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It consists of a slow, progressive hypertrophy of the sebaceous glands and of the connective tissue of the nose, and presents clinically as a nasal deformation.</p><p id="par0010" class="elsevierStylePara elsevierViewall">We present the case of a 50-year-old man, who came to consultation to resolve his nasal deformity, which gave rise to respiratory and psychological problems for him (<a class="elsevierStyleCrossRef" href="#fig0045">Fig. 1</a>).</p><elsevierMultimedia ident="fig0045"></elsevierMultimedia><p id="par0015" class="elsevierStylePara elsevierViewall">The patient was scheduled for surgical nasal remodelling using CO<span class="elsevierStyleInf">2</span> laser.</p><p id="par0020" class="elsevierStylePara elsevierViewall">Under general anaesthesia, the nasal dermis was infiltrated with an adrenalin solution to decrease bleeding. Next, the nose was remodelled with a Lumenis Sharplan<span class="elsevierStyleSup">®</span> CO<span class="elsevierStyleInf">2</span> laser in 2 stages: in the first, the entire thickness of the skin affected was resected, in “cutting mode”, and in the second all the exposed tissue is gone over again, in “vaporisation mode”.</p><p id="par0025" class="elsevierStylePara elsevierViewall">The patient was discharged after 24<span class="elsevierStyleHsp" style=""></span>h, there not being any postoperative complications, with the commonly prescribed analgesia.</p><p id="par0030" class="elsevierStylePara elsevierViewall">He came for medical attention and wound dressing weekly after that. Progressive, continued re-epithelialization of the nasal surface was seen on these occasions. Three months after the intervention, the appearance of the nasal pyramid is normal (<a class="elsevierStyleCrossRef" href="#fig0050">Fig. 2</a>).</p><elsevierMultimedia ident="fig0050"></elsevierMultimedia><p id="par0035" class="elsevierStylePara elsevierViewall">The laser emits an invisible infrared light that is absorbed by water-rich tissues and vaporises them.</p><p id="par0040" class="elsevierStylePara elsevierViewall">Excellent aesthetic results, low complication rates, high patient satisfaction and rapid healing make the CO<span class="elsevierStyleInf">2</span> laser safe and highly effective for the treatment of rhinophyma.</p></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2013-04-09" "fechaAceptado" => "2013-06-17" "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: Baró CJ, Gómez R, Serrat A. Láser CO<span class="elsevierStyleInf">2</span> en el tratamiento del rinofima. Acta Otorrinolaringol Esp. 2015;66:61–2.</p>" ] ] "multimedia" => array:2 [ 0 => array:6 [ "identificador" => "fig0045" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 595 "Ancho" => 1400 "Tamanyo" => 119025 ] ] ] 1 => array:6 [ "identificador" => "fig0050" "etiqueta" => "Figure 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 613 "Ancho" => 1418 "Tamanyo" => 119982 ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/21735735/0000006600000001/v2_201503020128/S2173573515000071/v2_201503020128/en/main.assets" "Apartado" => array:4 [ "identificador" => "5869" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Images in otorhinolaryngology" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/21735735/0000006600000001/v2_201503020128/S2173573515000071/v2_201503020128/en/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173573515000071?idApp=UINPBA00004N" ]
Journal Information
Vol. 66. Issue 1.
Pages 61-62 (January - February 2015)
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Vol. 66. Issue 1.
Pages 61-62 (January - February 2015)
Images in Otorhinolaryngology
CO2 Laser for the Treatment of Rhinophyma
Láser CO2 en el tratamiento del rinofima
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Carlos J. Baró
, Rafael Gómez, Alberto Serrat
Corresponding author
Servicio de Cirugía Oral y Maxilofacial, Hospital Universitario Río Hortega, Valladolid, Spain
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