Dermatologic Surgery最新文献

Changes in Patient Perceptions of the Cost of Mohs Micrographic Surgery: A Multiyear Cross-Sectional Survey Study. 患者对莫氏显微手术费用的认知变化：一项多年的横断面调查研究。

IF 2.5 3区医学

Dermatologic Surgery Pub Date : 2025-06-04 DOI: 10.1097/DSS.0000000000004712

Michael S Chang, Emily E Karn, Chrysalyne D Schmults, Emily S Ruiz

引用次数: 0

Frey Syndrome After Mohs Micrographic Surgery for Squamous Cell Carcinoma In Situ. 原位鳞状细胞癌Mohs显微摄影手术后的Frey综合征。

IF 2.5 3区医学

Dermatologic Surgery Pub Date : 2025-06-04 DOI: 10.1097/DSS.0000000000004704

Natella Maglakelidze, Matthew J Davis, Alice Frigerio

引用次数: 0

Postoperative Defect Size as a Criterion for Upstaging High-Risk Cutaneous Squamous Cell Carcinoma Treated With Mohs Micrographic Surgery. 术后缺损大小作为Mohs显微手术治疗高危皮肤鳞状细胞癌的标准。

IF 2.5 3区医学

Dermatologic Surgery Pub Date : 2025-06-04 DOI: 10.1097/DSS.0000000000004720

Vijay Kodumudi, Amanda Rosenthal, Geena Conde, Margit Juhasz, Nima Gharavi

{"title":"Postoperative Defect Size as a Criterion for Upstaging High-Risk Cutaneous Squamous Cell Carcinoma Treated With Mohs Micrographic Surgery.","authors":"Vijay Kodumudi, Amanda Rosenthal, Geena Conde, Margit Juhasz, Nima Gharavi","doi":"10.1097/DSS.0000000000004720","DOIUrl":"https://doi.org/10.1097/DSS.0000000000004720","url":null,"abstract":"Background: Brigham and Women's Hospital (BWH) criteria classify cutaneous squamous cell carcinoma (cSCC) with a preoperative (clinical) size ≥2 cm as high risk. However, the role of postoperative defect (histologic) size after Mohs micrographic surgery (MMS) in cSCC staging remains unclear.Objective: To compare outcomes of cSCCs treated with MMS that have a clinical size <2 cm but a histologic size ≥2 cm with those clinically ≥2 cm.Methods: Data were collected at a tertiary academic center. Patients with cSCC were followed for at least 33 months postoperatively. Recurrence, nodal involvement, metastasis, and disease-specific mortality were collectively analyzed as poor outcomes using multivariable logistic regression.Results: Among 517 cSCCs, 216 were clinically ≥2 cm, and 301 were histologically ≥2 cm. Univariate analysis showed no significant differences between histologically ≥2 cm and clinically ≥2 cm cSCCs in recurrence or lymph node spread, although histologically ≥2 cm cSCCs were less frequently associated with disease-specific death (p = .010) and metastasis (p = .042). Multivariable logistic regression demonstrated that tumors histologically ≥2 cm did not have a significant difference in poor outcomes compared to those clinically ≥2 cm (OR [95% CI] = 0.37 [0.15-1.39]).Conclusion: Postoperative defect size after MMS is a valid parameter for cSCC upstaging using BWH criteria.","PeriodicalId":11289,"journal":{"name":"Dermatologic Surgery","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144215248","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Artificial Intelligence in Medical Coding: A Comparative Analysis of ChatGPT 4.0 and Doximity GPT in Dermatologic Surgery. 医疗编码中的人工智能：皮肤外科中ChatGPT 4.0与邻域GPT的比较分析。

IF 2.5 3区医学

Dermatologic Surgery Pub Date : 2025-06-04 DOI: 10.1097/DSS.0000000000004716

Alec K Gramann, Sukul Mittal, Rajiv I Nijhawan

引用次数: 0

The Upper Lip Partial Subunit Superiorly Based Orbicularis Oris Sling Flap to Repair Upper Cutaneous Lip Defects. 上唇部分亚基上基口轮匝肌悬吊皮瓣修复上唇皮肤缺损。

