Dermatologic Surgery最新文献_第4页

Medicare Trends in Auricular Cartilage and Composite Graft Utilization Among Mohs Surgeons and Other Specialists From 2013 to 2022. 从2013年到2022年，Mohs外科医生和其他专家耳廓软骨和复合移植物使用的医疗保险趋势。

IF 2.5 3区医学

Dermatologic Surgery Pub Date : 2025-05-19 DOI: 10.1097/DSS.0000000000004695

Samantha S Sattler, Andrea Tan, Jordan B Slutsky

{"title":"Medicare Trends in Auricular Cartilage and Composite Graft Utilization Among Mohs Surgeons and Other Specialists From 2013 to 2022.","authors":"Samantha S Sattler, Andrea Tan, Jordan B Slutsky","doi":"10.1097/DSS.0000000000004695","DOIUrl":"https://doi.org/10.1097/DSS.0000000000004695","url":null,"abstract":"Background: Cartilage and composite grafts are technically challenging yet remain valuable reconstruction methods in Mohs surgery. The frequency of utilization by Mohs surgeons is currently unknown.Objective: To determine the frequency of auricular cartilage and composite graft utilization by Mohs surgeons compared with other specialists treating the Medicare population and to quantify total Mohs surgeons using these grafts.Materials and methods: A cross-sectional analysis was performed using the Medicare Public Use Files from 2013 through 2022.Results: Of all Mohs surgeons billing Medicare from 2013 through 2022, a total of 7.95% (278/3498) used auricular cartilage grafts and 0.09% (3/3498) used composite grafts. Mohs surgeons performed their highest number of auricular cartilage grafts in 2015 (419/1563, 26.8%) and their lowest in 2020 (249/1160, 21.5%). Mohs surgeons performed 100% of all Medicare composite grafts in 2018 (17/17) and 2022 (19/19) and none in 2017, 2019, or 2021. Mohs surgeons performed the most composite grafts (125/343, 36.4%) across all specialties. The only specialty surpassing Mohs surgery (3345/14303, 23.4%) in auricular cartilage graft usage was otolaryngology (6371/14303, 44.5%).Conclusion: Auricular cartilage grafts are used more often than composite grafts. Mohs surgeons comprise a large subset of specialists using both, underscoring their utility in Mohs reconstruction.","PeriodicalId":11289,"journal":{"name":"Dermatologic Surgery","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144093126","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

Applications, Ethical Considerations, and Patient Perspectives on Artificial Intelligence in Dermatologic Surgery: Focus on Mohs Surgery. 人工智能在皮肤外科中的应用、伦理考虑和患者观点：以莫氏手术为重点。

IF 2.5 3区医学

Dermatologic Surgery Pub Date : 2025-05-16 DOI: 10.1097/DSS.0000000000004690

Mohammad Fardos, Patricia Miller, Jon Ward, Richard Miller

{"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":"https://doi.org/10.1097/DSS.0000000000004690","url":null,"abstract":"Background: 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.Objective: To provide an overview of AI in MMS, including its principles, applications, limitations, ethical considerations, and patient perceptions.Materials and methods: 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.Results: 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.Conclusion: AI can enhance efficiency, accuracy, and outcomes in MMS, but its implementation must prioritize patient welfare, transparency, and accountability.","PeriodicalId":11289,"journal":{"name":"Dermatologic Surgery","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-05-16","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}

引用次数: 0

Grading Differentiation in Cutaneous Squamous Cell Carcinoma: Evaluation of Interrater and Intrarater Reliability in Mohs Surgeons and Dermatopathologists. 皮肤鳞状细胞癌的分级分化：Mohs外科医生和皮肤病理学家对分级间和分级内可靠性的评估。

IF 2.5 3区医学

Dermatologic Surgery Pub Date : 2025-05-16 DOI: 10.1097/DSS.0000000000004691

Jessica M Nash, Kathryn T Shahwan, Catherine Chung, Nadia Abidi, Kaila A Buckley, Yevgeniya Gokun, Xueliang Pan, David R Carr

引用次数: 0

Demystifying Electrosurgery Terminology. 揭秘电外科术语。

IF 2.5 3区医学

Dermatologic Surgery Pub Date : 2025-05-14 DOI: 10.1097/DSS.0000000000004687

Patrick S Phelan, Jennifer Good

引用次数: 0

Treatment Preferences Among American College of Mohs Surgery Members for Rare Cutaneous Malignancies. 美国莫氏学会外科成员对罕见皮肤恶性肿瘤的治疗偏好。

IF 2.5 3区医学

Dermatologic Surgery Pub Date : 2025-05-14 DOI: 10.1097/DSS.0000000000004693

Alexandra Elder, Jaclyn Rosenthal Himeles, Adriana Marton, Jesse M Lewin

引用次数: 0

A Pilot Study on the Impact of Completing Away Rotations During Dermatology Residency on the Mohs Surgery Fellowship Match. 一项关于皮肤科住院医师在Mohs外科奖学金匹配中完成外出轮转影响的试点研究。

IF 2.5 3区医学

Dermatologic Surgery Pub Date : 2025-05-14 DOI: 10.1097/DSS.0000000000004692

Claire Diede, Lauren S Mohan, David R Carr, Kathryn T Shahwan

引用次数: 0

Process Mapping as a Key Tool in Identifying Waste in Dermatologic Procedures to Improve Cost-Effectiveness and Sustainability: An Interventional Case Study. 过程绘图作为识别皮肤病学过程中废物的关键工具，以提高成本效益和可持续性：介入性案例研究。

