Different aspects of rhinophyma were described: history, etiopathogeny, histopathology, epidemiology, clinical, differential diagnoses, treatments and prognosis. It is emphasized that it is a localized disease in the nose associated to general disorders, and that it brings psychological and social problems. We present a case operated with plastic surgery. The authors present a hypothesis about the etiopathogeny and pathophysiology of the disease and consider rhinophyma treatments as palliative and non-curative.
Rhinophyma, Phymatous Rosacea, Plastic Surgery, Nasal Anatomy, History of Medicine
The rhinophine is a progressive and deforming enlarged of the tip and the wings of the nose. There is a thickening of the skin, usually rubicunda, with multiple nodules determined by hypertrophy of the sebaceous glands. It is generally presented in patients who have severe rosacea, hence it is also called “Fimatosa Rosacea”. However, it can also occur in isolation or independent of it.
In severe cases, nasal anatomy disfigures and hinders breathing due to the occlusion of the nose. Usually, psychological and social problems are added.
Its progression to malignant tumors, such as basal cell carcinoma and, in rare cases, to the carcinoma of squamous cells, has been described.
There is no specific treatment; And in the most serious cases, plastic surgery is necessary.
In this work the authors make some personal considerations about different aspects of the rhinophym and an operated clinical case is presented.
The term rhinophym comes from the Greek and means grown nose. Rhis: Nose and Phyma: Growth. The nose in facial aesthetics has had an important role throughout the history of humanity [1-4]. It is interesting to note that this disease has caught attention, for several centuries, both writers and painters.
William Shakespeare refers to her in her play “Enrique V” (1599).