• Turk J Med Sci · Jan 2023

    Relationship between surgical rhinoplasty and Demodex infestation: a case-control study.

    • Abdullah Demirbaş, Dilek Bayramgürler, Emrah Kağan Yaşar, Muhammed Adak, and Can İlker Demir.
    • Department of Dermatology, Faculty of Medicine, Kocaeli University, Kocaeli, Turkiye.
    • Turk J Med Sci. 2023 Jan 1; 53 (6): 173817431738-1743.

    Background/AimHuman Demodex mites are parasites that live in the pilosebaceous unit and can cause demodicosis. While demodicosis may occur as a primary skin disease, it may also result from immunosuppression and topical or systemic immunosuppressive therapies. Surgical rhinoplasty is one of the most commonly performed cosmetic procedures, and it is the cause of a variety of cutaneous complications, particularly acne, as it affects the skin's adnexal structures. Thus, this study aimed to investigate whether the cutaneous changes in surgical rhinoplasty patients render them vulnerable to Demodex infestation.Materials And MethodsIndividuals who had undergone rhinoplasty (patients) and age- and sex-matched healthy volunteers (controls) were included in this prospective case-control study. To determine the Demodex density, samples were collected from the malar and nasal regions of both the patients and controls using the standard superficial skin biopsy method.ResultsA total of 50 rhinoplasty patients and 50 healthy controls were enrolled in the study. The Demodex density on the nose was significantly higher in the rhinoplasty patients (p = 0.0001). Furthermore, the frequency of xerosis and pustules was significantly higher in the rhinoplasty patients compared to the control group (p = 0.046 and p = 0.001, respectively).ConclusionSurgical rhinoplasty may be a risk factor for demodicosis, and patients will recover faster after surgery with proper diagnosis and treatment.© TÜBİTAK.

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