IF 2.5 3区医学

Dermatologic Surgery Pub Date : 2025-06-04 DOI: 10.1097/DSS.0000000000004711

Shannon T Nugent, Arianna F Yanes, Micah Belzberg, Stacy L McMurray, Joseph F Sobanko, Christopher J Miller

{"title":"The Upper Lip Partial Subunit Superiorly Based Orbicularis Oris Sling Flap to Repair Upper Cutaneous Lip Defects.","authors":"Shannon T Nugent, Arianna F Yanes, Micah Belzberg, Stacy L McMurray, Joseph F Sobanko, Christopher J Miller","doi":"10.1097/DSS.0000000000004711","DOIUrl":"https://doi.org/10.1097/DSS.0000000000004711","url":null,"abstract":"Background: The traditional V-Y advancement flap to repair upper cutaneous lip defects may cause a fat lip or a noticeable oblique scar within the cosmetic subunit. The upper lip partial subunit superiorly based orbicularis oris sling flap is a novel modification that reduces lip fullness and hides scars along cosmetic subunit junctions.Objective: To describe the technique and aesthetic outcomes in a cohort of patients with upper cutaneous lip defects repaired with the upper lip partial subunit superiorly based orbicularis oris sling flap.Methods: A retrospective case series was performed of consecutive patients with lateral upper cutaneous lip defects reconstructed with the upper lip partial subunit superiorly based orbicularis oris sling flap from 2006 to 2021. Three independent observers graded lip symmetry and rated scar appearance with the Patient and Observer Scar Assessment Scale (POSAS).Results: Fifty-two patients were included. Independent observers favorably rated scar appearance with an average composite POSAS score of 6.9 (SD: 1.5) on a scale of 5 (normal skin) to 50 (worst possible scar). Lip symmetry was most commonly graded as excellent (80.8%) or good (13.5%). Surgical scar revision was infrequent.Conclusion: The upper lip partial subunit superiorly based orbicularis oris sling flap reduces lip fullness and hides scars along the upper lip cosmetic subunit junctions.","PeriodicalId":11289,"journal":{"name":"Dermatologic Surgery","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144215249","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Assessing the Efficacy of Compression Therapy on Second Intention Wound Healing After Dermatologic Surgery: A Randomized, Controlled Trial. 评估皮肤外科手术后压迫治疗对二次创面愈合的疗效：一项随机对照试验。

IF 2.5 3区医学

Dermatologic Surgery Pub Date : 2025-06-04 DOI: 10.1097/DSS.0000000000004710

Luke A Scherz, Carissa C Walkosak, Michael A Renzi, Tara Jennings, Erika Tvedten, Naomi Lawrence

{"title":"Assessing the Efficacy of Compression Therapy on Second Intention Wound Healing After Dermatologic Surgery: A Randomized, Controlled Trial.","authors":"Luke A Scherz, Carissa C Walkosak, Michael A Renzi, Tara Jennings, Erika Tvedten, Naomi Lawrence","doi":"10.1097/DSS.0000000000004710","DOIUrl":"https://doi.org/10.1097/DSS.0000000000004710","url":null,"abstract":"Background: Second intention healing (SIH) is an approach for lower extremity wounds after dermatologic surgery. Compression therapy has shown benefits in chronic venous insufficiency and venous ulcers, but its efficacy in promoting healing in lower extremity wounds healing by secondary intention is unclear.Objective: To evaluate the impact of compression stockings on wound healing time and postoperative complication rates in patients undergoing dermatologic surgery on the distal lower extremity with defects allowed to heal by SIH.Methods: A prospective, randomized clinical trial was conducted with 40 patients randomized to either standard wound care or compression therapy. The compression group wore knee-length compression stockings for at least 12 hours daily. The primary outcome was time to complete reepithelialization.Results: The average time to complete reepithelialization was 9.48 weeks for the compression group and 10 weeks for the standard care group, with no statistically significant difference (p = .40). Healing times were stratified by wound size, with no significant differences observed between groups.Conclusion: Compression therapy did not significantly improve healing times or reduce complication rates in patients without chronic venous insufficiency undergoing SIH after dermatologic surgery. While compression therapy is safe and well-tolerated, its benefits may be limited to specific populations.","PeriodicalId":11289,"journal":{"name":"Dermatologic Surgery","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144215244","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Use of Chalazion Forceps in Treatment of Steatocystoma Multiplex and Epidermoid Cysts on the Vulva. 外阴多重脂肪囊瘤和表皮样囊肿的应用。

