Laser treatment for rhinophyma
A systematic review
Keywords:
Rhinophyma, Management, Laser CO2, Er:YAG, Systematic reviewAbstract
Background & objectives: Rhinophyma is a severe subtype of rosacea that leads to significant cosmetic and functional issues, greatly affecting patients’ quality of life. Traditional surgical options for rhinophyma, though effective, often come with drawbacks such as scarring and long recovery times. This review aims to evaluate the effectiveness, safety, and patient outcomes of laser treatments for managing rhinophyma. Methods: A thorough search across four databases identified 400 relevant publications. After removing duplicates using Rayyan QCRI and screening for relevance, 55 full-text articles were reviewed, with 8 studies ultimately meeting the criteria for inclusion. Results: Of the 8 studies, 5 were case series and 3 were retrospective cohort studies. Four studies focused on CO2 lasers, showing positive aesthetic improvements, high levels of patient satisfaction, and minimal side effects. Er:YAG lasers, discussed in three studies, were noted for their precision, lower complication rates, and quicker recovery times compared to CO2 lasers. One study explored a combination of both lasers and reported effective outcomes with minimal bleeding and improved cosmetic results. Conclusion: CO2 and Er:YAG lasers appear to be safe and effective alternatives to surgery for treating rhinophyma, with both techniques offering high patient satisfaction and fewer complications.
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Fink C, Lackey J, Grande DJ. Rhinophyma: a treatment review. Dermatologic Surgery. 2018 Feb 1;44(2):275-82. DOI: https://doi.org/10.1097/DSS.0000000000001406
Sadick H, Goepel B, Bersch C, Goessler U, Hoermann K, Riedel F. Rhinophyma: diagnosis and treatment options for a disfiguring tumor of the nose. Annals of plastic surgery. 2008 Jul 1;61(1):114-20. DOI: https://doi.org/10.1097/SAP.0b013e31815f12d2
Wiemer DR. Rhinophyma. Clin Plast Surg 1987;14:357. DOI: https://doi.org/10.1016/S0094-1298(20)30606-4
Schweinzer K, Kofler L, Spott C, Krug M, Schulz C, Schnabl SM, Breuninger H, Häfner HM, Eberle FC. Surgical treatment of rhinophyma: experience from a German cohort of 70 patients. European Journal of Dermatology. 2017 May;27:281-5. DOI: https://doi.org/10.1684/ejd.2017.2987
Kilty S, Brownrigg P. Surgical treatment of rhinophyma. The Journal of Otolaryngology. 2008 May;37(3):000-.
Crawford GH, Pelle MT, James WD. Rosacea: I. Etiology, pathogenesis, and subtype classification. Journal of the American Academy of Dermatology. 2004 Sep 1;51(3):327-41. DOI: https://doi.org/10.1016/j.jaad.2004.03.030
Aloi F, Tomasini C, Soro E, Pippione M. The clinicopathologic spectrum of rhinophyma. Journal of the American Academy of Dermatology. 2000 Mar 1;42(3):468-72. DOI: https://doi.org/10.1016/S0190-9622(00)90220-2
van Zuuren EJ. Rosacea. N Engl J Med. 2017;377(18):1754–1764. DOI: https://doi.org/10.1056/NEJMcp1506630
Rebora A. The management of rosacea. Am J Clin Dermatol. 2002;3(7):489–496. DOI: https://doi.org/10.2165/00128071-200203070-00005
Schuurmann M, Wetzig T, Wickenhauser C, Ziepert M, Kreuz M, Ziemer M. Histopathology of rhinophyma - a clinical-histopathologic correlation. J Cutan Pathol. 2015;42(8):527–535. DOI: https://doi.org/10.1111/cup.12518
Chauhan R, Loewenstein SN, Hassanein AH. Rhinophyma: prevalence, severity, impact and management. Clinical, cosmetic and investigational dermatology. 2020 Aug 11:537-51. DOI: https://doi.org/10.2147/CCID.S201290
Sterne JA, Hernán MA, Reeves BC, Savović J, Berkman ND, Viswanathan M, Henry D, Altman DG, Ansari MT, Boutron I, Carpenter JR. ROBINS-I: a tool for assessing risk of bias in non-randomised studies of interventions. bmj. 2016 Oct 12;355. DOI: https://doi.org/10.1136/bmj.i4919
Moher D, Shamseer L, Clarke M, Ghersi D, Liberati A, Petticrew M, Shekelle P, Stewart LA, Prisma-P Group. Preferred reporting items for systematic review and meta-analysis protocols (PRISMA-P) 2015 statement. Systematic reviews. 2015 Dec;4:1-9. DOI: https://doi.org/10.1186/2046-4053-4-1
OSMAN M, MAI A. Fractional Ablative Erbium: YAG Laser Resurfacing of Rhinophyma. The Medical Journal of Cairo University. 2019 Mar 1;87(March):429-34. DOI: https://doi.org/10.21608/mjcu.2019.52378
Mathis J, Ibrahim SF. Erbium-doped yttrium aluminium garnet (Er: YAG) laser resurfacing restores normal function and cosmesis in patients with severe rhinophyma. The Journal of Clinical and Aesthetic Dermatology. 2019 Jul;12(7):28.
