Early Cosmetic Results and Midterm Follow-up Findings of Rhinophyma Patients Treated With High-Frequency Electrosurgery and a Discussion on the Severity Assessment of the Disease

J Cutan Med Surg. May/Jun 2017;21(3):221-226. doi: 10.1177/1203475417694860. Epub 2017 Feb 1.

Abstract

Background: Different methods can be used in the surgical treatment of patients with rhinophyma. There are limited numbers of reports on high-frequency electrosurgery treatment. In addition, an efficient scoring system is required to evaluate severity of the disease in clinical progress and recurrence after treatment.

Objectives: We evaluated patients with rhinophyma who were treated with high-frequency electrosurgery and discussed the methods used to assess severity of the disease.

Methods: Data and photos of 13 patients were retrospectively evaluated and scored via 2 different forms of the rhinophyma severity index.

Results: Median rhinophyma severity index scores of patients at first visits were significantly higher than those at second and third visits ( P = .002 and P = .002, respectively). Likewise, median modified rhinophyma severity scores of patients at first visits were significantly higher than those at second and third visits ( P = .001 and P = .001, respectively). Also, there was a strong positive correlation between these 2 assessment methods ( r = 0.838, P < .001).

Conclusions: The rhinophyma severity assessment methods used in this study are positively correlated. High-frequency electrosurgery seems to be a procedure that is safe, effective, and relatively cost-effective in the treatment of rhinophyma lesions.

Keywords: assessment; high-frequency electrosurgery; rhinophyma; severity; treatment.

Publication types

  • Observational Study

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Electrosurgery*
  • Humans
  • Male
  • Middle Aged
  • Nose / pathology
  • Nose / surgery
  • Rhinophyma* / diagnosis
  • Rhinophyma* / pathology
  • Rhinophyma* / surgery
  • Severity of Illness Index
  • Treatment Outcome
  • Young Adult