Dermatologic Surgery最新文献_第6页

Repair of a Broad, Multisubunit Defect Involving the Mucosal and Cutaneous Lip, Oral Commissure, and Cheek. 广泛、多亚单位缺损之修复，包括粘膜及皮肤、唇部、口腔连合及脸颊。

IF 2.5 3区医学

Dermatologic Surgery Pub Date : 2025-05-06 DOI: 10.1097/DSS.0000000000004681

Ajay N Sharma, Amanda H Rosenthal, Nima M Gharavi

引用次数: 0

Imiquimod 5% Cream as an Adjunct to Mohs Micrographic Surgery in Basal Cell Carcinoma: A Mixed Methods Systematic Review. 5%咪喹莫特乳膏辅助莫氏显微手术治疗基底细胞癌：一种混合方法的系统评价。

IF 2.5 3区医学

Dermatologic Surgery Pub Date : 2025-05-06 DOI: 10.1097/DSS.0000000000004672

Marra Aghajani, Alexandra Savage, Gilberto Moreno Bonilla

{"title":"Imiquimod 5% Cream as an Adjunct to Mohs Micrographic Surgery in Basal Cell Carcinoma: A Mixed Methods Systematic Review.","authors":"Marra Aghajani, Alexandra Savage, Gilberto Moreno Bonilla","doi":"10.1097/DSS.0000000000004672","DOIUrl":"https://doi.org/10.1097/DSS.0000000000004672","url":null,"abstract":"Background: Basal cell carcinoma (BCC) is the most common cutaneous malignancy worldwide. Although Mohs Micrographic Surgery (MMS) is the gold standard treatment, challenges including poorly defined margins, subclinical extension, large tumor size, and proximity to critical structures increase the risk of functional and cosmetic complications. Imiquimod 5% cream, a topical immune response modifier, has been investigated as an adjunct to MMS to improve patient outcomes.Objective: This mixed method systematic review evaluated the use of imiquimod 5% cream as an adjunct to MMS in BCC.Materials and methods: Databases were searched for studies assessing imiquimod's neoadjuvant and adjuvant roles in MMS. Outcomes included tumor and defect size, MMS stages, clearance, reconstruction type and timing, recurrence, adverse events, and cost.Results: Neoadjuvant imiquimod reduced tumor size, facilitating fewer MMS stages, smaller defects, and simpler reconstructions. Imiquimod also demonstrated value in treating residual BCC after incomplete MMS. However, benefits were inconsistently reported, and data on long-term outcomes were limited. Adverse events were generally mild and well-tolerated. The cost-saving implications of imiquimod were underexplored.Conclusion: Imiquimod shows promise as an adjunct to MMS in specific scenarios, but standardized protocols, cost-effectiveness analysis, and long-term studies are required to validate its efficacy and clinical utility.","PeriodicalId":11289,"journal":{"name":"Dermatologic Surgery","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143973602","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 of an Evaluation System to Classify Beard Donor Area for Hair Transplantation. 毛发移植胡须供区分类评价系统的建立。

