title: New surgical adjuncts in the treatment of rhinophyma: the microdebrider and FloSeal.
abstract: Rhinophyma is considered to be the final stage of rosacea and has an unknown aetiology. We present two new surgical adjuncts for the treatment of this condition. The microdebrider is easy to use and allows precise contouring of the nose. It shares the same underlying principle as free-hand scalpel shaving but outperforms this method in key areas. We also describe a novel use for FloSeal((R)), a gelatin-thrombin co-mixture, utilizing its haemostatic properties to address bleeding from the re-shaped denuded nose.
authors.affiliation: Department of Otolaryngology - Head and Neck Surgery, South Manchester University Hospitals NHS Trust, Manchester, UK.
authors.forename: Vivek
authors.initials: V
authors.lastname: Kaushik
authors.forename: Jawed
authors.initials: J
authors.lastname: Tahery
authors.forename: Tassadaque H
authors.initials: TH
authors.lastname: Malik
authors.forename: Philip H
authors.initials: PH
authors.lastname: Jones
mesh_terms: D003646:Debridement / Q000379:methods; D005780:Gelatin; D006801:Humans; D013517:Otorhinolaryngologic Surgical Procedures / Q000295:instrumentation* / Q000379:methods; D012224:Rhinophyma / Q000601:surgery*; D013917:Thrombin
chemical_list: D005780:Gelatin; D013917:Thrombin