Dermatologic Surgery最新文献_第7页

Reconstruction of a Defect Involving the Upper Lip, Alar Base, and Medial Cheek. 上唇、鼻翼基部及内颊缺损之重建。

IF 2.3 3区医学

Dermatologic Surgery Pub Date : 2026-10-01 Epub Date: 2026-06-29 DOI: 10.1097/DSS.0000000000005234

Afsoon Ghafari-Saravi, Develyn A Vetos, Rajiv I Nijhawan

引用次数: 0

Impact of Dermatology Access on Dermatofibrosarcoma Protuberans Outcomes. 皮肤科准入对隆突性皮肤纤维肉瘤预后的影响。

IF 2.3 3区医学

Dermatologic Surgery Pub Date : 2026-10-01 Epub Date: 2026-07-07 DOI: 10.1097/DSS.0000000000005247

Joseph H Kelly, Linze M Christensen, Marcus L Frohm

引用次数: 0

Mohs Micrographic Surgery for Recurrent Chromoblastomycosis after Conventional Excision. 莫氏显微摄影术治疗常规切除后复发性成色菌病。

IF 2.3 3区医学

Dermatologic Surgery Pub Date : 2026-10-01 Epub Date: 2026-08-17 DOI: 10.1097/DSS.0000000000005311

Christopher Richter, Mojahed Mohammad K Shalabi, Elisa Scandiuzzi, H William Higgins

引用次数: 0

Occult Calvarial Defect in a Presumed Scalp Dermoid Cyst: A Surgical Pitfall Despite Negative Ultrasonography. 推测为头皮皮样囊肿的隐性颅骨缺损：超声检查阴性的手术陷阱。

IF 2.3 3区医学

Dermatologic Surgery Pub Date : 2026-10-01 Epub Date: 2026-08-17 DOI: 10.1097/DSS.0000000000005317

Gongjie Zhang, Dong Wang, Rina Su, Fang Liu

引用次数: 0

An 18-year Review of Melanonychia and Nail Melanoma Risk in Singapore. 新加坡黑色素瘤和指甲黑色素瘤风险18年回顾

IF 2.3 3区医学

Dermatologic Surgery Pub Date : 2026-10-01 Epub Date: 2026-08-11 DOI: 10.1097/DSS.0000000000005309

Xiaotian Wu, Kim Yao Ong, Faith Nicole Shih Yun Tan, Suzanne Wei Na Cheng

{"title":"An 18-year Review of Melanonychia and Nail Melanoma Risk in Singapore.","authors":"Xiaotian Wu, Kim Yao Ong, Faith Nicole Shih Yun Tan, Suzanne Wei Na Cheng","doi":"10.1097/DSS.0000000000005309","DOIUrl":"10.1097/DSS.0000000000005309","url":null,"abstract":"Background: Nail apparatus melanoma (NAM) is an important variant of cutaneous melanoma in Asia and may present as longitudinal melanonychia (LM). The epidemiology of NAM in Singapore's multiethnic population is unknown.Objective: The aim of this study was to characterize demographics and melanonychia features of patients with LM, identify NAM predictors, and analyze nail unit biopsy outcomes.Materials and methods: We conducted a retrospective observational study of patients with LM seen at the National Skin Centre, Singapore, from 2004 to 2021. Demographics, clinical features, and biopsy outcomes were analyzed descriptively.Results: A total of 1,556 patients were evaluated, predominantly Chinese (80.7%), female (58.0%), and younger than 50 years (63.8%). Of 274 referred patients, 198 (72.3%) underwent biopsy. Most biopsied lesions were monodactylous (79.3%), with regular borders (54.0%); Hutchinson sign was positive in 10.6%, and 33.3% showed interval increase in width. Eight NAM cases (4.0%), including 3 cases of melanoma in situ, were identified. All invasive NAM cases demonstrated nail plate destruction, nail bed ulceration, and positive Hutchinson sign. Age 50 years and older ( p = .001) and blue-collar occupation ( p = .049) were associated with malignancy. Postbiopsy complications occurred in 20.7%, most commonly nail dystrophy.Conclusion: NAM occurred in 4.0% of biopsied LM cases. Age 50 years and older, blue-collar occupation, and monodactylous involvement warrant heightened suspicion.","PeriodicalId":11289,"journal":{"name":"Dermatologic Surgery","volume":" ","pages":"e112-e116"},"PeriodicalIF":2.3,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148705717","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

Large-Volume Breast Autologous Fat Transfer Entirely Under Tumescent Anesthesia: Experience With 87 Patients Over 6 Years. 肿胀麻醉下的大体积乳房自体脂肪完全移植：87例患者6年以上的经验。

IF 2.3 3区医学

Dermatologic Surgery Pub Date : 2026-10-01 Epub Date: 2026-05-26 DOI: 10.1097/DSS.0000000000005168

