A Case of Giant Rhinophyma Showing Difficulty in Nasal Respiration.
- Author:
Chan Young PARK
1
;
Hak CHANG
;
Eui Cheol JEONG
;
Young Jik LEE
Author Information
1. Department of Plastic and Reconstructive Surgery, Research Institute of Plastic and Reconstructive Surgery, Seoul National University College of Medicine, Seoul, Korea. hchang@snu.ac.kr
- Publication Type:Case Report
- Keywords:
Rhinophyma;
Aspirin;
Respiration disorders
- MeSH:
Aspirin;
Congenital Abnormalities;
Cosmetics;
Hemorrhage;
Humans;
Hypertrophy;
Intention;
Nose;
Recurrence;
Respiration;
Respiration Disorders;
Rhinophyma;
Skin;
Transplants;
Wound Healing
- From:Journal of the Korean Society of Aesthetic Plastic Surgery
2008;14(2):165-169
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Rhinophyma is characterized by a disfiguring soft tissue hypertrophy of the nose. Severe cosmetic deformity and impairment of breathing may coexist, making the surgical treatment necessary. We present a case of giant rhinophyma, who had difficulty in nasal breathing and took preventive aspirin for CVA. We treated this patient with scalpel tangential excision and skin graft. A giant rhinophyma involved two thirds of nasal dorsum, nasal tip, and both alae. The patient withdrew aspirin 7 days prior to surgery, and rhinophyma was excised with scalpel. The defect was covered with full-thickness skin graft from right supraclavicular area. Five days after surgery, the patient resumed to take aspirin. A skin graft was taken completely and a pathologist confirmed an excised specimen to be a rhinophyma. Within 1 month postoperatively, the patient showed more natural nasal contour and improvement of nasal respiration. Six months after the operation, the nose represented a good appearance without recurrence of rhinophyma. We present a case of giant rhinophyma which had bleeding tendency because of preventive aspirin. We treated this case with scalpel excision and full-thickness skin graft, instead of secondary intention wound healing.