IF 2.5 3区医学

Dermatologic Surgery Pub Date : 2025-05-05 DOI: 10.1097/DSS.0000000000004662

Yingjie Zhao, Jiaxian Zhang, Botian Jiang, Zhexiang Fan, Yong Miao

{"title":"Development of an Evaluation System to Classify Beard Donor Area for Hair Transplantation.","authors":"Yingjie Zhao, Jiaxian Zhang, Botian Jiang, Zhexiang Fan, Yong Miao","doi":"10.1097/DSS.0000000000004662","DOIUrl":"https://doi.org/10.1097/DSS.0000000000004662","url":null,"abstract":"Background: Beards are important donor sources for hair transplantation in male patients. However, standardized assessment criteria for beard grafts' suitability and application are unavailable.Objective: To develop an evaluation system for classifying beard suitability and defining its specific applications in hair transplantation.Materials and methods: The authors developed a 2-step beard donor evaluation system. The first step involved screening beards for suitability based on distribution area, density, diameter, and angle to the skin. The second step involved scoring the diameter, curliness, and color contrast with native hair to determine its application for hairline correction (HC), parietal area hair transplantation (PAHT), or combined correction (CC) based on the total scores.Results: Beard grafts are deemed unsuitable for harvesting if the donor area is restricted to the perioral area, has a density <8 follicular units/cm2, a diameter <60 μm, or an angle to the skin <10°. Beard grafts used for HC have thinner diameters (60-80 μm), straight shafts, and minimal color contrast with native hair. Beards used for PAHT and CC have thicker diameters (>80 μm) and require fewer additional characteristics.Conclusion: Beards can be classified using an evaluation system to assess their suitability for HC and PAHT. HC requires high-quality grafts.Level of evidence: 3 (Therapeutic).","PeriodicalId":11289,"journal":{"name":"Dermatologic Surgery","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143995335","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

Retrospective Review of Superficial Serial Microdroplet Technique for Glabellar Filler. 浅表串联微滴技术在眉间填充术中的应用回顾。

IF 2.5 3区医学

Dermatologic Surgery Pub Date : 2025-05-05 DOI: 10.1097/DSS.0000000000004676

Robyn Siperstein

{"title":"Retrospective Review of Superficial Serial Microdroplet Technique for Glabellar Filler.","authors":"Robyn Siperstein","doi":"10.1097/DSS.0000000000004676","DOIUrl":"https://doi.org/10.1097/DSS.0000000000004676","url":null,"abstract":"Background: 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.Objective: Analyze the incidence of side effects with a superficial microdroplet glabellar injection technique.Materials and methods: 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.Results: 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.Conclusion: 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.","PeriodicalId":11289,"journal":{"name":"Dermatologic Surgery","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-05-05","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}

引用次数: 0

Dermal Microwave Energy Device for Axillary Bromhidrosis. 腋下腋臭皮肤微波能量装置。

IF 2.5 3区医学

Dermatologic Surgery Pub Date : 2025-05-01 Epub Date: 2024-12-27 DOI: 10.1097/DSS.0000000000004539

Jordan V Wang, Neil Jairath, Roy G Geronemus

引用次数: 0

The Histological Effects of Hyaluronic Acid and Hyaluronidase Injections on Skin: An Experimental Study. 透明质酸和透明质酸酶注射对皮肤组织学影响的实验研究。

IF 2.5 3区医学

Dermatologic Surgery Pub Date : 2025-05-01 Epub Date: 2024-12-03 DOI: 10.1097/DSS.0000000000004512

Süleyman Köken, Ersin Akşam, Rehber Marşil, Fatma Şimşek, Tunahan Berk Başol

{"title":"The Histological Effects of Hyaluronic Acid and Hyaluronidase Injections on Skin: An Experimental Study.","authors":"Süleyman Köken, Ersin Akşam, Rehber Marşil, Fatma Şimşek, Tunahan Berk Başol","doi":"10.1097/DSS.0000000000004512","DOIUrl":"10.1097/DSS.0000000000004512","url":null,"abstract":"Background: Nonsurgical facial rejuvenation procedures are currently among the most popular areas of plastic, reconstructive, and aesthetic surgery. The goal of this study is to identify the effects of simultaneous hyaluronic acid and hyaluronidase injections into animal skin. This study is the first animal study in the literature showing the effects of hyaluronic acid and hyaluronidase simultaneous injection on skin.Methods: The study included 15 male and 15 female Wistar Albino rats. Four different areas were determined on the backs of the rats: a control area, an area for injection with hyaluronic acid, an area for injection with hyaluronic acid with hyaluronidase, and an area for injection with hyaluronidase only. The experiment was terminated at different times in these groups. After sacrification, the 4 regions were compared with each other under light microscope.Results: The results of this study demonstrate increases in dermis thickness, collagen density, and extracellular matrix density with injection of hyaluronic acid (81% vs 69.1%, p < .05), and hyaluronidase appears to antagonize these effects (52.5% vs 59.17%, p < .05).Conclusion: Hyaluronic acid injections have positive effects on animal skin, while hyaluronidase can antagonize these effects. When hyaluronic acid and hyaluronidase are injected simultaneously into the animal skin, it is observed that the antagonizing effect of hyaluronidase is dominant from the first moment.","PeriodicalId":11289,"journal":{"name":"Dermatologic Surgery","volume":" ","pages":"497-504"},"PeriodicalIF":2.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142767126","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

