Surgical Treatment of Rhinophyma : About a Case and Literature Review

Abstract

Rhinophyma is an advanced stage of rosacea affecting soft tissues and leading to disruption of the nasal architecture, obstruction of the airways, and disfigurement of the aesthetic units of the nose. It is most often found in Caucasian men over the age of 50 with a male to female ratio of 5 to 1. The exact cause of rhinophyma is unknown; the probable origin is multifactorial. The primary etiology is unregulated superficial vasodilatation. Several hypotheses suggest there may be a potential role of environmental factors and microorganisms such as Helicobacter pylori and Demodex folliculorum. Vitamin deficiency and alcohol or caffeine use may be causative or exacerbating factors.