Dermatologic Surgery最新文献

{"title":"Advances in Laser Treatments for Seborrheic Keratosis: A Scoping Review of Efficacy, Safety, and Patient Outcomes.","authors":"Thomas Stirrat, Sach Thakker, Deeptha Bejugam, Ambreen Mariyam, Steven Svoboda, Adam Tinklepaugh, Taylor Gray","doi":"10.1097/DSS.0000000000004868","DOIUrl":"10.1097/DSS.0000000000004868","url":null,"abstract":"<p><strong>Background: </strong>Seborrheic keratoses (SKs) are ubiquitous benign epidermal tumors that prompt cosmetic and symptomatic concerns.</p><p><strong>Objective: </strong>To map existing evidence on laser-based management of SKs and identify knowledge gaps.</p><p><strong>Materials and methods: </strong>A PRISMA-guided search (PubMed, Embase, CINAHL, MEDLINE, Web of Science, CENTRAL) retrieved 22 studies (1,492 patients) that met prespecified inclusion criteria.</p><p><strong>Results: </strong>Ablative CO 2 and Er:YAG devices achieved single-session clearance in up to 90% of lesions, whereas pigment-selective nonablative modalities (755-nm alexandrite, 1,064-nm Nd:YAG, 532-nm KTP, 585-nm pulsed-dye, 730-nm and 755-nm picosecond) required a mean of 1 to 3 sessions. Recurrence ranged from 0% to 6% at ≤12-month follow-up. Patient-reported satisfaction varied from moderate to high (64%-95%). Adverse events were generally mild and transient (erythema, edema, postinflammatory dyschromia).</p><p><strong>Conclusion: </strong>Current evidence supports laser therapy as a safe, effective alternative to cryotherapy, curettage, and electrosurgery, especially when cosmesis is paramount. Standardized parameters and trials that enroll diverse skin types are overdue.</p>","PeriodicalId":11289,"journal":{"name":"Dermatologic Surgery","volume":" ","pages":"338-343"},"PeriodicalIF":2.2,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145039385","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}

{"title":"Early Takedown of Postauricular, Melolabial, and Paramedian Forehead Interpolation Flaps: A Retrospective Cohort Study.","authors":"Luke A Scherz, Michael Renzi, Tara Jennings, Naomi Lawrence","doi":"10.1097/DSS.0000000000004852","DOIUrl":"10.1097/DSS.0000000000004852","url":null,"abstract":"<p><strong>Background: </strong>Staged interpolation flaps remain central to reconstructing complex facial defects, with traditional pedicle takedown occurring approximately 3 weeks postoperatively. However, prolonged pedicle duration may cause patient discomfort and impair quality of life.</p><p><strong>Objective: </strong>To evaluate the safety and outcomes of early takedown (<21 days) versus conventional takedown (≥21 days) across 3 commonly used interpolation flaps: postauricular, melolabial, and paramedian forehead.</p><p><strong>Methods/materials: </strong>Retrospective cohort study including patients who underwent one of the 3 interpolation flaps. Patients were stratified by takedown timing. Complication rates and flap characteristics were compared between early and conventional takedown groups.</p><p><strong>Results: </strong>A total of 141 patients were included: 75 postauricular (52 early), 38 melolabial (23 early), and 28 paramedian forehead flaps (14 early). Across all flap types, complication rates (infection, dehiscence, necrosis) were low and did not differ significantly between early and conventional takedown groups. Flap and defect sizes were comparable.</p><p><strong>Conclusion: </strong>Early takedown of postauricular, melolabial, and paramedian forehead interpolation flaps at 2 weeks is safe and not associated with increased complications or poor surgical outcome.</p>","PeriodicalId":11289,"journal":{"name":"Dermatologic Surgery","volume":" ","pages":"321-323"},"PeriodicalIF":2.2,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144999897","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}