Commentary on "Factors Contributing to Poor Patient Reviews for Mohs Surgeons". 评论：导致莫氏外科医生患者评价差的因素。

IF 2.5 3区医学

Dermatologic Surgery Pub Date : 2025-05-01 Epub Date: 2025-01-31 DOI: 10.1097/DSS.0000000000004573

Chenan A Huang, Steven R Feldman, Laura B Doerfler

引用次数: 0

Comparative Analysis of Mohs Surgeon Characteristics by Societal Membership, 2014 to 2022. 2014 - 2022年莫氏外科医师社会成员特征比较分析

IF 2.5 3区医学

Dermatologic Surgery Pub Date : 2025-05-01 Epub Date: 2024-12-26 DOI: 10.1097/DSS.0000000000004540

Albert E Zhou, Christian Gronbeck, Tannaz Sedghi, Hao Feng

引用次数: 0

Factors Contributing to Poor Patient Reviews for Mohs Surgeons. 莫氏外科医生患者评价差的原因。

IF 2.5 3区医学

Dermatologic Surgery Pub Date : 2025-05-01 Epub Date: 2025-01-16 DOI: 10.1097/DSS.0000000000004548

Natasha L Salmen, Deven P Curtis, Jacob W Fay, Jonathan T Chapple, Bharath Balu

引用次数: 0

The History of Dermal Fillers in Dermatologic Surgery. 皮肤填充物在皮肤外科中的应用历史。

IF 2.5 3区医学

Dermatologic Surgery Pub Date : 2025-05-01 DOI: 10.1097/DSS.0000000000004650

Ardalan Minokadeh, Rohit Kakar

{"title":"The History of Dermal Fillers in Dermatologic Surgery.","authors":"Ardalan Minokadeh, Rohit Kakar","doi":"10.1097/DSS.0000000000004650","DOIUrl":"https://doi.org/10.1097/DSS.0000000000004650","url":null,"abstract":"Background and objective: Soft tissue augmentation in dermatologic surgery has evolved significantly, driven by the growing demand and popularity of noninvasive cosmetic procedures. This article examines the unique product characteristics, as well as their respective histories, used to guide selection for safe targeted volumization and optimized patient outcomes.Materials and methods: The range of agents used for noninvasive soft tissue augmentation were reviewed in the peer-reviewed literature, with an emphasis on the on-label and off-label use of those approved by the United States FDA.Results: Shifting approaches to soft tissue augmentation over time represent the evolution of safe and effective ways to address patient concerns. A review of the available peer-reviewed literature demonstrates that since its inception, articles from the journal Dermatologic Surgery have helped guide current treatment protocols and future product development.Conclusion: Successful soft tissue augmentation requires an appreciation of both the characteristics of the available agents on the market and a comprehensive knowledge of human anatomy. The authors celebrate the role of the journal Dermatologic Surgery as a leading forum for advancing the field of soft tissue augmentation. It is through the dedication and innovation of these authors that they can optimize safety and successful patient outcomes.","PeriodicalId":11289,"journal":{"name":"Dermatologic Surgery","volume":"51 5","pages":"465-470"},"PeriodicalIF":2.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144062805","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