Paul Salmon, Adrian J Seine, Georgina Herbison

{"title":"Large-Volume Breast Autologous Fat Transfer Entirely Under Tumescent Anesthesia: Experience With 87 Patients Over 6 Years.","authors":"Paul Salmon, Adrian J Seine, Georgina Herbison","doi":"10.1097/DSS.0000000000005168","DOIUrl":"10.1097/DSS.0000000000005168","url":null,"abstract":"Background: Autologous fat transfer (AFT) provides a natural alternative to implants for breast augmentation. While most large-volume AFT is performed under general anesthesia, experience with fully tumescent local anesthesia is limited. This study evaluates the safety, efficacy, and volumetric outcomes of Breast Autologous Fat Transfer Entirely Under Tumescent Anaesthesia (BAFTEUTA) and examines the role of pre-expansion versus enrichment in graft survival.Patients and methods: In this prospective single-center study, 87 patients (174 breasts) underwent large-volume AFT under local tumescent anesthesia between 2018 and 2024. Preoperative expansion used either rigid dome systems or negative-pressure wound-therapy (NPWT) dressings. Fat was harvested manually or mechanically, processed without centrifugation, and injected in multiple subcutaneous planes. Volumes were measured by 3-D imaging and water displacement. Outcomes included percentage of successfully grafted fat (%SGF), final increase in size at 6 months (%FIS), and complications.Results: No infections, hematomas, or systemic complications occurred. Five patients (6.25%) developed benign fat granulomas, all unilateral ( ≈3% of breasts). Median graft survival was 82%. Dome expansion achieved higher mean %SGF (84.5% vs 79.5%) and %FIS (193% vs 158%) than NPWT, with strong correlation between expansion hours and %FIS (r ≈ 0.9, p < .001). Smaller breasts and nulliparous women showed greater proportional gains. The mean satisfaction scores were 4.7 to 5.0 across domains.Conclusion: Large-volume breast fat transfer can be safely and reproducibly performed under tumescent anesthesia. Pre-expansion-particularly with dome systems-is the most critical determinant of graft survival, enabling durable, natural results without stem-cell enrichment, general anesthesia, or implants.","PeriodicalId":11289,"journal":{"name":"Dermatologic Surgery","volume":" ","pages":"974-980"},"PeriodicalIF":2.3,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13600361/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148028314","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

Unilateral Upper Cutaneous Lip and Nasal Sill Defect Reconstruction. 单侧上皮唇及鼻梁缺损重建。

IF 2.3 3区医学

Dermatologic Surgery Pub Date : 2026-10-01 Epub Date: 2025-07-16 DOI: 10.1097/DSS.0000000000004776

Igor Kapetanovic, Adam Mattox, Ian Maher

引用次数: 0

Perioperative Blood Pressure Management in Dermatologic Surgery: An Overview of Current Practices and Gaps. 皮肤外科围手术期血压管理：当前实践和差距概述。

IF 2.3 3区医学

Dermatologic Surgery Pub Date : 2026-10-01 Epub Date: 2026-04-01 DOI: 10.1097/DSS.0000000000005101

Aoibhin O'Gorman, Linh N Vo, Daniel B Eisen

{"title":"Perioperative Blood Pressure Management in Dermatologic Surgery: An Overview of Current Practices and Gaps.","authors":"Aoibhin O'Gorman, Linh N Vo, Daniel B Eisen","doi":"10.1097/DSS.0000000000005101","DOIUrl":"10.1097/DSS.0000000000005101","url":null,"abstract":"Background: Hypertension (HTN) is common in patients presenting for dermatologic surgery and may be a modifiable risk factor for procedural complications, yet standardized dermatology-specific guidelines on blood pressure (BP) management are limited.Objective: To synthesize evidence on the impact of HTN on cutaneous surgery and clarify dermatologists' role in BP assessment and management and propose practical clinical guidelines.Materials and methods: The authors conducted a literature search, identified studies relevant to HTN management in dermatologic surgery, comparable office-based surgical specialties, and recent American Heart Association perioperative guidelines.Results: Although HTN may increase perioperative complications, rigid BP cutoffs are not supported by current evidence. Rather, a risk-based framework is supported: surgery may proceed with caution until BP exceeds 200/110 mm Hg without symptoms of acute hypertensive end organ damage. For BP above this threshold, clinicians should attempt to lower BP through rest, anxiolytics, or other calming measures. If BP remains uncontrolled, surgery should be deferred and patients referred for primary care provider management. Dermatologists should measure BP at the initial consultation visit, continue home antihypertensives, maintain adequate analgesia, and use 5-mg diazepam as needed for perioperative anxiety.Conclusion: A risk-stratified approach to HTN, combined with adjunct BP management strategies, supports safe and timely dermatologic surgery.","PeriodicalId":11289,"journal":{"name":"Dermatologic Surgery","volume":" ","pages":"959-965"},"PeriodicalIF":2.3,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147616038","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

Hair Transplant Donor Site Associated Hair Neogenesis: Quantitative Trichoscopy Results. 毛发移植供体相关毛发新生：定量毛发镜检查结果。

IF 2.3 3区医学

Dermatologic Surgery Pub Date : 2026-10-01 Epub Date: 2025-12-02 DOI: 10.1097/DSS.0000000000004962

John Frewen, Michal Kasprzak, Jean Devroye, Flavia Rodrigues Dias, Rodney Sinclair

引用次数: 0

Single-Handed Additional Supportive Approximation for Closing High-Tension Wound With Surgeon's Knot. 用外科医生结闭合高张力伤口的单手附加支持近似。

IF 2.3 3区医学

Dermatologic Surgery Pub Date : 2026-10-01 Epub Date: 2026-02-02 DOI: 10.1097/DSS.0000000000004955

Bernard M H Liang

引用次数: 0