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Chan Young Park, M.D.1,
Hak Chang, M.D.1,
Eui Cheol Jeong, M.D.1,
Young Jik Lee, M.D.2 |
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1Department of Plastic and Reconstructive Surgery, Research Institute of Plastic and Reconstructive Surgery, Seoul National University College of Medicine, Seoul; 2Department of Pathology, Suncheon St. Carollo Hospital, Suncheon, Korea |
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A Case of Giant Rhinophyma Showing Difficulty in Nasal Respiration |
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J Korean Soc Aesth Surg 2008 (Sep) 014(13) 165-169 |
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Rhinophyma, Aspirin, Respiration disorders |
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Ksaps014-02-13.pdf
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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.
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박찬영1·장 학1·정의철1·이영직2 |
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서울대학교 의과대학 성형외과학교실 성형재건연구소1, 순천 성가롤로병원 병리과2 |
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비호흡 곤란을 주소로 한 거대 비류 환자의 증례 |
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2008 (Sep) 014(13) 165-169 |