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Rhinology and Facial Plastics
Published in Adnan Darr, Karan Jolly, Jameel Muzaffar, ENT Vivas, 2023
Adnan Darr, Karan Jolly, Shahzada Ahmed, Claire Hopkins
Background: Hyperplasia of sebaceous glands histologicallyAssociation with Demodex Folliculorum (face mite)Possible housing of occult BCCLobulated tip may cause nasal obstructionCan be final stage of acne rosacea Not all patients with rhinophyma will have acne rosaceaRosacea (F > M)Rhinophyma (M is 30× > F)Caucasian males affected in fifth and sixth decades of lifeNo association with alcohol or facial flushingEarly signs: Dilated pores and telangiectasia
Paper 2
Published in Aalia Khan, Ramsey Jabbour, Almas Rehman, nMRCGP Applied Knowledge Test Study Guide, 2021
Aalia Khan, Ramsey Jabbour, Almas Rehman
Which of the following statements is false concerning acne rosacea? May present with recurrent facial flushing.Rhinophyma is a complication.Affects women more than men.Comedones are a feature.More common in fair-skinned people.
Acne, rosacea and similar disorders
Published in Ronald Marks, Richard Motley, Common Skin Diseases, 2019
Isotretinoin may help some patients, particularly those who have rhinophyma, as it has been shown that it reduces the size of the enlarged nose as well as reducing the numbers of papules present. Presumably its anti-inflammatory actions are important in addition to its anti-sebotrophic effects.
Use of laser therapy in the treatment of severe rhinophyma: a report of two cases
Published in Journal of Cosmetic and Laser Therapy, 2019
Adam Borzęcki, Monika Turska, Beata Strus-Rosińska, Agnieszka Sajdak-Wojtaluk
In contrast to rosacea, rhinophyma is most common in men over 50 years old, while it occurs less often in women (3,4). Nodular changes are located mostly in the lower parts of the nose. Clinically, hypertrophy of sebaceous glands, connective tissue, and a network of dilated skin vessels can be seen. Although generally it is considered as a cosmetic defect resulting in disfigurement of the face, rhinophyma may also lead to impaired nasal breathing and problems with intake of liquids (1,3). Moreover, some scientific reports indicate the possibility of malignant neoplastic changes within the overgrown nasal tissue. However, pathologic analysis is not a routine procedure (5–7).
Treatment of rhinophyma with the Versajet™ Hydrosurgery System and autologous cell suspension (ReCELL®): A case report
Published in Journal of Cosmetic and Laser Therapy, 2018
Yıldız K., Kayan B. R., Dulgeroglu T., Guneren E.
Rhinophyma is considered to be the most severe expression of acne rosacea for which surgery is the mainstay of treatment. The word rhinophyma is derived from Greek words “rhis” meaning nose and “phyma” meaning growth (1). Rhinophyma is a glandular form of acne rosacea affecting the nose, in which the sebaceous glands hyperplasia to such an extent that the nose becomes bulbous and lobulated. This was once thought to be an unfounded association with heavy alcohol consumption. There is a male to female ratio of about 12:1, although acne rosacea is three times common in women than in men (2).
Assessment of Tear Functions in Patients with Acne Rosacea without Meibomian Gland Dysfunction
Published in Ocular Immunology and Inflammation, 2019
Dilay Ozek, Özlem Evren Kemer, Ferda Artüz
Generally, women are more often affected than men. Subtype I (ETR) is found to be most prevalent, followed by subtype II (PPR). Rhinophyma is seen mostly in men over 40 years of age.10 Disease onset is usually between the third and fifth decades of life, but manifestations can occur throughout life course.11