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New surgical adjuncts in the treatment of rhinophyma: the microdebrider and FloSeal®

Published online by Cambridge University Press:  08 March 2006

Vivek Kaushik
Affiliation:
Department of Otolaryngology - Head and Neck Surgery, South Manchester University Hospitals NHS Trust, Manchester, UK.
Jawed Tahery
Affiliation:
Department of Otolaryngology - Head and Neck Surgery, South Manchester University Hospitals NHS Trust, Manchester, UK.
Tassadaque H. Malik
Affiliation:
Department of Otolaryngology - Head and Neck Surgery, South Manchester University Hospitals NHS Trust, Manchester, UK.
Philip H. Jones
Affiliation:
Department of Otolaryngology - Head and Neck Surgery, South Manchester University Hospitals NHS Trust, Manchester, UK.
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Abstract

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Rhinophyma is considered to be the final stage of rosacea and has an unknown aetiology. We present two new surgical adjuncts for the treatment of this condition. The microdebrider is easy to use and allows precise contouring of the nose. It shares the same underlying principle as free-hand scalpel shaving but outperforms this method in key areas. We also describe a novel use for FloSeal®, a gelatin-thrombin co-mixture, utilizing its haemostatic properties to address bleeding from the re-shaped denuded nose.

Type
Brief Report
Copyright
© Royal Society of Medicine Press Limited 2003