IF 2.5 3区医学

Dermatologic Surgery Pub Date : 2025-06-04 DOI: 10.1097/DSS.0000000000004717

Elyse Mackenzie, Alison Romisher, Cindy Wassef

引用次数: 0

Granulation Stimulation: A Technique for Secondary Intention Healing of the Scalp With Periosteal and Bone Exposure. 肉芽刺激：一种头皮骨膜和骨外露的二次意向愈合技术。

IF 2.5 3区医学

Dermatologic Surgery Pub Date : 2025-06-04 DOI: 10.1097/DSS.0000000000004713

Sara Lee de Menezes, Kate Louise Borchard

引用次数: 0

Mohs for Melanoma With and Without MART-1 Stains: A Comparison of Outcomes. 有和没有MART-1染色的黑色素瘤Mohs：结果的比较。

IF 2.5 3区医学

Dermatologic Surgery Pub Date : 2025-05-29 DOI: 10.1097/DSS.0000000000004718

Carissa C Walkosak, Michael A Renzi, Tara Jennings, Nasrine Bendjilali, Naomi Lawrence

引用次数: 0

A Systematic Review of Follicular Unit Graft Survival Rates After Hair Transplantation in Primary Cicatricial Alopecia. 原发性瘢痕性秃发移植后毛囊单位移植存活率的系统综述。

IF 2.5 3区医学

Dermatologic Surgery Pub Date : 2025-05-29 DOI: 10.1097/DSS.0000000000004707

Valerie Yii, Anthony Moussa, Daranporn Triwongwaranat, Blake R C Smith, Bevin Bhoyrul

{"title":"A Systematic Review of Follicular Unit Graft Survival Rates After Hair Transplantation in Primary Cicatricial Alopecia.","authors":"Valerie Yii, Anthony Moussa, Daranporn Triwongwaranat, Blake R C Smith, Bevin Bhoyrul","doi":"10.1097/DSS.0000000000004707","DOIUrl":"https://doi.org/10.1097/DSS.0000000000004707","url":null,"abstract":"Background: Primary cicatricial alopecia (PCA) refers to a clinically diverse group of inflammatory hair loss disorders characterized by the irreversible destruction and scarring of hair follicles. Hair transplantation (follicular unit extraction [FUE] or strip harvesting follicular unit transplantation [FUT]) has been proposed as a treatment for inactive PCA.Objective: This study aims to evaluate the efficacy and safety of HT for the management of PCA.Methods: A systematic review was conducted to identify studies assessing treatment of PCA in adults (≥18 years) with FUE or FUT. The primary outcome measure was follicular unit (FU) graft survival rate. Secondary outcomes included postoperative complications and patient satisfaction.Results: Eight observational studies with a total of 123 patients met the inclusion criteria. Overall, the weighted FU graft survival rate after HT was 82.7% at 7 to 12 months, 73.3% at 13 to 24 months, 58.4% at 25 to 36 months, 55.4% at 37 to 48 months and 39.6% at 49 to 72 months. Four patients developed reactivation of their disease after HT.Conclusion: The FU graft survival rate after FUE or FUT for the management of inactive PCA peaks at 1 year and diminishes over time.","PeriodicalId":11289,"journal":{"name":"Dermatologic Surgery","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144173003","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0