Dermatologic Surgery最新文献

{"title":"Temple Volumization With Autologous Fat: A Systematic Review of the Literature.","authors":"Daniel P Friedmann, Kathryn Hinchee-Rodriguez, Kritin K Verma","doi":"10.1097/DSS.0000000000004688","DOIUrl":"10.1097/DSS.0000000000004688","url":null,"abstract":"<p><strong>Background: </strong>Facial aging leads to cosmetically unappealing temporal volume loss.</p><p><strong>Objective: </strong>To systematically review the literature regarding temporal volumization with autologous fat.</p><p><strong>Methods: </strong>PubMed, Scopus, Embase, and Cochrane databases were queried with relevant terms for all articles describing temporal volumization with autologous fat. Studies unrelated to temporal volumization, using synthetic fillers, without novel clinical/patient data, or unavailable in English were excluded, as were published abstracts of already included studies or with insufficient detail. Included article reference lists were also reviewed.</p><p><strong>Results: </strong>Database query yielded 1,224 unique articles. After screening, evaluation for duplicates and inclusion/exclusion criteria, and reference review, 45 articles with 1,239 patients were included and analyzed. Significant improvements in subcutaneous fat thickness/augmentation and investigator-/subject-graded efficacy criteria were reported, with a mean volume retention rate of 42.11% ± 11.50% (32.6%-65.7%) at 12 months. Ecchymosis (43.68%, 114/261) was the most common posttreatment adverse event. No infections, nerve dysfunction, or fat necrosis were described. Two cases of cutaneous necrosis/scarring and 22 cases of embolic serious adverse events leading to ocular injury, neurologic impairment, and/or death were reviewed.</p><p><strong>Conclusion: </strong>Temporal volume loss can be effectively improved with autologous fat. Although predominantly a safe procedure, rare yet serious adverse events due to distal embolization have been reported.</p>","PeriodicalId":11289,"journal":{"name":"Dermatologic Surgery","volume":" ","pages":"959-966"},"PeriodicalIF":2.2,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144093162","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":"Utilizing Box Breathing to Reduce Stress and Anxiety During Mohs Surgery.","authors":"Sofia G Rossini, Rachel Reingold, Kira Minkis","doi":"10.1097/DSS.0000000000004892","DOIUrl":"https://doi.org/10.1097/DSS.0000000000004892","url":null,"abstract":"","PeriodicalId":11289,"journal":{"name":"Dermatologic Surgery","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145205878","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":"Applications, Ethical Considerations, and Patient Perspectives on Artificial Intelligence in Dermatologic Surgery: Focus on Mohs Surgery.","authors":"Mohammad Fardos, Patricia Miller, Jon Ward, Richard Miller","doi":"10.1097/DSS.0000000000004690","DOIUrl":"10.1097/DSS.0000000000004690","url":null,"abstract":"<p><strong>Background: </strong>Artificial intelligence (AI) is increasingly used in health care and has the potential to revolutionize Mohs micrographic surgery (MMS) by improving diagnostic accuracy and workflow efficiency.</p><p><strong>Objective: </strong>To provide an overview of AI in MMS, including its principles, applications, limitations, ethical considerations, and patient perceptions.</p><p><strong>Materials and methods: </strong>A comprehensive search of PubMed was conducted for studies published from 2010 onward using the following key terms: (\"Artificial Intelligence\" OR \"Machine Learning\") AND (\"Dermatologic Surgery\" OR \"Dermatology\" OR \"Mohs Surgery\") AND (\"Ethics\" OR \"Patient Perspectives\"), along with related MeSH terms.</p><p><strong>Results: </strong>AI applications, including diagnostic support, histologic classification, and workflow optimization, demonstrate potential to enhance efficiency and clinical outcomes. Studies report high accuracy in tumor detection, case complexity prediction, and surgical planning, yet challenges remain, particularly in data privacy, transparency, informed consent, and algorithmic bias. Patient attitudes are mixed, with most preferring AI as an assistive tool rather than a standalone diagnostic system. Although AI has been shown to streamline workflows and improve procedural efficiency, its clinical adoption is still in early stages, requiring further validation, regulatory approval, and standardization.