Dermatologic Surgery最新文献_第8页

Effect of Mesh on Foam Stability in Foam Preparation for Sclerotherapy. 补片对硬化剂泡沫制备中泡沫稳定性的影响。

IF 2.3 3区医学

Dermatologic Surgery Pub Date : 2026-10-01 Epub Date: 2026-08-20 DOI: 10.1097/DSS.0000000000005278

Xiangzhen Meng, Tao Wang, Yiran Liu, Shaohua Liu, Anwei Chen

引用次数: 0

Reflected Surgical Lighting Exposure at the Mohs Surgeon's Eye Level: Quantifying Effects of Working Distance, Drape Color, and Lamp Positioning. 莫氏外科医生眼水平反射手术照明暴露：工作距离、窗帘颜色和灯位置的量化影响。

IF 2.3 3区医学

Dermatologic Surgery Pub Date : 2026-10-01 Epub Date: 2026-04-08 DOI: 10.1097/DSS.0000000000005112

Benjamin R Cooper, Stefano Cena, Taha Rasul, Travis W Blalock, Arianne E Chavez

{"title":"Reflected Surgical Lighting Exposure at the Mohs Surgeon's Eye Level: Quantifying Effects of Working Distance, Drape Color, and Lamp Positioning.","authors":"Benjamin R Cooper, Stefano Cena, Taha Rasul, Travis W Blalock, Arianne E Chavez","doi":"10.1097/DSS.0000000000005112","DOIUrl":"10.1097/DSS.0000000000005112","url":null,"abstract":"Background: Mohs surgeons operate at close working distances under intense surgical illumination. Ocular symptoms, including eye strain and visual fatigue, are commonly reported, yet quantitative data on eye-level exposure to reflected surgical lighting are limited.Objective: To quantify reflected surgical lighting at the Mohs surgeon's eye position and identify modifiable operative factors influencing ocular exposure.Materials and methods: This observational, device-based experimental study was conducted in a Mohs surgical suite using a simulated surgical model. Reflected illuminance was measured with a calibrated digital lux meter positioned at the surgeon's eye level. Overhead light-emitting diode lighting was fixed 40 inches from the surgical field. Measurements were obtained at eye-to-field distances of 14, 20, and 26 inches across 2 lamp orientations, 2 drape colors, and 3 simulated skin tone categories.Results: Reflected illuminance was highest at shorter working distances, measuring approximately 1.5 to 2.0 times higher at 14 inches than at 20 inches and up to 2 to 3 times higher than at 26 inches. White drapes increased reflected illuminance compared with blue drapes, while behind-the-surgeon lamp positioning reduced exposure compared with perpendicular lamp positioning. Skin tone had minimal impact.Conclusion: Modifiable operative factors significantly influence ocular light exposure and represent low-cost strategies to reduce exposure without compromising visualization.","PeriodicalId":11289,"journal":{"name":"Dermatologic Surgery","volume":" ","pages":"949-953"},"PeriodicalIF":2.3,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147698042","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

Subcision Versus Subcision With Suction for the Treatment of Atrophic Acne Scars: A Randomized, Split-Face Clinical Trial. 萎缩性痤疮疤痕的抽吸与割除：一项随机、裂面临床试验。

IF 2.3 3区医学

Dermatologic Surgery Pub Date : 2026-10-01 Epub Date: 2026-04-23 DOI: 10.1097/DSS.0000000000005135

Sdrah Diab, Ibrahim Diab, Jamal Khaddam

{"title":"Subcision Versus Subcision With Suction for the Treatment of Atrophic Acne Scars: A Randomized, Split-Face Clinical Trial.","authors":"Sdrah Diab, Ibrahim Diab, Jamal Khaddam","doi":"10.1097/DSS.0000000000005135","DOIUrl":"10.1097/DSS.0000000000005135","url":null,"abstract":"Background: Subcision is an established minimally invasive technique for the treatment of atrophic acne scars. Adjunctive suction has been proposed to prevent early redepression, but evidence remains limited.Objective: To compare the efficacy of subcision alone versus subcision combined with suction using objective and subjective outcome measures.Materials and methods: This randomized, split-face, patient-blinded clinical trial included 27 patients with bilateral atrophic acne scars. Both facial sides underwent cannula subcision. One randomized side additionally received 10 suction sessions over 2 weeks, while the contralateral side received sham pressure. Outcomes were assessed at baseline, 1 month, and 4 months using the Goodman and Baron Qualitative Grading Scale, Modified Quantitative Global Scarring Grading, scar counts, and the Acne Scar Improvement Grading Scale.Results: Both treatments resulted in significant improvement over time in qualitative and quantitative scar measures ( p < .05). No significant differences were detected between sides for objective outcomes. Physician- and patient-rated Acne Scar Improvement Grading Scale scores were significantly higher on the suction-treated side ( p = .002 and p = .026, respectively).Conclusion: Both subcision alone and suction-assisted subcision significantly improved atrophic acne scars. Subjective assessments favored suction-assisted subcision, suggesting clinically perceptible benefits not fully captured by objective scar-counting methods.","PeriodicalId":11289,"journal":{"name":"Dermatologic Surgery","volume":" ","pages":"989-993"},"PeriodicalIF":2.3,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147765649","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: Silicone Tape for Epidermal Support After Dermatologic Surgery - a Practical Alternative to Superficial Sutures. 我们怎么做：硅胶带表皮支持皮肤外科手术后-一个实用的替代表面缝合。

