Abstract
Rhinophyma is a disease going with subcutaneous tissue thickening of the nose, including sebaceous gland hypertrophy and fibrosis. Progressive enlargement and irregular thickening of the nasal skin is characteristic of the disease. Surgical excision is commonly used treatment method. In the present case, nasal dorsal and alar defect after treated with totally excision and full-thickness skin graft of rhinophyma mass were repaired by using supratrochlear artery based myofascial forehead flap with a little skin island.
Highlights
Rhinophyma is an extremely deformating condition of the nose and considered to be the most severe expression of the final stage of acne rosacea, which is characterized by a progressive painless hyperplasia of the sebaceous glands and connective tissue of the nose [1]
The supratrochlear artery based forehead flap has become commonly preferred reconstructive option when dealing with repairing large nasal defects [4,5,6]
We present a case treated with supratrochlear artery based myofascial forehead flap along with full-thickness skin graft and recommend this technique as a useful, safe, and efficient method for the treatment of severe and moderate rhinophyma
Summary
Rhinophyma is an extremely deformating condition of the nose and considered to be the most severe expression of the final stage of acne rosacea, which is characterized by a progressive painless hyperplasia of the sebaceous glands and connective tissue of the nose [1]. The supratrochlear artery based forehead flap has become commonly preferred reconstructive option when dealing with repairing large nasal defects [4,5,6]. We present a case treated with supratrochlear artery based myofascial forehead flap along with full-thickness skin graft and recommend this technique as a useful, safe, and efficient method for the treatment of severe and moderate rhinophyma. The rhinophyma mass was completely excised and the defect was repaired by a full-thickness skin graft.
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