Wound excision and closure by secondary intention and growth factor application in the management of rosacea complicated by giant rhinophyma.

IF 1.4 4区医学 Q3 DERMATOLOGY Wounds : a compendium of clinical research and practice Pub Date : 2023-11-01

Fan Zhang, Zhehao Shi, Lei Cai, Bin Chen, Wei Qiu, Li Zhang, Xiaohua Lin

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Abstract

Background: Rosacea is a significant problem, affecting 5.5% of the world population. Currently used treatment techniques such as transfer flaps and implants are insufficient to meet the needs of many patients, which suggests that alternative approaches are needed.

Case report: This report describes a case of rosacea complicated by giant rhinophyma treated with excision and closure by secondary intention and growth factor application. The patient was admitted to the Department of Dermatology at The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, China, in July 2021, and underwent excision of the external nasal redundancy under general anesthesia. The postoperative wound was left open. The patient's wounds healed completely 2 months after surgery, and there was no recurrence at 6-month follow-up. The wounds recovered well, with only slight scarring.

Conclusion: The positive outcomes for this patient suggest that wound excision and closure by secondary intention and growth factor application may be beneficial for patients with rosacea complicated by giant rhinophyma.

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二次创面切除缝合及生长因子在酒渣鼻合并巨大鼻肿治疗中的应用。

背景:酒渣鼻是一个严重的问题，影响着世界5.5%的人口。目前使用的治疗技术，如转移皮瓣和植入物不足以满足许多患者的需求，这表明需要其他方法。病例报告:本报告描述了一例酒渣鼻合并巨大鼻肿的治疗与切除和关闭的二次意图和生长因子的应用。患者于2021年7月入住中国温州医科大学第一附属医院皮肤科，全麻下行外鼻冗余切除术。术后伤口保持开放。术后2个月伤口完全愈合，随访6个月无复发。伤口恢复得很好，只有轻微的疤痕。结论:本例患者的积极结果提示，二次创面切除和闭合以及生长因子的应用可能对酒渣鼻合并巨大鼻肿的患者有益。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Wounds : a compendium of clinical research and practice 医学-皮肤病学

CiteScore

1.50

自引率

11.80%

发文量

审稿时长

6-12 weeks

期刊介绍： Wounds is the most widely read, peer-reviewed journal focusing on wound care and wound research. The information disseminated to our readers includes valuable research and commentaries on tissue repair and regeneration, biology and biochemistry of wound healing, and clinical management of various wound etiologies. Our multidisciplinary readership consists of dermatologists, general surgeons, plastic surgeons, vascular surgeons, internal medicine/family practitioners, podiatrists, gerontologists, researchers in industry or academia (PhDs), orthopedic surgeons, infectious disease physicians, nurse practitioners, and physician assistants. These practitioners must be well equipped to deal with a myriad of chronic wound conditions affecting their patients including vascular disease, diabetes, obesity, dermatological disorders, and more. Whether dealing with a traumatic wound, a surgical or non-skin wound, a burn injury, or a diabetic foot ulcer, wound care professionals turn to Wounds for the latest in research and practice in this ever-growing field of medicine.