</p><p><strong>Conclusion: </strong>AI can enhance efficiency, accuracy, and outcomes in MMS, but its implementation must prioritize patient welfare, transparency, and accountability.</p>","PeriodicalId":11289,"journal":{"name":"Dermatologic Surgery","volume":" ","pages":"930-934"},"PeriodicalIF":2.2,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144076497","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":"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":"10.1097/DSS.0000000000004720","url":null,"abstract":"<p><strong>Background: </strong>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.</p><p><strong>Objective: </strong>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.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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]).</p><p><strong>Conclusion: </strong>Postoperative defect size after MMS is a valid parameter for cSCC upstaging using BWH criteria.</p>","PeriodicalId":11289,"journal":{"name":"Dermatologic Surgery","volume":" ","pages":"935-941"},"PeriodicalIF":2.2,"publicationDate":"2025-10-01","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}

{"title":"Dermatologic Oncology: The Past 50 Years.","authors":"Erika Tvedten, Tara Jennings, Murad Alam, David Carr, John Carucci, Laurin Council, Daniel Eisen, Naomi Lawrence","doi":"10.1097/DSS.0000000000004871","DOIUrl":"10.1097/DSS.0000000000004871","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;Over the past five decades, dermatologic oncology has evolved with advances in both diagnosis and treatment of common and rare cutaneous malignancies. Melanoma, basal cell carcinoma (BCC), and cutaneous squamous cell carcinoma (cSCC) are the most frequently studied skin cancers, while in recent years, there is increasing attention on rarer tumors such as Merkel cell carcinoma (MCC), extramammary Paget disease (EMPD), and dermatofibrosarcoma protuberans (DFSP). As the field has grown, Dermatologic Surgery ( DS ) has been at the forefront of shaping and reflecting these developments.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Objective: &lt;/strong&gt;The authors' purpose in this article was to explore the numerous historical advancements in dermatologic oncology. The authors primarily focus on the three most common cutaneous tumors: BCC, cSCC, and melanoma, but the authors also cover in less detail three rare tumors: MCC, DFSP, and EMPD. The authors highlight the role of DS in this evolution.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Materials and methods: &lt;/strong&gt;To identify studies to include or consider for this rapid review of the literature on the history of melanoma, BCC, cSCC, MCC, EMPD, and DFSP, the research team reviewed search terms to verify accuracy and relevance. One author (ET) developed a separate search strategy for each database in the methodology of a rapid review, aiming to accelerate evidence synthesis by streamlining traditional systematic review methods. The author searched the PubMed database (1975-present) and the DS database using the advanced search function. All database searches were conducted on February 25, 2025, and rerun on April 20, 2025. Each search included \"dermatologic surgery\" to specifically isolate dermatologic oncology in the dermatologic surgery literature. The full search strategies are provided in Supplemental Digital Content 1 , Appendices A and B, http://links.lww.com/DSS/B734 . Supplemental Digital Content 2 , Appendix B, http://links.lww.com/DSS/B734 searches were further separated into each year from 1975 to 2025.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;Between 1975 and April 20, 2025, there are 2,258 articles on PubMed related to Melanoma, and DS contains 602 of those articles (26.5%). There are 3,072 articles on PubMed for BCC, and of these, 164 are in DS (5.3%). There are 2,737 articles for cSCC on PubMed, and DS has published 129 (4.7%). Similarly, for MCC, EMPD, and DFSP, the total number of published articles since 1975 is 187, 186, and 359, respectively. Dermatologic Surgery has contributed 21 (11.2%), 19 (10.2%), and 87 (24.2%) of those articles for MCC, EMPD, and DFSP, respectively.