IF 2.5 3区医学

Dermatologic Surgery Pub Date : 2025-05-14 DOI: 10.1097/DSS.0000000000004682

Kevin Yang, Goranit Sakunchotpanit, F Clarissa Yang, Bichchau Nguyen

{"title":"Process Mapping as a Key Tool in Identifying Waste in Dermatologic Procedures to Improve Cost-Effectiveness and Sustainability: An Interventional Case Study.","authors":"Kevin Yang, Goranit Sakunchotpanit, F Clarissa Yang, Bichchau Nguyen","doi":"10.1097/DSS.0000000000004682","DOIUrl":"https://doi.org/10.1097/DSS.0000000000004682","url":null,"abstract":"Background: Dermatologic procedures use many consumable items, resulting in significant financial and environmental costs.Objective: To demonstrate process mapping's utility in identifying and reducing consumable waste generated during dermatologic excisions.Materials and methods: Process mapping was used to identify and quantify consumable wastes generated by 20 excisions at a dermatologic surgery clinic. The results were discussed among researchers, clinical support staff, and clinicians to develop waste mitigation interventions. 20 additional excisions were mapped after implementation of these interventions to quantify reduction of consumable waste and associated financial savings.Results: Preintervention, the average total cost of consumables per excision was $48.02. The average cost of wasted consumables was $21.69 (45%). Process mapping identified unused items, such as cotton-tipped applicators, and partially used items, including iodine, lidocaine, and gauze. Interdisciplinary discussion of results revealed limitations to waste mitigation such as standard packaging sizes, existing supply chains, hospital and state policies, and workflow efficiency tradeoffs. Waste mitigation strategies included removal of unused products (e.g., cotton-tipped applicators and extra blades), alternative formulations (e.g., betadine swab vs bottles), and smaller packaging sizes. Postintervention, the waste cost per case decreased by 16.9% to $18.01.Conclusion: Process mapping is an effective tool to identify consumable waste in dermatologic surgeries and results in significant cost savings.","PeriodicalId":11289,"journal":{"name":"Dermatologic Surgery","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143986381","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

Development and Pilot Trial of a Questionnaire to Assess Postoperative Dysesthesia. 评估术后感觉障碍问卷的开发和试点试验。

IF 2.5 3区医学

Dermatologic Surgery Pub Date : 2025-05-14 DOI: 10.1097/DSS.0000000000004674

Kayley L Erickson, Raghav Tripathi, Roberta Klatzky, Jeremy Bordeaux, Bryan T Carroll

引用次数: 0

Frontalis Muscle Suspension for Correcting the Ptotic Brow. 额肌悬吊矫正上睑下垂。

IF 2.5 3区医学

Dermatologic Surgery Pub Date : 2025-05-14 DOI: 10.1097/DSS.0000000000004686

Frank W de Jongh, Elijah E Sanches, Laurens Kooiman, Jordy C Kuijt, Kim M E Wehrens, Sjaak Pouwels, Gijs B de Zeeuw, Koen J A O Ingels, Liang T Tan

{"title":"Frontalis Muscle Suspension for Correcting the Ptotic Brow.","authors":"Frank W de Jongh, Elijah E Sanches, Laurens Kooiman, Jordy C Kuijt, Kim M E Wehrens, Sjaak Pouwels, Gijs B de Zeeuw, Koen J A O Ingels, Liang T Tan","doi":"10.1097/DSS.0000000000004686","DOIUrl":"https://doi.org/10.1097/DSS.0000000000004686","url":null,"abstract":"Background: The aim of this study was to describe and evaluate a new surgical browlift technique with functional results and minimal visible scarring.Methods: The authors retrospectively reviewed all charts of patients who underwent the alternative browlift procedure between January 2015 and June 2019 (n = 41). To assess the cosmetic and functional outcome after surgery, the authors contacted all operated patients to fill in a nonvalidated questionnaire.Results: The study included 29 of the 41 patients, who were treated during the period January 2015 to June 2019. The questionnaires validated the authors' findings with 72.4% of the patients being satisfied or very satisfied about the final scar formation. Twenty-one (72.4%) of patients experienced long-term symptom improvement with a mean improvement of 7.71 ± 2.09 on a 1 to 10 point scale. Fifteen (51.7%) patients experienced recurrence with a recurrence time of 19.2 (±13.5) months, none of which required redo surgery. Seven (24.1%) patients underwent a blepharoplasty surgery in a second stage.Conclusion: The authors conclude that for brow ptosis the authors' novel procedure is a suitable, cheaper alternative to treat brow ptosis with little to no complications compared to more standardized techniques (i.e. direct, open, or endoscopic browlift).","PeriodicalId":11289,"journal":{"name":"Dermatologic Surgery","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143988185","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

How We Do It: Curved Rhombic Transposition Flap for Reconstruction of Medial Cheek and Nasal Sidewall Defects. 手术方法：弯曲菱形转位皮瓣重建面颊内侧及鼻侧壁缺损。

IF 2.5 3区医学

Dermatologic Surgery Pub Date : 2025-05-13 DOI: 10.1097/DSS.0000000000004685

Marie Clark, Emily Merkel, Michael Kunz, Ally-Khan Somani

引用次数: 0