Abstract

CEBRIAN CARRETERO, J.L.; DEMARIA MARTINEZ, G.  and  CASTILLO PARDO DE VERA, J.L. del. Treatment of rhinophyma with CO₂ laser: A case report. Rev Esp Cirug Oral y Maxilofac [online]. 2006, vol.28, n.2, pp.109-113. ISSN 2173-9161.

Introduction. Rhinophyma is a skin alteration of the nasal region that causes considerable aesthetic problems. We describe our experience with a case of advanced rhinophyma and its resolution by means of a simple technique. Materials and methods. The skin area was disinfected beforehand, anaesthesia infiltration and the infraorbital and ethmoidal nerve trunks were blocked. Then, using a Lumenis Sharplan CO₂ laser almost the complete skin thickness was resected while preserving the deep dermis layer so as to allow second intention healing. Later, Vaseline was applied and the area was treated daily. The patient was discharged the day after the intervention. Results. The aesthetic results were very good. Postoperative pain was controlled with standard analgesics. Adequate healing was observed during the first week. Two months later the epithelization was complete and no scabs or erythema remained. Conclusion. The use of the CO₂ laser for the treatment of advanced rhinophyma is an adequate therapy that provides excellent aesthetic results, with minimal morbidity and surgical risk.

Keywords : Rhinophyma; CO₂ laser.

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