To evaluate the effectiveness of a modified deep tangential excision in preventing recurrent rhinophyma in a patient with a history of prior surgical treatments.
Key Findings:
The patient showed stable restoration of nasal contour without recurrence or contracture at 18 months follow-up.
Histopathologic analysis revealed sebaceous gland hypertrophy and mild inflammatory infiltrates without malignancy.
No postoperative complications such as infection or hypertrophic scarring were reported.
Interpretation:
The modified deep tangential excision may provide a definitive solution for recurrent rhinophyma by adequately removing pathological tissue while preserving structures necessary for healing.
Limitations:
Single-patient design limits generalizability.
Lack of a comparison group.
Follow-up duration restricted to 18 months.
Conclusion:
Superficial debulking is insufficient and predisposes to relapse; a modified deep tangential excision offers a more effective treatment for recalcitrant cases.