Ali MK, Streitmann MJ. Excision of rhinophyma with the carbon dioxide laser: a ten-year experience. Annals of Otology, Rhinology & Laryngology. 1997 Nov;106(11):952-5. DOI: https://doi.org/10.1177/000348949710601111
Goon PK, Dalal M, Peart FC. The gold standard for decortication of rhinophyma: combined erbium-YAG/CO 2 laser. Aesthetic plastic surgery. 2004 Dec;28:456-60. DOI: https://doi.org/10.1007/s00266-004-0012-x
Fincher EF, Gladstone HB. Use of a dual-mode erbium: YAG laser for the surgical correction of rhinophyma. Archives of Facial Plastic Surgery. 2004 Jul 1;6(4):267-71.
Madan V, Ferguson JE, August PJ. Carbon dioxide laser treatment of rhinophyma: a review of 124 patients. British Journal of Dermatology. 2009 Oct 1;161(4):814-8.
Lazzeri D, Larcher L, Huemer GM, Riml S, Grassetti L, Pantaloni M, Li Q, Zhang YX, Spinelli G, Agostini T. Surgical correction of rhinophyma: comparison of two methods in a 15-year-long experience. Journal of Cranio-Maxillofacial Surgery. 2013 Jul 1;41(5):429-36. DOI: https://doi.org/10.1016/j.jcms.2012.11.009
Amaral MT, Haddad A, Nahas FX, Juliano Y, Ferreira LM. Impact of fractional ablative carbon dioxide laser on the treatment of rhinophyma. Aesthetic Surgery Journal. 2019 Mar 14;39(4):NP68-75. DOI: https://doi.org/10.1093/asj/sjy234
Little SC, Stucker FJ, Compton A, Park SS. Nuances in the management of rhinophyma. Facial Plast Surg. 2012 Apr;28(2):231-7. DOI: https://doi.org/10.1055/s-0032-1309304
Dick MK, Patel BC. Rhinophyma. StatPearls [Internet], StatPearls Publishing, Treasure Island (FL) (2019)
Mancini PF. Coblation: a new technology and technique for skin resurfacing and other aesthetic surgical procedures. Aesthetic Plast Surg. 2001 Sep-Oct;25(5):372-7. DOI: https://doi.org/10.1007/s002660010148
Madan V, Ferguson JE, August PJ. Carbon dioxide laser treatment of rhinophyma: a review of 124 patients. Br J Dermatol. 2009 Oct;161(4):814-8. DOI: https://doi.org/10.1111/j.1365-2133.2009.09317.x
Fincher EF, Gladstone HB. Use of a dual-mode erbium: yAGlaser for the surgical correction of rhinophyma. Arch Facial Plast Surg. 2004;6(4):267–271. DOI: https://doi.org/10.1001/archfaci.6.4.267
Orenstein A, Haik J, Tamir J, et al. Treatment of rhinophyma with Er: yAGlaser. Lasers Surg Med. 2001;29(3):230–235. DOI: https://doi.org/10.1002/lsm.1112
Beran SJ, Rohrich RJ, Clark PJ. The potential role of the erbium: YAG laser in skin rejuvenation. Aesthetic Surgery J. 1998;18(2):147–149. DOI: https://doi.org/10.1016/S1090-820X(98)80015-0
Hofmann MA, Lehmann P. Physical modalities for the treatment of rosacea. J Dtsch Dermatol Ges. 2016;14(Suppl 6):38–43. DOI: https://doi.org/10.1111/ddg.13144
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