{"title":"Mohs Micrographic Surgery for Penile Squamous Cell Carcinoma: A Systematic Review.","authors":"Jonathan D Greenzaid, Ainsley J Ruley, Kelly M Kimball, David R Carr, Christine Ahn, Kathryn T Shahwan","doi":"10.1097/DSS.0000000000005104","DOIUrl":"https://doi.org/10.1097/DSS.0000000000005104","url":null,"abstract":"<p><strong>Background: </strong>Squamous cell carcinomas (SCCs) of the penis are often treated with partial or total penectomy. Although penectomy has low recurrence rates, it often leads to psychosocial distress and disfigurement. Mohs micrographic surgery (MMS) is a tissue-preserving treatment modality, but data on recurrence rates are limited and the National Comprehensive Cancer Network (NCCN) guidelines recommend it only for in situ and stage T1 tumors in select cases, based on the American Joint Committee on Cancer (AJCC) eighth edition staging criteria.</p><p><strong>Objective: </strong>This study systematically reviews clinical studies on MMS for penile SCC, summarizing disease outcomes and surgical complications.</p><p><strong>Methods: </strong>A systematic review was conducted using Ovid MEDLINE, Embase, Cochrane, CINAHL, and Web of Science for studies published through October 23, 2024.</p><p><strong>Results: </strong>Nineteen studies with 329 penile SCCs met inclusion criteria. Local recurrence (n = 15, 5%), nodal metastasis (n = 8, 3%), distant metastasis (n = 1, 0.3%) and disease-specific death (n = 3, 1%) were rare. Urologic Surgery collaboration was utilized in 27% of cases, performing procedures including urethrectomy, meatotomy, and reconstruction. Complications occurred in 9%, including poor wound healing (n = 11, 3%), urethral stricture (n = 11, 3%), wound infection (n = 3, 1%), and bleeding (n = 2, 1%). Patients with advanced-stage (T2/T3) tumors had higher rates of local recurrence (8% vs 1%), and similar rates of nodal (2% vs 1%) and distant metastasis (0% vs 1%), compared to patients with early-stage tumors (Tis/T1).</p><p><strong>Conclusion: </strong>Mohs micrographic surgery is a penis-sparing surgical approach with low recurrence rates in low-stage tumors. Multidisciplinary collaboration with Urology is recommended in cases of advanced-stage tumors, anticipated reconstruction, or urethral involvement. Further research is needed, as the level of evidence was low in this systematic review.</p>","PeriodicalId":11289,"journal":{"name":"Dermatologic Surgery","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2026-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147615955","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}

{"title":"The Map Is Not the Territory: Commentary on \"Establishing a Vocabulary for Skin Quality: Working Toward Consensus Skin Attribute Definitions From the Patient and Physician Perspective\".","authors":"Daniel Isaac Schlessinger","doi":"10.1097/DSS.0000000000005102","DOIUrl":"https://doi.org/10.1097/DSS.0000000000005102","url":null,"abstract":"","PeriodicalId":11289,"journal":{"name":"Dermatologic Surgery","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2026-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147615983","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}

{"title":"Circulating Tumor DNA as a Predictor of Recurrence and Survival in Cutaneous Melanoma Treated With Dermatologic Surgery: A Review.","authors":"Sabine L Abukhadra, Daniel B Eisen","doi":"10.1097/DSS.0000000000005100","DOIUrl":"https://doi.org/10.1097/DSS.0000000000005100","url":null,"abstract":"<p><strong>Background: </strong>Circulating tumor DNA (ctDNA) measures cancer-specific genetic material migrated from a tumor to a patient's bloodstream. Limited research exists aggregating data on ctDNA as a measure of recurrence, treatment success, and survival in patients with melanoma.</p><p><strong>Objective: </strong>The authors aim to evaluate evidence for ctDNA as a measurement of recurrence and survival, and how those results differ by tumor grade and measurement time point in cutaneous melanoma treated with dermatologic surgery.</p><p><strong>Methods: </strong>An OVID Medline search and manual filtering resulted in six studies meeting the inclusion criteria: evaluating survival and/or disease recurrence by ctDNA measurement in patients with cutaneous melanoma who had undergone dermatologic surgery.</p><p><strong>Results: </strong>Sequencing methods varied: some studies analyzed known gene mutations and others developed individual tumor assays. Individual assays provide more information but are less practical to perform. Significant relationships between postoperative ctDNA level and disease recurrence and survival were found in multiple studies. The most represented stages of melanoma included were II and III. All studies measured postoperative ctDNA, but at unique time points.</p><p><strong>Conclusion: </strong>ctDNA measurement may be a useful tool in measuring treatment efficacy and disease recurrence in patients with cutaneous melanoma treated with dermatologic surgery.</p>","PeriodicalId":11289,"journal":{"name":"Dermatologic Surgery","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2026-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147615985","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}

