Pre-operative diagnosis: Rhinophyma
Location: Nose
Preo-op size: > 4 cm
INDICATIONS: Excisional Surgery using loop cautery radiofrequency Surgitron device using the coagulation/cutting setting is indicated as treatment of this extremely bulbous rhinophyma. We discussed the principles of treatment and potential complications including bleeding, infection, wound dehiscence and scarring. Informed consent was obtained and the patient underwent the procedure as follows.
PROCEDURE: The patient was taken to the operative suite and placed supine on the operating table. Two patient identifiers and a timeout were made. A loop cautery radiofrequency device was used on cut settings after grounding pad was placed on lower left back. The treatment area was anesthetized with 6 mL of 1% lidocaine and epinephrine, prepped with Hibiclens, and draped with sterile towels. The lesion was delineated and surgically excised a loop cautery radiofrequency coagulation/cutting setting using the Surgitron device. Hemostasis was made with electrocoagulation. A sterile pressure dressing was applied and wound care instructions given (gel foam, telfa, hypafix). The patient was discharged from the Cutaneous Surgery Center with normal vital signs and ambulatory.