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Surgical Treatment Strategy for Severe Rhinophyma With Bilateral Pedicled Nasolabial Flaps

Cui, Meng-Ying MM; Guo, Shu MD; Wang, Chen-Chao MD; Lv, Meng-Zhu MD; Jin, Shi-Feng MD

doi: 10.1097/SCS.0000000000005524
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Background: Rhinophyma is a rare disease characterized by chronic inflammation and hypertrophy of sebaceous glands, blood vessels, and fibrous tissue, associated with end-stage severe acne rosacea. There are multiple approaches to treatment and repair, including dermal shaving, secondary intention healing, free skin graft, and skin flaps. However, these methods have various disadvantages, such as prolonged healing, obvious scarring, and skin texture mismatch. Therefore, the authors adopted surgical excision with bilateral pedicled nasolabial flaps, which have better color, texture, thickness, and symmetry.

Methods: The authors present a case of severe nasal tip rhinophyma successfully treated by excision and repair with bilateral pedicled nasolabial flaps. This procedure combines deep excision of the focal lesion and coverage with bilateral nasolabial flaps.

Results: The bilateral pedicled nasolabial flaps were used for severe rhinophyma in a patient. After the operation, the flaps survived uneventfully in this study. Both functional and aesthetic results were satisfactory at 3 months.

Conclusion: The authors offer an effective method for surgical treatment of rhinophyma. Excision of hypertrophic nasal tissue is an acknowledged effective treatment for patients with severe rhinophyma. After excision, reconstruction with nasolabial flaps results in satisfactory outcomes both functionally and aesthetically. Therefore, this approach should be considered an appropriate alternative in cases of severe rhinophyma.

Department of Plastic and Reconstructive Surgery, The First Affiliated Hospital of China Medical University, People's Republic of China.

Address correspondence and reprint requests to Meng-Ying Cui, MM, Department of Plastic and Reconstructive Surgery, No.115 of Nanjing North Road, Heping District, the City of Shenyang 110001, People's Republic of China; E-mail: 1335520934@qq.com, Shu Guo, MD, No.115 of Nanjing North Road, Heping District, the City of Shenyang 110001, People's Republic of China; E-mail: guoshu181@139.com

Received 22 November, 2018

Accepted 15 February, 2019

National Natural Science Foundation of China (51272286).

The authors report no conflicts of interest.

© 2019 by Mutaz B. Habal, MD.