{"title":"Expect the Unexpected: Discovering Breast Cancer Recurrence Upon Histopathologic Analysis During Mohs Micrographic Surgery.","authors":"Olivia G Cohen, Lydia A Luu, Shyam S Raghavan, Mark Russell","doi":"10.1097/DSS.0000000000005105","DOIUrl":"https://doi.org/10.1097/DSS.0000000000005105","url":null,"abstract":"","PeriodicalId":11289,"journal":{"name":"Dermatologic Surgery","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2026-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147615968","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}

{"title":"Incidental Findings in Imaging Studies for Perioperative Management of Head and Neck Cutaneous Squamous Cell Carcinomas.","authors":"Michael M Ong, Cameron Moattari, Bernard O'Malley, Karen L Connolly","doi":"10.1097/DSS.0000000000005036","DOIUrl":"https://doi.org/10.1097/DSS.0000000000005036","url":null,"abstract":"","PeriodicalId":11289,"journal":{"name":"Dermatologic Surgery","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2026-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147527726","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}

{"title":"Management of a Complication of At-Home High-Strength Glycolic Acid Peels.","authors":"Olivia M Burke, Michelle Chang, Kristina Derrick, Jeannette Jakus","doi":"10.1097/DSS.0000000000005087","DOIUrl":"https://doi.org/10.1097/DSS.0000000000005087","url":null,"abstract":"","PeriodicalId":11289,"journal":{"name":"Dermatologic Surgery","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2026-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147527721","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}

{"title":"Does Cumulative Exposure to Overfilled Faces Cause Visual Adaptation?","authors":"Anna Kasielska-Trojan, Joanna Kempa-Timler, Sebastian Cotofana, Michael Alfertshofer, Bogusław Antoszewski, Eleonora Bielawska-Batorowicz","doi":"10.1097/DSS.0000000000005048","DOIUrl":"10.1097/DSS.0000000000005048","url":null,"abstract":"<p><strong>Background: </strong>Aesthetic medicine procedures became popular influencing perceptions of beauty. Attractiveness is shaped by factors such as sex, ethnicity, and level of familiarity. Repeated exposure to over-treated faces may change the sense of aesthetic norms potentially influencing the way of performed treatments.</p><p><strong>Objective: </strong>The aim of the study was to investigate how exposure to faces that have undergone excessive aesthetic treatments influences facial perception and the evaluation of attractiveness, masculinity, and femininity by medical and nonmedical observers.</p><p><strong>Methods: </strong>Sixteen pictures (14 modified and 2 unmodified) of female and male models were observed and assessed by 50 volunteers of Polish origin. The study was conducted in 2 phases, both involving eye-tracking and survey evaluations of the same faces. After 4 weeks, same assessment was repeated after exposure to \"drift inducers,\" which were 50 images of individuals who had undergone excessive aesthetic procedures resulting in an artificial appearance.</p><p><strong>Results: </strong>Medical and nonmedical observers showed no differences in time to first fixation or total fixation duration. No difference in gaze patterns has been found between 2 phases of the study. However, female modified lips were evaluated more feminine by physicians.</p><p><strong>Conclusion: </strong>Participants with medical background tend to evaluate modified faces more negatively than random observers. However, overfilled lips are the most acceptable facial modifications among them which may result from visual adaptation effect, especially after cumulative exposure.</p>","PeriodicalId":11289,"journal":{"name":"Dermatologic Surgery","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2026-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146178502","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}

{"title":"Rejuvenating the Periocular Region With a TCA-Croton Oil Peel.","authors":"Gustavo Carneiro Nogueira, Raquel Iracema de Freitas Macedo Oliveira, Vinícius de Souza, Hélio Amante Miot","doi":"10.1097/DSS.0000000000005019","DOIUrl":"10.1097/DSS.0000000000005019","url":null,"abstract":"","PeriodicalId":11289,"journal":{"name":"Dermatologic Surgery","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2026-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147484910","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}