Dermatologic Surgery最新文献

{"title":"Bipedicled Bridge Flap Reconstruction: A Novel Flap for Functional and Aesthetic Closure on the Nasal Dorsum.","authors":"Paul J M Salmon, Neil J Mortimer, Adrian J Seine, Richard Barlow","doi":"10.1097/DSS.0000000000005095","DOIUrl":"10.1097/DSS.0000000000005095","url":null,"abstract":"<p><strong>Background: </strong>Reconstructive options for nasal dorsum defects are limited by poor skin laxity and high aesthetic demands. Few new techniques have been described in recent decades.</p><p><strong>Objective: </strong>To introduce and evaluate a novel reconstructive method-the bipedicled bridge flap|(BBF)-that combines the reliability of dual-pedicle vascularity with scar concealment along cosmetic subunit boundaries.</p><p><strong>Methods: </strong>Prospective single-center study of consecutive patients undergoing BBF reconstruction of nasal dorsum defects after Mohs micrographic surgery between June 2021 and June 2025. Defect characteristics, flap variants (unilateral, bilateral, horizontal, or with M-plasty), complications, and aesthetic outcomes using the Manchester Scar Scale (MSS) were recorded. High-quality digital photographs of all defects, repairs, and follow-up to at least 6 months were recorded.</p><p><strong>Results: </strong>Forty-five patients underwent BBF reconstruction (4 bilateral, 4 horizontal). Mean defect size was 1.7 cm 2 (range 0.3-4.3). No infections, necrosis, dehiscence, hematoma, or hypertrophic scarring occurred. Median MSS = 4, indicating excellent cosmetic results.</p><p><strong>Conclusion: </strong>The BBF is a novel, reliable, and versatile single-stage option for small-to-medium nasal dorsum defects, expanding current reconstructive algorithms by combining favorable vascularity with superior aesthetic concealment.Cutaneous malignancies of the nose are common and frequently require Mohs micrographic surgery to achieve complete excision. Reconstruction of the nasal dorsum after tumor removal remains one of the most technically and aesthetically demanding challenges in dermatologic surgery. The skin of the nasal dorsum is thin, tightly adherent, and deficient in redundancy, making primary closure difficult without distortion. Positioned at the center of a highly visible cosmetic subunit, even subtle discrepancies in contour, color, or texture can be conspicuous. Successful aesthetic repair, therefore, depends on restoring natural nasal contour, with matching skin texture and symmetry while confining scars within the boundaries of cosmetic subunits.</p>","PeriodicalId":11289,"journal":{"name":"Dermatologic Surgery","volume":" ","pages":"954-958"},"PeriodicalIF":2.3,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147765633","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":"Outcomes of Sclerotherapy in Patients With Facial Venous Malformations: A Retrospective Study.","authors":"Ali Bulut, Ahmet Kayan, Ali Fuat Karaçuha, Evren Özçınar","doi":"10.1097/DSS.0000000000005103","DOIUrl":"10.1097/DSS.0000000000005103","url":null,"abstract":"<p><strong>Background: </strong>Facial venous malformations (VMs) are congenital low-flow vascular anomalies that may cause cosmetic disfigurement and functional impairment. Because of the anatomical complexity of the facial region, management of these lesions remains challenging, and minimally invasive approaches such as sclerotherapy have gained increasing attention.</p><p><strong>Objective: </strong>This study evaluates the efficacy, patient satisfaction, and complications of sclerotherapy in patients with facial VMs.</p><p><strong>Materials and methods: </strong>A retrospective analysis was conducted on 21 patients diagnosed with facial VMs and treated with polidocanol sclerotherapy between March 2000 and January 2025. Treatment response, patient satisfaction, and complications were assessed. Statistical analyses included chi-square testing and Spearman correlation.</p><p><strong>Results: </strong>Of the 21 patients, 23.8% achieved an excellent response (>90% reduction), 57.1% had a significant response (50%-90%), and 19.0% showed a mild response (<50%). Mean patient satisfaction score was 2.81/3. Complications such as pain (47.6%) and swelling (28.6%) were common but transient. A negative correlation was observed between number of procedures and treatment response ( p = .032).</p><p><strong>Conclusion: </strong>Sclerotherapy is an effective and well-tolerated treatment option for facial VMs, associated with high patient satisfaction despite frequent but manageable minor complications.