Dermatologic Surgery最新文献_第2页

Reconstruction of a Full-Thickness Earlobe Defect After Basal Cell Carcinoma Resection. 基底细胞癌切除术后的全厚耳垂缺损重建术

IF 2.5 3区医学

Dermatologic Surgery Pub Date : 2024-11-01 Epub Date: 2024-02-23 DOI: 10.1097/DSS.0000000000004133

Anna Lipke, Sabine Kastler, Evelyne Diana Tarnowietzki, Diana Crisan

引用次数: 0

Changing Dermatologic Procedural Patterns in the Medicare Population: A National Trend Analysis. 医疗保险人群中不断变化的皮肤科手术模式：全国趋势分析。

IF 2.5 3区医学

Dermatologic Surgery Pub Date : 2024-11-01 Epub Date: 2024-06-05 DOI: 10.1097/DSS.0000000000004263

Christian Gronbeck, Neelesh P Jain, Albert E Zhou, Brett Sloan, Hao Feng

{"title":"Changing Dermatologic Procedural Patterns in the Medicare Population: A National Trend Analysis.","authors":"Christian Gronbeck, Neelesh P Jain, Albert E Zhou, Brett Sloan, Hao Feng","doi":"10.1097/DSS.0000000000004263","DOIUrl":"10.1097/DSS.0000000000004263","url":null,"abstract":"Background: Dermatologists are trained in diagnostic and therapeutic procedures for cutaneous lesions, yet comparative trends for basic dermatologic procedures across dermatology providers are lacking at the national level.Objective: To trend common dermatologic procedures among general dermatologists, Mohs surgeons, primary care providers or primary care physicians (PCPs), and nonphysician clinicians (NPCs).Methods: Longitudinal analysis of 2016 to 2021 Medicare Public Use Files.Results: Aggregate dermatologic procedural volume decreased 3.0%. Procedural volume declined among general dermatologists (-11.7%), Mohs surgeons (-16.7%), and PCPs (-41.7%) but increased among NPCs (+57.5%). The proportion of procedures by general dermatologists decreased substantially for premalignant destructions (-6.2%), skin biopsies and shave removals (-4.7%), and malignant excisions (-4.1%) and more notably in counties that were nonmetro (-7.1%), low in income (-6.1%), and with <4.0 dermatologists per 100,000 population (-7.0%).Conclusion: Aggregate procedural volume decreased across the study period with general dermatologists, Mohs surgeons, and PCPs performing a progressively smaller proportion. The increase in procedures by NPCs may help to address demand but underscores the value of formalized procedural training. The procedural decline by general dermatologists in rural and low-income counties and those with baseline dermatologist shortages may exacerbate existing unmet need. Primary limitation included lack of commercial data.","PeriodicalId":11289,"journal":{"name":"Dermatologic Surgery","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141261125","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

Amelanotic Lentigo Maligna Melanoma Masquerading as Erythematotelangiectatic Rosacea. 伪装成红斑狼疮的褐青色斑痣黑色素瘤

IF 2.5 3区医学

Dermatologic Surgery Pub Date : 2024-11-01 Epub Date: 2024-05-31 DOI: 10.1097/DSS.0000000000004264

Lindsey M Voller, Elizabeth E Bailey, Kerri E Rieger, Nour Kibbi

引用次数: 0

Clinical Versus Histologic Margins for Cutaneous Squamous Cell Carcinoma: Comparing Outcomes for High-Risk Tumors Treated With Mohs Micrographic Surgery. 皮肤鳞状细胞癌的临床边缘与组织学边缘：比较采用莫氏显微外科手术治疗高风险肿瘤的效果。

IF 2.5 3区医学

Dermatologic Surgery Pub Date : 2024-11-01 Epub Date: 2024-06-18 DOI: 10.1097/DSS.0000000000004278

