It is characterized by an increase in nose volume and its aetiology is still unknown. The aim of this paper is to present the results of our thirty-year experience in the treatment of rhinophyma applying the combined surgical techniques of decortication and electrocauterization. Materials and methods: The research embraced a pattern of 55 male patients and was carried out in the period from 1980 to 2010. Results: The advantage of these techniques consists in preserving the original nose shape and colour. It is important to point out that no recurrence was observed even after one year elapsed from the operation. Conclusion: The paper includes essential information on all surgical methods in the treatment of rhinophyma specifiying their advantages and disadvantages. Besides surgical treatment, rhinophyma can be treated with drugs of which Tamoxifen is particularly worth while mentioning

Rhinophyma: our thirty-year experience in treatment applying the combined techniques of decortication and electrocautery

Cilj: Rozacea je jedna od najčešćih kroničnih dermatoloških bolesti. Dijeli se u četiri podtipa, a podtip III naziva se rinofima i karakteriziran je povećanjem nosa. Etiologija bolesti još je uvijek nepoznata. Cilj je ovoga rada prikazati naše tridesetogodišnje iskustvo u liječenju rinofime kombiniranim kirurškim pristupom (dekortikacijom i elektrokauterizacijom). Materijal i metode: U istraživanju je sudjelovalo 55 bolesnika muškog spola, starije životne dobi, u periodu od 1980. do 2010. godine. Rezultati: Prednost tehnike koju smo koristili je u očuvanju izvornog oblika nosa i izvorne boje kože nosa. Značajno je istaknuti da nismo primijetili recidiv bolesti niti godinu dana nakon operacijskog zahvata. Zaključak: Osvrnuli smo se na sve do sada poznate kirurške metode rada u liječenju rinofime te ukazali na njihove prednosti i nedostatke. Osim kirurškog liječenja, navodimo i pokušaj liječenja medikamentima, od kojih je vrijedno izdvojiti liječenje novijim lijekom pod imenom Tamoxifen.Rosacea is one of the most common chronic dermatological diseases. It has four subtypes and the third one is referred to as rhinophyma. It is characterized by an increase in nose volume and its aetiology is still unknown. The aim of this paper is to present the results of our thirty-year experience in the treatment of rhinophyma applying the combined surgical techniques of decortication and electrocauterization. Materials and methods: The research embraced a pattern of 55 male patients and was carried out in the period from 1980 to 2010. Results: The advantage of these techniques consists in preserving the original nose shape and colour. It is important to point out that no recurrence was observed even after one year elapsed from the operation. Conclusion: The paper includes essential information on all surgical methods in the treatment of rhinophyma specifiying their advantages and disadvantages. Besides surgical treatment, rhinophyma can be treated with drugs of which Tamoxifen is particularly worth while mentioning

Rhinophyma: our thirty-year experience in treatment applying the combined techniques of decortication and electrocautery

Cilj: Rozacea je jedna od najčešćih kroničnih dermatoloških bolesti. Dijeli se u četiri podtipa, a podtip III naziva se rinofima i karakteriziran je povećanjem nosa. Etiologija bolesti još je uvijek nepoznata. Cilj je ovoga rada prikazati naše tridesetogodišnje iskustvo u liječenju rinofime kombiniranim kirurškim pristupom (dekortikacijom i elektrokauterizacijom). Materijal i metode: U istraživanju je sudjelovalo 55 bolesnika muškog spola, starije životne dobi, u periodu od 1980. do 2010. godine. Rezultati: Prednost tehnike koju smo koristili je u očuvanju izvornog oblika nosa i izvorne boje kože nosa. Značajno je istaknuti da nismo primijetili recidiv bolesti niti godinu dana nakon operacijskog zahvata. Zaključak: Osvrnuli smo se na sve do sada poznate kirurške metode rada u liječenju rinofime te ukazali na njihove prednosti i nedostatke. Osim kirurškog liječenja, navodimo i pokušaj liječenja medikamentima, od kojih je vrijedno izdvojiti liječenje novijim lijekom pod imenom Tamoxifen.Rosacea is one of the most common chronic dermatological diseases. It has four subtypes and the third one is referred to as rhinophyma. It is characterized by an increase in nose volume and its aetiology is still unknown. The aim of this paper is to present the results of our thirty-year experience in the treatment of rhinophyma applying the combined surgical techniques of decortication and electrocauterization. Materials and methods: The research embraced a pattern of 55 male patients and was carried out in the period from 1980 to 2010. Results: The advantage of these techniques consists in preserving the original nose shape and colour. It is important to point out that no recurrence was observed even after one year elapsed from the operation. Conclusion: The paper includes essential information on all surgical methods in the treatment of rhinophyma specifiying their advantages and disadvantages. Besides surgical treatment, rhinophyma can be treated with drugs of which Tamoxifen is particularly worth while mentioning