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusion: &lt;/strong&gt;Dermatologic Surgery has played an important role in the evolution of dermatologic oncology, both by advancing the field and serving as a key platform for disseminating research. Over the past 50 years, the scope of research has expanded and shifted to explore new areas of study, accompanied by a significant rise ","PeriodicalId":11289,"journal":{"name":"Dermatologic Surgery","volume":" ","pages":"919-929"},"PeriodicalIF":2.2,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145032967","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":"Utilizing Wood's Lamp to Demarcate Excisional Margins for Melanoma: A Retrospective Chart Review.","authors":"Kaycee Nguyen, Neha Arora, Oliver Ha, Lindsay Bicknell, Chad Housewright","doi":"10.1097/DSS.0000000000004894","DOIUrl":"https://doi.org/10.1097/DSS.0000000000004894","url":null,"abstract":"","PeriodicalId":11289,"journal":{"name":"Dermatologic Surgery","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145205895","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":"Approach to a Large Forehead and Brow Defect in Patient Requiring Adjuvant Radiotherapy.","authors":"Eve N Tranchito, Daniel Karasik, Shawn Li, Cyrus C Rabbani","doi":"10.1097/DSS.0000000000004409","DOIUrl":"10.1097/DSS.0000000000004409","url":null,"abstract":"","PeriodicalId":11289,"journal":{"name":"Dermatologic Surgery","volume":" ","pages":"979-981"},"PeriodicalIF":2.2,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142343635","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":"Clinical and Histologic Correlation of Dermal Microwave Energy for Axillary Bromhidrosis.","authors":"Jordan V Wang, Neil Jairath, Roy G Geronemus","doi":"10.1097/DSS.0000000000004677","DOIUrl":"10.1097/DSS.0000000000004677","url":null,"abstract":"","PeriodicalId":11289,"journal":{"name":"Dermatologic Surgery","volume":" ","pages":"997-999"},"PeriodicalIF":2.2,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143971095","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":"Retrospective Review of Superficial Serial Microdroplet Technique for Glabellar Filler.","authors":"Robyn Siperstein","doi":"10.1097/DSS.0000000000004676","DOIUrl":"10.1097/DSS.0000000000004676","url":null,"abstract":"<p><strong>Background: </strong>Injecting fillers in the glabella is dangerous due to numerous arterial vessels connecting to the ophthalmic artery putting patients at risk for skin necrosis and blindness.</p><p><strong>Objective: </strong>Analyze the incidence of side effects with a superficial microdroplet glabellar injection technique.</p><p><strong>Materials and methods: </strong>A retrospective review was done in a private practice of one board-certified dermatologist's patients' charts utilizing a superficial serial microdroplet technique with a 30-gauge needle to treat etched glabellar rhytides from 2013 to 2023.</p><p><strong>Results: </strong>The review identified 719 glabellar injections performed on 23 men and 696 women with an average age of 69. There were reports of mild bruising, swelling, and bumps, all resolving within 2 weeks. There were no serious complications such as infection, vascular occlusions, or granulomas and no long-term or delayed onset complications reported. There was one case of a glabellar vascular occlusion referred to the author for treatment during the review period by an injector trained in this technique.</p><p><strong>Conclusion: </strong>Injecting filler in the glabella is high risk, with the possibility of causing skin necrosis and blindness. Even with a safer microdroplet technique, most injectors should avoid this area, and advanced injectors planning this treatment should have knowledge of the anatomy and an understanding of techniques to decrease the risk.</p>","PeriodicalId":11289,"journal":{"name":"Dermatologic Surgery","volume":" ","pages":"967-974"},"PeriodicalIF":2.2,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143986374","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":"Migratory Squamous Atypia After Mohs Surgery.","authors":"Wilson Omesiete, Olivia G Cohen, Mark Russell","doi":"10.1097/DSS.0000000000004902","DOIUrl":"https://doi.org/10.1097/DSS.0000000000004902","url":null,"abstract":"","PeriodicalId":11289,"journal":{"name":"Dermatologic Surgery","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145205906","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}