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February 1931


Author Affiliations

From the Department of Surgery, City Hospital, Welfare Island.

Arch Otolaryngol. 1931;13(2):270-274. doi:10.1001/archotol.1931.04230010114011

The treatment for rhinophyma, in spite of its definite pathologic changes, is far from uniform. This may be accounted for by the fact that rhinophyma as a progressive developing deformity of the skin is usually observed in its early stages by the dermatologist and only later, after the tumor has increased considerably in size, does the patient seek the advice of the surgeon. Hence, two methods of treatment prevail, namely, the conservative dermatologic and the surgical. An adequate treatment for rhinophyma must depend entirely on its anatomicopathologic structure, which I shall discuss.

PATHOLOGIC ANATOMY  The original condition of the skin is acne rosacea, which slowly develops into rhinophyma, usually invading the inferior and anterior parts of the nose, respecting the free border of the alae nasi and diminishing in size from below upward, rarely extending beyond the glabellar region and the lateral border of the nose. The irregular elevations of

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