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- W2095183739 abstract "Notre objectif était de faire le point sur la physiopathologie, la clinique et le traitement du rhinophyma. Il s’agissait d’un patient de 75 ans qui a consulté pour un volumineux rhinophyma qui, outre le préjudice esthétique à l’origine d’une exclusion sociale, était la cause d’une obstruction nasale et d’une gêne à l’alimentation. Le patient a été opéré sous couvert d’une antibiothérapie. Le site opératoire a été dans un premier temps laissé en cicatrisation dirigée, puis recouvert par une greffe de peau totale. Le résultat cosmétique a été jugé très bon, sans complication postopératoire ni rechute avec un suivi de cinq ans. Le rhinophyma correspond au stade le plus évolué de la rosacée, pour laquelle il existe quatre stades évolutifs. Le diagnostic est clinique. Pour les formes très évoluées, nodulaires, le traitement est chirurgical. La chirurgie doit être faite sous couvert d’une antibiothérapie pour limiter le risque chondrolyse des cartilages du nez. The purpose of this study was to present an advanced case of rhinophyma and to discuss the pathophysiology, clinical presentation and treatment of this pathology. A 75-year-old patient presented to the ENT out-patient department with a large rhinophyma causing nasal obstruction and eating problems in addition to its aesthetic social burden. The patient was operated under antibiotic coverage. The operated site was left to heal and later covered with a full-thickness skin graft. During the 5-year postoperative follow-up period, there were no complications, no recurrence of the rhinophyma, and the patient retained a good aesthetic result. Rhinophyma is the highest of the four grades of rosacea progression. The diagnosis is usually clinical. Surgical treatment is reserved for the advanced nodular forms and is performed under antibiotic coverage in order to prevent the risk of chondrolysis of the nasal cartilages." @default.
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- W2095183739 date "2008-12-01" @default.
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- W2095183739 title "Traitement d’un volumineux rhinophyma" @default.
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- W2095183739 doi "https://doi.org/10.1016/j.aorl.2008.10.001" @default.
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