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'Cold' vs Laser Techniques

Gady Har-El, MD; Stanley M. Shapshay, MD; R. Kirk Bohigian, MD; Yosef P. Krespi, MD; Frank E. Lucente, MD

Arch Otolaryngol Head Neck Surg. 1993;119(6):628-631.

Abstract
• Objective.
—To compare laser surgery and sharp blade excision of rhinophyma.

Design.
—Retrospective study of 23 patients treated surgically for rhinophyma.

Setting.
—Four academic tertiary referral medical centers.

Participants.
—All 23 patients had moderate or major rhinophyma.

Intervention.
—Sixteen patients had laser surgery. Seven patients had sharp blade excision.

Outcome Measures.
—Length of the procedure, preservation of normal tissue, the need for skin grafting, intraoperative pain and discomfort, intraoperative bleeding, postoperative pain and discomfort, postoperative bleeding, complications, and end results (all listed in the literature as advantages of laser surgery).

Results.
—No difference in length of surgery, preservation of normal tissue, complications, postoperative pain, and end results. No need for skin grafting in both procedures. Less intraoperative and postoperative bleeding, easier and smoother procedure, and more comfortable postoperative care with laser surgery.

Conclusions.
—Our results do not agree with most of the list of advantages attributed to laser rhinophyma surgery in the literature.

(Arch Otolaryngol Head Neck Surg. 1993;119:628-631)

Author Affiliations
From the Departments of Otolaryngology, State University of New York Health Science Center at Brooklyn (Drs Har-EI and Lucente); St Lukes—Roosevelt Hospital, New York, NY (Dr Krespi); and Lahey Clinic Medical Center, Burlington, Mass (Drs Shapshay and Bohigian).

Footnotes
Accepted for publication December 11, 1992.

Presented at the Eastern and Canadian Sections Meeting of the American Academy of Facial Plastic and Reconstructive Surgery, New York, NY, January 11, 1992.

Reprint requests to Department of Otolaryngology, Long Island College Hospital, 340 Henry St, Brooklyn, NY 11201 (Dr Har-EI).

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