Dermatologic Surgery最新文献

{"title":"Cosmetic Collaborations: Why It Should Not Be Us Versus Them.","authors":"Lisa Ishii, Steven H Dayan, Brian S Biesman, Shannon Humphrey","doi":"10.1097/DSS.0000000000004514","DOIUrl":"10.1097/DSS.0000000000004514","url":null,"abstract":"","PeriodicalId":11289,"journal":{"name":"Dermatologic Surgery","volume":" ","pages":"461-462"},"PeriodicalIF":2.5,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142766889","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":"Six-Year Outcome of Lentigo Maligna Treated With \"Spaghetti\" Technique and Margin Identification by Reflectance Confocal Microscopy.","authors":"Océane Le May, Elisa Cinotti, Jean-Luc Perrot, Linda Tognetti, Julie Chauvel Picard","doi":"10.1097/DSS.0000000000004508","DOIUrl":"10.1097/DSS.0000000000004508","url":null,"abstract":"<p><strong>Background: </strong>Lentigo maligna (LM) and LM melanoma (LMM) present surgical challenges due to their poorly defined boundaries, making it difficult to determine precise peripheral margins. In addition, their preferential localization on the face increases the need to minimize the amount of tissue excised. Striking a balance between reducing the excision size and maintaining oncologic effectiveness is critical in managing LM/LMM. Reflectance Confocal Microscopy (RCM), a noninvasive imaging method that provides cellular-level visualization, could be an ideal tool to define the peripheral margins in the \"spaghetti\" surgical technique.</p><p><strong>Objective: </strong>This study aimed to evaluate the long-term outcomes of using RCM combined with the \"spaghetti\" technique for LM/LMM excisions.</p><p><strong>Materials and methods: </strong>Seventy patients with LM/LMM on the face underwent RCM-guided margin definition followed by the \"spaghetti\" technique. The sample of patients was the same group of patients included in the authors' 2017 study. The authors subsequently evaluated the effectiveness of the authors' protocol via regular follow-up of the cohort.</p><p><strong>Results: </strong>A total of 59 LMs and 11 LMMs were included. The mean follow-up time was 6.3 years. The recurrence rate was 5.7%. The authors identified 4 recurrences: 3 of which occurred more than 5 years after the procedure. The recorded mortality was 20%, no deaths were attributed to LM/LMM. The mean margin from lesion to clearance was 2.7 mm.</p><p><strong>Conclusion: </strong>If the authors cluster the 3 principal studies in terms of cohort and follow-up time for LM/LMM treated by Wide local Excision, the recurrence rate is from 5.3% to 5.9%, which is equivalent to the authors'. However, the mean margin excision from lesion is more than 2 times inferior in the authors' protocol (2.7 mm vs 6.7 mm). Therefore, the spaghetti technique with RCM margin identification seems to be an effective method for LM/LMM management.</p>","PeriodicalId":11289,"journal":{"name":"Dermatologic Surgery","volume":" ","pages":"360-364"},"PeriodicalIF":2.5,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142767078","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":"A New Twist on the Surgeon's Knot: Quantifying Suture Security.","authors":"Omeed Modiri, Joseph Ebriani, Andrew Sauvageau, Jeremy Davis","doi":"10.1097/DSS.0000000000004493","DOIUrl":"10.1097/DSS.0000000000004493","url":null,"abstract":"<p><strong>Background: </strong>The reliability and security of surgical knots play a critical role in wound closure and healing. A surgeon's knot, created by a modification of the square knot in which an extra 'twist' is added to the initial throw, is often used to increase friction and provide stability of the tissue as the knot is completed.</p><p><strong>Objective: </strong>The purpose of this study was to quantify the security of sutures, as influenced by varying numbers of initial twists in a surgeon's knot.</p><p><strong>Materials and methods: </strong>Using pig's feet for simulation, the study compared the security of knots tied with 2 types of sutures in 3 different sizes, examining the impact of 1 to 6 initial twists. Univariable linear regression was performed to evaluate the association between increased twists and the force required to loosen each knot.</p><p><strong>Results: </strong>These data showed that suture security generally improves with an increasing number of twists, up to 5, beyond which benefits diminish in certain suture sizes.