{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,17]],"date-time":"2026-05-17T09:08:48Z","timestamp":1779008928749,"version":"3.51.4"},"reference-count":6,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,5,12]],"date-time":"2026-05-12T00:00:00Z","timestamp":1778544000000},"content-version":"vor","delay-in-days":11,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T00:00:00Z","timestamp":1777593600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Case Reports"],"published-print":{"date-parts":[[2026,5]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Rhinophyma recurrence after surgical excision poses a significant therapeutic challenge, often stemming from the incomplete removal of deep hyperplastic pilosebaceous units. We present the case of a 66\u2010year\u2010old male with a third occurrence of rhinophyma after two prior failed cold\u2010steel excisions. The definitive intervention consisted of a modified deep tangential excision, removing all rhinophymatous tissue to a deep dermal plane that approached, but did not violate, the nasal perichondrium, thereby eradicating the pathologic glandular nidus while preserving the deepest adnexal remnants essential for re\u2010epithelialization. The wound was primarily managed by secondary intention healing, guided by selective, tension\u2010free suture re\u2010approximation of key wound edges to optimize contour. Cold\u2010steel excision was specifically chosen to ensure a specimen free of thermal artifact for definitive histopathology, a critical step in a recurrent case, which ultimately confirmed marked sebaceous gland hypertrophy and excluded malignancy. The postoperative course was uneventful, and at an 18\u2010month follow\u2010up, the patient demonstrated a stable, successfully restored nasal contour with no signs of recurrence. This case demonstrates that for severe, recurrent rhinophyma, a surgical strategy that balances thorough debulking of pathologic tissue with meticulous preservation of deep adnexal structures is critical for achieving a durable, long\u2010term outcome.<\/jats:p>","DOI":"10.1002\/ccr3.72690","type":"journal-article","created":{"date-parts":[[2026,5,12]],"date-time":"2026-05-12T08:20:05Z","timestamp":1778574005000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Recurrent Rhinophyma: A Case of Triple Relapse and Therapeutic Challenges"],"prefix":"10.1002","volume":"14","author":[{"given":"Bilal","family":"Aslam","sequence":"first","affiliation":[{"name":"University of Lahore  Lahore Pakistan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Muhammad","family":"Abbas","sequence":"additional","affiliation":[{"name":"HOD Plastic Surgery University of Lahore  Lahore Pakistan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Syed Muhammad","family":"Tayyab","sequence":"additional","affiliation":[{"name":"University of Lahore  Lahore Pakistan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-6138-6684","authenticated-orcid":false,"given":"Khalil","family":"El Abdi","sequence":"additional","affiliation":[{"name":"Faculty of Medicine and Pharmacy of Rabat Mohammed V University  Rabat Morocco"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fazeela","family":"Bibi","sequence":"additional","affiliation":[{"name":"Jinnah Medical and Dental College  Karachi Pakistan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hania","family":"Imran","sequence":"additional","affiliation":[{"name":"Wah Medical College  Wah Pakistan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Samreen","family":"Najeeb","sequence":"additional","affiliation":[{"name":"Women Medical &amp; Dental College  Abbottabad Pakistan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ahmad","family":"Sanan","sequence":"additional","affiliation":[{"name":"Khyber Medical College  Peshawar Pakistan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-7885-6214","authenticated-orcid":false,"given":"Said Hamid","family":"Sadat","sequence":"additional","affiliation":[{"name":"Kabul University of Medical Science Abu Ali Ibn Sina  Kabul Afghanistan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2026,5,12]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.3399\/bjgp19X701585"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/s0190\u20109622(00)90220\u20102"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/DSS.0000000000001406"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaad.2016.01.004"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1093\/skinhd\/vzaf042"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1524\u20104725.2011.02026..x"}],"container-title":["Clinical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccr3.72690","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/ccr3.72690","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccr3.72690","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,17]],"date-time":"2026-05-17T08:20:02Z","timestamp":1779006002000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ccr3.72690"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,5]]},"references-count":6,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2026,5]]}},"alternative-id":["10.1002\/ccr3.72690"],"URL":"https:\/\/doi.org\/10.1002\/ccr3.72690","archive":["Portico"],"relation":{"has-preprint":[{"id-type":"doi","id":"10.22541\/au.174313443.30587757\/v1","asserted-by":"object"},{"id-type":"doi","id":"10.22541\/au.176303890.01506618\/v1","asserted-by":"object"}]},"ISSN":["2050-0904","2050-0904"],"issn-type":[{"value":"2050-0904","type":"print"},{"value":"2050-0904","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,5]]},"assertion":[{"value":"2025-11-11","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-04-30","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-05-12","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e72690"}}