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Rhinophym bei Rosazea

Was leistet die operative Therapie?

Rhinophyma in rosacea

What does surgery achieve?

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Zusammenfassung

Das Rhinophym ist eine benigne dermatologische Erkrankung der äußeren Nase, die in erster Linie bei Kaukasiern ab dem 50. Lebensjahr auftritt. Sein charakteristisches Merkmal ist die langsame progressive Hyperplasie der Talgdrüsen mit unregelmäßiger knollenartiger Verdickung und Deformität der äußeren Nasenhaut. Histomorphologisch geht man beim Rhinophym von einem Spätstadium der Acne rosacea aus. Die hauptsächlichen Beweggründe für die Patienten, medizinische Hilfe aufzusuchen, liegen in kosmetischen, aber auch funktionellen Einschränkungen, wie beispielsweise der Nasenatmungsbehinderung und – in Extremfällen – der erschwerten Nahrungsaufnahme bei Verlegung der Mundöffnung. Die Chirurgie stellt unangefochten die Behandlung der ersten Wahl dar. Diese Arbeit soll eine Übersicht über die Klinik, die Histopathologie und die in der Literatur beschriebenen operativen Therapiemöglichkeiten mit deren wesentlichen Vor- und Nachteilen geben.

Abstract

Rhinophyma is a benign dermatological disease of the nose which affects primarily Caucasian men in their fifth decade of life. Its main characteristic is a slowly progressive hyperplasia of the sebaceous glands and the adjacent tissue with irregular thickening of the nasal skin and nodular deformation. It is defined as the end stage of acne rosacea. The main reasons for patients to seek medical help are cosmetic problems and functional impairments such as nasal airway obstruction or even difficulty in eating. Surgery is indisputably the treatment of choice for rhinophyma. This article gives an overview on the clinical and histopathologic findings of rhinophyma as well as the different treatment options with their pros and cons as described in literature.

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Authors and Affiliations

  1. Universitäts-HNO-Klinik Mannheim, Universitätsmedizin Mannheim, Theodor-Kutzer-Ufer, 68135, Mannheim, Deutschland

    H. Sadick & G. Bran

  2. HNO-Zentrum Rhein-Neckar, Mannheim, Deutschland

    F. Riedel

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  1. H. Sadick
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  2. F. Riedel
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  3. G. Bran
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Correspondence to H. Sadick.

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Sadick, H., Riedel, F. & Bran, G. Rhinophym bei Rosazea. Hautarzt 62, 834–841 (2011). https://doi.org/10.1007/s00105-011-2146-5

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  • DOI: https://doi.org/10.1007/s00105-011-2146-5

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