</p><p><strong>Conclusion: </strong>Increasing the number of twists in a surgeon's knot significantly enhances suture integrity, with optimal results in knot security observed between 3 to 5 twists, suggesting that a balance is necessary between knot security and ease of application.</p>","PeriodicalId":11289,"journal":{"name":"Dermatologic Surgery","volume":" ","pages":"375-378"},"PeriodicalIF":2.5,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142581744","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":"Using a Swimming Nose-Clip in Pressure Therapy for Auricular Keloids: Balancing Efficacy, Cost-Effectiveness, and Convenience.","authors":"Xingchi Tao, Hualong Zou, Yulong Luo, Chunli Yao","doi":"10.1097/DSS.0000000000004527","DOIUrl":"10.1097/DSS.0000000000004527","url":null,"abstract":"","PeriodicalId":11289,"journal":{"name":"Dermatologic Surgery","volume":" ","pages":"449-450"},"PeriodicalIF":2.5,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142784471","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":"Reconstruction of Two Adjacent Defects on the Scalp.","authors":"Caroline Chen, Adriana Lopez, Jesse M Lewin","doi":"10.1097/DSS.0000000000004294","DOIUrl":"10.1097/DSS.0000000000004294","url":null,"abstract":"","PeriodicalId":11289,"journal":{"name":"Dermatologic Surgery","volume":" ","pages":"431-433"},"PeriodicalIF":2.5,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141455904","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":"Single-Stage Transposition Flap Reconstructions of Surgical Defects of the Concha Cavum, Incisura, Antitragus, Antihelix, and Lobule.","authors":"Evelyn Fagan, Mitchell Herold, Steven Kent, David Kent","doi":"10.1097/DSS.0000000000004627","DOIUrl":"https://doi.org/10.1097/DSS.0000000000004627","url":null,"abstract":"<p><strong>Background: </strong>Single-stage flap reconstruction of surgical defects of the anterior mid and lower ear can prove challenging due to a relative paucity of local and adjacent tissues. While staged flap options for such defects are well described, similar single-stage options are lacking.</p><p><strong>Objective: </strong>The authors describe surgical techniques for the design and execution of single-stage local flaps to repair soft tissue defects on the concha cavum, incisura, antitragus, antihelix, and lobule after skin cancer extirpation.</p><p><strong>Materials and methods: </strong>A retrospective review was conducted on single-stage transposition flaps used to repair soft tissue defects of the lower half of the anterior auricle following Mohs surgery. This study included cases performed by two surgeons (D.K. and S.K.) at a single institution from 2018 to 2024.</p><p><strong>Results: </strong>Twenty-four cases utilizing single-stage transposition flaps for reconstruction of the mid to lower anterior auricular surface were performed. Intraoperative steps, modifications, and postoperative outcomes are discussed. No major complications were observed.</p><p><strong>Conclusion: </strong>Single-stage transposition flaps are useful options for repairing defects of the mid to lower anterior ear, which are not amenable to primary closure, second intent healing, grafting, or in patients who are not candidates for multistage repairs. This technique offers reliable cosmetic outcomes without flap necrosis or other complications.</p>","PeriodicalId":11289,"journal":{"name":"Dermatologic Surgery","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143729308","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":"High-Intensity, High-Frequency, Parallel Ultrasound Beams for Facial Acne Scars.","authors":"Jordan V Wang, Nkem Ugonabo, Lauren Hoffman, Shirin Bajaj, Megan O'Donnell, Anne Chapas, David Goldberg, Roy G Geronemus, Arielle Kauvar","doi":"10.1097/DSS.0000000000004628","DOIUrl":"https://doi.org/10.1097/DSS.0000000000004628","url":null,"abstract":"<p><strong>Background: </strong>Ultrasound energy can improve the clinical appearance of fine lines, wrinkles, eyebrow laxity, submental laxity, and cellulite. Ultrasound waves of high intensity can cause thermal injury in the dermis to induce neocollagenesis.</p><p><strong>Objective: </strong>To examine the utility of a novel ultrasound device that uses high-intensity, high-frequency, parallel ultrasound beams to improve the clinical appearance of facial acne scars.