head JofIMAB
Journal of IMAB - Annual Proceeding (Scientific Papers)
Publisher: Peytchinski Publishing
ISSN: 1312-773X (Online)
Issue: 2018, vol. 24, issue1
Subject Area: Medicine
DOI: 10.5272/jimab.2018241.1932
Published online: 16 March 2018

Case report

J of IMAB. 2018 Jan-Mar;24(1):1932-1935
Georgi IlievORCID logo, Polina IvanovaORCID logo Corresponding Autoremail,
ENT Department, University Hospital Saint Marina, Medical University of Varna, Bulgaria.

Introduction: Rhinophyma is a tumour-like enlargement of the skin of the nose, affecting dorsum nasi and the apex. While the aetiology is unknown, dermatosis rosacea can be indicated as one of the main causes. Rhinophyma is characterized by reddish, swollen bumpy surface of the nose, overgrowing of scar-like tissue and augmentation of the sebaceous glands. Epidemiologically, rhinophyma affects mainly men between the ages of 50 and 70.
Purpose of the study: To present an overview of the disease based on our personal experience with the condition and the associated surgical treatment.
Materials and methods: Our findings are based on the cases of four patients over a period of two years, diagnosed with the condition rhinophyma, who underwent surgical treatment in “Saint Marina” hospital. The excision was made using the “Coblator II system”.
Results: Due to unresponsiveness to conventional treatment, surgical removal of the rhinophyma was necessary.
Conclusion: Rhinophyma is a rare condition, causing discomfort to the patient and deforming the nose. Surgical intervention shows most effective results in the treatment of this disease.

Keywords: Rhinophyma, Surgical treatment, Coblation, Case report, Rosacea,

pdf - Download FULL TEXT /PDF 1692 KB/
Please cite this article in PubMed Style or AMA (American Medical Association) Style:
Iliev G, Ivanova P. Case report of surgical treatment of Rhinophyma with Coblation. J of IMAB. 2018 Jan-Mar;24(1):1932-1935. DOI: 10.5272/jimab.2018241.1932

Corresponding AutorCorrespondence to: Polina Petrova Ivanova, ENT Department, University Hospital Saint Marina, Medical University of Varna; 1, Hristo Smirnenski blvd., 9010 Varna, Bulgaria; E-mail: ppivanovax@gmail.com

1. Claros P, Sarr MC, Nyada FB, Claros A. Rhinophyma: Our experience based on a series of 12 cases. Eur Ann Otorhinolaryngol Head Neck Dis. 2017 Sep 21.pii:S1879-7296(17)30128-X. [PubMed] [CrossRef]
2. Oswal V, Remacle M, Jovanvic SS, Zeitels SM, Krespi JP, Hopper C. (editors) Principles and Practice of Lasers in Otorhinolaryngology and Head and Neck Surgery. 1st Edition. Kugler Pubns BV. (January 24, 2014) Chapter 27, p.467.
3. Bogetti P, Boltri M, Spagnoli G, Dolcet M. Surgical Treatment of Rhinophyma: A Comparison of Techniques. Aesthetic Plast Surg. 2002 Jan-Feb; 26(1):57-60. [PubMed] [CrossRef]
4. Selig HF, Lumenta DB, Kamolz LP. The surgical treatment of rhinophyma - Complete excision and single-step reconstruction by use of a collagen–elastin matrix and an autologous non-meshed split-thickness skin graft. Int J Surg Case Rep. 2013; 4(2):200-3. [PubMed] [CrossRef]
5. Powell FC. Clinical practice. Rosacea. N Engl J Med. 2005 Feb;352(8):793-803. [PubMed] [CrossRef]
6. Sadick H, Goepel B, Bersch C, Goessler U, Hoermann K, Riedel F. Rhinophyma: diagnosis and treatment options for a disfiguring tumor of the nose. Ann Plast Surg. 2008 Jul;61(1):114-20. [PubMed] [CrossRef]
7. Curnier A, Choudhary S. Triple approach to rhinophyma. Ann Plast Surg. 2002 Aug;49(2):211-4. [PubMed]
8. Sahin C, Turker M, Celasun B. Giant rhinophyma:Excision with coblation assisted surgery. Indian J Plast Surg. 2014 Sep-Dec;47(3):450-2. [PubMed] [CrossRef]
9. Myers EN. Operative Otolaryngology: Head and Neck Surgery: Expert Consult: Online, Print and Video, 2-Volume Set, 2nd Edition. Saunders. (August 20, 2008) p169-183
10. Lazzeri D, Colizzi L, Licata G, Pagnini D, Proietti A, Ali G, et al. Malignancies within rhinophyma: report of three new cases and review of the literature. Aesthetic Plast Surg. 2012 Apr;36(2):396-405. [PubMed] [CrossRef].

Received: 27 November 2017
Published online: 16 March 2018

back to Online Journal