Margit L W Juhasz, Amanda H Rosenthal, Tuyet A Nguyen, Nima M Gharavi

{"title":"Clinical Versus Histologic Margins for Cutaneous Squamous Cell Carcinoma: Comparing Outcomes for High-Risk Tumors Treated With Mohs Micrographic Surgery.","authors":"Margit L W Juhasz, Amanda H Rosenthal, Tuyet A Nguyen, Nima M Gharavi","doi":"10.1097/DSS.0000000000004278","DOIUrl":"10.1097/DSS.0000000000004278","url":null,"abstract":"Background: High-risk cutaneous squamous cell carcinoma (cSCC) is associated with poor clinical outcomes. Traditionally, preoperative clinical tumor size ≥2 cm, based on Brigham and Women's Hospital (BWH) staging criteria, is high risk.Objective: To compare outcomes of cSCC treated with Mohs micrographic surgery (MMS) with a preoperative size ≥2 cm (clinically ≥2 cm) versus cSCC with preoperative size <2 cm and postoperative defect size ≥2 cm (histologically ≥2 cm).Methods: Prospective data were collected from January 1, 2014, to December 31, 2020, on MMS cases for cSCC with a preoperative and/or postoperative size ≥2 cm. Clinical outcomes were followed until March 15, 2023. Data were analyzed using multivariate regression.Results: Three hundred thirty cases of MMS for cSCC were included. Cutaneous squamous cell carcinoma clinically ≥2 cm occurred more frequently in elderly patients; cSCC histologically ≥2 cm were more commonly located in the H region, required wider surgical margins, and more MMS stages to achieve clearance. There were no significant differences in rates of recurrence and metastasis between the groups.Conclusion: These data suggest that postoperative (histologic) MMS defect size may allow for better risk stratification of high-risk cSCC and improved staging of cSCC.","PeriodicalId":11289,"journal":{"name":"Dermatologic Surgery","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141418283","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

Topical Platelet Exosomes Reduce Senescence Signaling in Human Skin: An Exploratory Prospective Trial. 局部血小板外泌体可减少人类皮肤的衰老信号：一项探索性前瞻性试验

IF 2.5 3区医学

Dermatologic Surgery Pub Date : 2024-11-01 Epub Date: 2024-10-04 DOI: 10.1097/DSS.0000000000004426

Saranya P Wyles, Grace T Yu, Michael Gold, Atta Behfar

{"title":"Topical Platelet Exosomes Reduce Senescence Signaling in Human Skin: An Exploratory Prospective Trial.","authors":"Saranya P Wyles, Grace T Yu, Michael Gold, Atta Behfar","doi":"10.1097/DSS.0000000000004426","DOIUrl":"10.1097/DSS.0000000000004426","url":null,"abstract":"Background: Cellular senescence, an irreversible cell cycle arrest with secretory phenotype, is a hallmark of skin aging. Regenerative exosome-based approaches, such as topical human platelet extract (HPE), are emerging to target age-related skin dysfunction.Objective: To evaluate the cellular and molecular effects of topical HPE for skin rejuvenation after 12 weeks of twice daily use.Methods: Skin biopsies were obtained for histological evaluation of senescence markers, p16INK4a and p21CIP1/WAF1. Telomere-associated foci, coassociation of telomeres, and DNA damage marker, γH2AX, were assessed. RNA sequencing evaluated senescence associated secretory phenotype (SASP) and extracellular matrix pathways.Results: p16INK4a and p21CIP1/WAF1 staining in senescent skin cells revealed low and high expression subgroups that did not correspond to chronological age. Topical HPE significantly reduced high p16INK4a cells in the dermis (p = .02). There was also a decrease in telomere damage after topical HPE (p = .03). In patients with high senescent cells at baseline, there was a 40% reduction in proinflammatory SASP. Extracellular matrix remodeling pathways, including collagen and elastic fibers, were up-regulated.Conclusion: Topical HPE, applied on intact skin, reduced senescence signaling and senescence-associated telomere damage after 12 weeks of twice daily use, targeting a path for skin longevity or healthy skin aging.","PeriodicalId":11289,"journal":{"name":"Dermatologic Surgery","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11524632/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142544340","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Efficacy of 785-nm Picosecond Titanium Sapphire Laser for Treatment of Brown Nevus of Ota Lesions in FST II-V: A Retrospective Analysis. 785 纳米皮秒钛蓝宝石激光治疗 FST II-V 太田褐痣的疗效：回顾性分析

IF 2.5 3区医学

Dermatologic Surgery Pub Date : 2024-11-01 Epub Date: 2024-06-18 DOI: 10.1097/DSS.0000000000004267