</p><p><strong>Materials and methods: </strong>A prospective, multicenter, clinical study investigated this novel ultrasound device using up to 3 treatments.</p><p><strong>Results: </strong>Sixty-three subjects completed at least 2 treatments. The mean age was 38 years, and 64.2% were women. Fitzpatrick skin types I to VI were represented. Assessments compared baseline with 3-month follow-up. Two of 3 blinded reviewers agreed in identifying pretreatment and post-treatment photographs for 96.8% of subjects (p < .0001), who were considered responders. For the overall mean acne scar severity score, there was a significant reduction of 1.05 units, from 2.31 to 1.26 (p < .001). This represents a reduction of 45.5%. No device-related adverse events occurred.</p><p><strong>Conclusion: </strong>A novel ultrasound device that uses high-intensity, high-frequency, parallel ultrasound beams can safely and effectively improve facial acne scars.</p>","PeriodicalId":11289,"journal":{"name":"Dermatologic Surgery","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143729304","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":"High-Intensity, High-Frequency, Parallel Ultrasound Beam Device for Skin Laxity of the Upper Arms.","authors":"Jordan V Wang, Neil Jairath, Shirin Bajaj, Amy Taub, Eric Bernstein, Roy G Geronemus, Suzanne Kilmer","doi":"10.1097/DSS.0000000000004624","DOIUrl":"https://doi.org/10.1097/DSS.0000000000004624","url":null,"abstract":"<p><strong>Background: </strong>Ultrasound-based devices have been developed to improve various cosmetic indications, including fines lines, wrinkles, eyebrow laxity, and submental laxity. Ultrasound waves of high intensity targeting the dermis can induce neocollagenesis, neoelastogenesis, and subsequent remodeling to improve the clinical appearance of these indications.</p><p><strong>Objective: </strong>To examine the utility of a novel ultrasound device that utilizes high-intensity, high-frequency, parallel ultrasound beams to improve the clinical appearance of skin laxity on the upper arms.</p><p><strong>Materials and methods: </strong>A prospective, multicenter, clinical study investigated this novel ultrasound device using two treatments.</p><p><strong>Results: </strong>Forty-six subjects were enrolled and underwent treatment. Mean age was 59 years, and 100% were women. Fitzpatrick skin types I-IV were represented. Assessments compared baseline to 3-month follow-up. Two out of 3 blinded reviewers agreed in identifying pretreatment and post-treatment photographs for 88.9% of subjects (p < .0001), who were considered responders. Blinded reviewers rated significant improvements in skin crepiness and laxity scale (1.97 vs 2.95; p < .0001) and also in Global Aesthetic Improvement Scale in 93.3% of photographs. No device-related adverse events occurred.</p><p><strong>Conclusion: </strong>A novel ultrasound device that utilizes high-intensity, high-frequency, parallel ultrasound beams can safely and effectively improve skin laxity of the upper arms.</p>","PeriodicalId":11289,"journal":{"name":"Dermatologic Surgery","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143729303","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":"How We Do It: Use of a Nonsterilized Nonwoven Polyester Tape to Facilitate Closure of High-Tension Defects in Fragile Skin.","authors":"Alyssa Ashbaugh Ortega, Miranda An, Adam M Rotunda","doi":"10.1097/DSS.0000000000004635","DOIUrl":"https://doi.org/10.1097/DSS.0000000000004635","url":null,"abstract":"","PeriodicalId":11289,"journal":{"name":"Dermatologic Surgery","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143729305","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":"Incidence, Tumor Characteristics, and Survival of Patients With Cutaneous Apocrine Carcinoma: A Retrospective Study of 323 Patients in the Surveillance, Epidemiology, and End Results Program.","authors":"Tejas P Joshi, Kavina Patel, Michael R Migden","doi":"10.1097/DSS.0000000000004633","DOIUrl":"https://doi.org/10.1097/DSS.0000000000004633","url":null,"abstract":"","PeriodicalId":11289,"journal":{"name":"Dermatologic Surgery","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143729306","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}