</p>","PeriodicalId":11289,"journal":{"name":"Dermatologic Surgery","volume":" ","pages":"981-988"},"PeriodicalIF":2.3,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147765641","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":"Amelanotic Spindle Cell Melanoma Misdiagnosed as Atypical Fibroxanthoma: A Practical Reminder for Mohs Surgeons.","authors":"Cedar Helen Malone, Smooth S Meach, Lynn D Cooper, Stanislav N Tolkachjov","doi":"10.1097/DSS.0000000000005128","DOIUrl":"10.1097/DSS.0000000000005128","url":null,"abstract":"","PeriodicalId":11289,"journal":{"name":"Dermatologic Surgery","volume":" ","pages":"1013-1015"},"PeriodicalIF":2.3,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147765645","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":"Minimally Invasive Aesthetic Treatments in Men: A Systematic Review and Meta-Analysis.","authors":"Aina García Dinnbier, Esmeralda Silva Diaz, Francisca Ibáñez García","doi":"10.1097/DSS.0000000000005295","DOIUrl":"10.1097/DSS.0000000000005295","url":null,"abstract":"<p><strong>Background: </strong>The number of male patients undergoing aesthetic treatments has increased, and gender-specific factors influence the treatment outcomes. Few high-quality studies have addressed minimally invasive aesthetic procedures in the male population.</p><p><strong>Objective: </strong>To evaluate the specificities of aesthetic medicine treatments in male patients, analyze their efficacy and safety, and identify research gaps.</p><p><strong>Materials and methods: </strong>A systematic review and meta-analysis were conducted according to the PRISMA guidelines. The methodological quality was assessed using the methodological index for non-randomized studies and Cochrane risk of bias tools. A meta-analysis of 5 randomized controlled trials focused on the use of botulinum toxin type A.</p><p><strong>Results: </strong>Ten studies ( n = 12,603 male patients) were included. Men preferred neuromodulators and fillers but often required higher product volume. The response rates to botulinum toxin type A for upper facial wrinkles ranged from 65% to 100%, with a meta-analysis incidence of 85% (95% confidence interval: 0.74-0.97). Adverse events were minor and transient (incidence 16% [95% confidence interval: 0.10-0.23]).</p><p><strong>Conclusion: </strong>Aesthetic treatments are effective and safe for men. Higher doses of botulinum toxin A improved outcomes without increasing the risk.</p>","PeriodicalId":11289,"journal":{"name":"Dermatologic Surgery","volume":" ","pages":"e117-e120"},"PeriodicalIF":2.3,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148705820","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":"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":"925-928"},"PeriodicalIF":2.3,"publicationDate":"2026-10-01","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":"Commentary on Exploring Environmental Sustainability in Mohs Micrographic Surgery.","authors":"Rachel Abbott","doi":"10.1097/DSS.0000000000005190","DOIUrl":"10.1097/DSS.0000000000005190","url":null,"abstract":"","PeriodicalId":11289,"journal":{"name":"Dermatologic Surgery","volume":" ","pages":"947"},"PeriodicalIF":2.3,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148404068","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 a Large Perioral Defect.","authors":"Olivia McGeough, Alexandra Elder, Jesse M Lewin","doi":"10.1097/DSS.0000000000005300","DOIUrl":"10.1097/DSS.0000000000005300","url":null,"abstract":"","PeriodicalId":11289,"journal":{"name":"Dermatologic Surgery","volume":" ","pages":"e129-e131"},"PeriodicalIF":2.3,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148705780","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":"Prophylactic Antibiotic Therapy Does Not Reduce Risk of Postoperative Infectious Complications in Solid Organ Transplant Recipients Undergoing Mohs Micrographic Surgery: A Propensity-Score Matched Analysis of 5,216 Patients.","authors":"Kimberly Taing, Tejas P Joshi, Pranathi Pilla, Ikue Shimizu","doi":"10.1097/DSS.0000000000005230","DOIUrl":"10.1097/DSS.0000000000005230","url":null,"abstract":"","PeriodicalId":11289,"journal":{"name":"Dermatologic Surgery","volume":" ","pages":"e141-e143"},"PeriodicalIF":2.3,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148257600","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 a Large Defect of the Right Midface.","authors":"Le Wen Chiu, Andrew Matsumoto","doi":"10.1097/DSS.0000000000004750","DOIUrl":"10.1097/DSS.0000000000004750","url":null,"abstract":"","PeriodicalId":11289,"journal":{"name":"Dermatologic Surgery","volume":" ","pages":"1003-1005"},"PeriodicalIF":2.3,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144495183","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":"Standardized Color-Coded Inking Protocol to Reduce Specimen Misidentification in Biopsies and Mohs Surgery.","authors":"Austinn C Miller, Kate Baucom, Mark Baucom","doi":"10.1097/DSS.0000000000004976","DOIUrl":"10.1097/DSS.0000000000004976","url":null,"abstract":"","PeriodicalId":11289,"journal":{"name":"Dermatologic Surgery","volume":" ","pages":"1012-1013"},"PeriodicalIF":2.3,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145780504","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}