Ritu N Swali, Blanca Estupiñan, Emily L Guo, Heather Richmond, Paul M Friedman

{"title":"Efficacy of 785-nm Picosecond Titanium Sapphire Laser for Treatment of Brown Nevus of Ota Lesions in FST II-V: A Retrospective Analysis.","authors":"Ritu N Swali, Blanca Estupiñan, Emily L Guo, Heather Richmond, Paul M Friedman","doi":"10.1097/DSS.0000000000004267","DOIUrl":"10.1097/DSS.0000000000004267","url":null,"abstract":"Background: Nevus of Ota (NOTA) is a dermal melanocytosis acquired in early childhood or pregnancy. Given their color variability, NOTA often require a combination of wavelengths for successful treatment. Quality-switched lasers have consistently shown efficacy in targeting dermal pigment, while picosecond lasers (PSLs) are an emerging technology for pigmentary disorders.Objective: To further elucidate its efficacy, the authors conducted a retrospective review of 17 patients with NOTA treated with a 785-nm PSL for brown NOTA lesions between 2021 and 2023.Materials and methods: The primary end point analyzed clinical improvement based on before and after photography reviewed by 3 board-certified dermatologists using a five-point visual analog scale.Results: Seventeen patients of Fitzpatrick skin types (FSTs) II to V, ranging from ages 14 to 38 years, were included in this study. Patients were treated for an average of 3.2 sessions in 2 to 3-month intervals. Visual analog scale scores demonstrated a mean clearance of 51% to 75%. No pigmentary alterations were noted.Conclusion: Because NOTA is common in higher FSTs, the authors believe that the 785-nm PSL is an excellent treatment option for brown NOTA in these skin types. This study highlights the need for further investigation to determine optimal treatment parameters for the color-based laser treatment approach for NOTA.","PeriodicalId":11289,"journal":{"name":"Dermatologic Surgery","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141418284","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

Clues for Facial Perceived Age: Exercise, Sun Protection, Photoaging, and Anthropometric Properties: An Observational Cross-Sectional Study. 面部感知年龄的线索：运动、防晒、光老化和人体测量特性：一项观察性横断面研究。

IF 2.5 3区医学

Dermatologic Surgery Pub Date : 2024-11-01 Epub Date: 2024-06-20 DOI: 10.1097/DSS.0000000000004276

Ozlem Dundar Yolsal, Pelin Esme, Sevilay Karahan, Ilker Tasci, Ercan Caliskan

{"title":"Clues for Facial Perceived Age: Exercise, Sun Protection, Photoaging, and Anthropometric Properties: An Observational Cross-Sectional Study.","authors":"Ozlem Dundar Yolsal, Pelin Esme, Sevilay Karahan, Ilker Tasci, Ercan Caliskan","doi":"10.1097/DSS.0000000000004276","DOIUrl":"10.1097/DSS.0000000000004276","url":null,"abstract":"Background and objectives: The effect of environmental and genetic factors on the aging process is widely acknowledged. Yet, the extent to which each factor decisively contributes to the perception of looking younger or older remains a subject of debate. This study seeks to identify the factors linked to the perceived age among Turkish women.Patients and methods: Ten assessors scored the perceived ages of 250 female patients based on facial photographs. The study aimed to assess the impact of environmental factors and anthropometric measurements on the perception of aging. A comprehensive analysis involved conducting 9 perioral and 6 periorbital anthropometric measurements on all study participants.Results: Exercise ( p = .001), mild photodamage (stage 1-2) ( p = .001), consistent sunscreen use ( p = .001), the length of the palpebral fissure ( p = .043), and the height of the upper vermilion ( p = .019) demonstrated significant associations with a more youthful appearance.Conclusion: Environmental factors, including exercise, photoprotection, sunscreen use, and anthropometric measurements such as palpebral fissure length and upper vermilion height, play a significant role in contributing to a more youthful appearance.","PeriodicalId":11289,"journal":{"name":"Dermatologic Surgery","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141426591","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

Harnessing Auricular Lobule Redundancy: An Optimal Skin Graft Reservoir. 利用耳廓小叶冗余：最佳皮肤移植库

IF 2.5 3区医学

Dermatologic Surgery Pub Date : 2024-11-01 Epub Date: 2024-05-16 DOI: 10.1097/DSS.0000000000004244

Ashley E McGuinness, Frank Z Jing, Kirk Sidey, Nahid Y Vidal

引用次数: 0

Evaluating the Sterility, Microbial Profile, and Safety of Stored Partial Hyaluronic Acid Syringes: Clinical Experience and a Review of the Literature. 评估储存的部分透明质酸注射器的无菌性、微生物特征和安全性：临床经验与文献综述。

IF 2.5 3区医学

Dermatologic Surgery Pub Date : 2024-11-01 Epub Date: 2024-05-29 DOI: 10.1097/DSS.0000000000004259

Shealinna Ge, Margaret Weiss

引用次数: 0

Beautifully Average: Defining Averageness and How It Relates to Dermatology. 美丽平凡：定义平均值及其与皮肤病学的关系。

IF 2.5 3区医学

Dermatologic Surgery Pub Date : 2024-11-01 Epub Date: 2024-05-29 DOI: 10.1097/DSS.0000000000004250

Jessica G Labadie, Mayra B C Maymone, Neelam A Vashi, Jeffrey S Dover

引用次数: 0