IF 2.3 3区医学

Dermatologic Surgery Pub Date : 2026-09-29 DOI: 10.1097/DSS.0000000000005353

Ariana Eginli, Christine Liang

引用次数: 0

Repair of a Defect Involving the Nasal Dorsum and Nasal Side Wall. 鼻背及鼻侧壁缺损之修复。

IF 2.3 3区医学

Dermatologic Surgery Pub Date : 2026-09-28 DOI: 10.1097/DSS.0000000000005361

Piera J H Neill, Neil J Mortimer, Alistair C Brown, Adrian J Seine, Richard Barlow, Paul J M Salmon

引用次数: 0

Repair of a Full-Thickness Lower Eyelid Defect. 下眼睑全层缺损的修复。

IF 2.3 3区医学

Dermatologic Surgery Pub Date : 2026-09-28 DOI: 10.1097/DSS.0000000000005358

Melanie S Jun, Kevin Y Shi

引用次数: 0

Slow Mohs Surgery for Localized Primary Cutaneous Lymphoproliferative Disorders in Anatomically Sensitive Locations. 慢莫氏手术治疗解剖敏感部位局部原发性皮肤淋巴细胞增生性疾病。

IF 2.3 3区医学

Dermatologic Surgery Pub Date : 2026-09-28 DOI: 10.1097/DSS.0000000000005373

Anam Adil, Wenhua Liu, Jonathan Konopinski, Aleksandar Krunic

引用次数: 0

Repair of a Large Anterior Tibial Defect. 胫骨前大缺损的修复。

IF 2.3 3区医学

Dermatologic Surgery Pub Date : 2026-09-28 DOI: 10.1097/DSS.0000000000005347

Shireen Sachdeva, Nedyalko Ivanov, Josh Hammel, Christopher Buckley

引用次数: 0

Melanoma Upstaging During Mohs Micrographic Surgery: A Single-Center 12-Year Experience. 莫氏显微摄影手术期间黑色素瘤的后期：单中心12年的经验。

IF 2.3 3区医学

Dermatologic Surgery Pub Date : 2026-09-28 DOI: 10.1097/DSS.0000000000005357

Sujitha Yadlapati, Maria Melendez-Gonzalez, Olufolakemi Awe, Lindsay P Osborn, Bradley G Merritt

{"title":"Melanoma Upstaging During Mohs Micrographic Surgery: A Single-Center 12-Year Experience.","authors":"Sujitha Yadlapati, Maria Melendez-Gonzalez, Olufolakemi Awe, Lindsay P Osborn, Bradley G Merritt","doi":"10.1097/DSS.0000000000005357","DOIUrl":"https://doi.org/10.1097/DSS.0000000000005357","url":null,"abstract":"Background: Mohs micrographic surgery (MMS) with MART-1/Melan-A immunostaining is increasingly used for melanoma in situ and invasive melanoma. Permanent section analysis of the central debulking specimen can reveal previously unrecognized or deeper invasion, resulting in tumor upstaging, but the frequency and clinical yield of this practice remain unclear.Objective: To determine the frequency of melanoma upstaging on debulking specimens and compare routine versus selective, frozen section-guided submission.Materials and methods: Single-center retrospective review of all cutaneous melanomas treated with MMS by one surgeon (2010-2022). Debulking specimens were submitted routinely (2010-2015) or selectively based on intraoperative frozen section features (2016-2022). The Fisher exact test was used to compare upstaging between eras.Results: Among 2,017 melanomas (75.8% in situ), 36 (1.8%; 95% CI: 1.3%-2.5%) were upstaged, all by increased Breslow depth. Overall upstaging was 2.5% (routine) versus 1.5% (selective) (p = .138). In the selective era, debulking specimens were submitted in only 25 cases, of which 21 (84.0%) showed upstaging, reflecting strong concordance between intraoperative frozen section suspicion and permanent section findings. Most upstaged tumors were low risk (77.8% T1a-T1b); only 22.2% reached T2a or higher.Conclusion: Melanoma upstaging during MMS is uncommon and usually low risk, supporting a selective, individualized approach to permanent section submission guided by intraoperative frozen section findings.","PeriodicalId":11289,"journal":{"name":"Dermatologic Surgery","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149059179","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

Acral Lentiginous Melanoma: A Review and Diagnostic and Surgical Considerations for the Mohs and Dermatologic Surgeon. 肢端晶状体黑色素瘤：Mohs和皮肤外科医生的回顾、诊断和手术考虑。

IF 2.3 3区医学

Dermatologic Surgery Pub Date : 2026-09-25 DOI: 10.1097/DSS.0000000000005359

Jordan Phillipps, Naiara Barbosa, Catherine Degesys, Brett Keeling, Ashley Wysong

{"title":"Acral Lentiginous Melanoma: A Review and Diagnostic and Surgical Considerations for the Mohs and Dermatologic Surgeon.","authors":"Jordan Phillipps, Naiara Barbosa, Catherine Degesys, Brett Keeling, Ashley Wysong","doi":"10.1097/DSS.0000000000005359","DOIUrl":"https://doi.org/10.1097/DSS.0000000000005359","url":null,"abstract":"Background: Acral lentiginous melanoma (ALM) is a biologically distinct, inherently aggressive, and understudied melanoma subtype without a unified surgical approach.Objective: To provide an updated review of ALM and offer practical, surgeon-focused guidance on diagnosis, biopsy, margin-controlled excision, and Mohs micrographic surgery (MMS)-based management of ALM.Methods materials: A PubMed/MEDLINE search of ALM, with an emphasis on articles published after 2015.Results: ALM demonstrates inherent biological aggressiveness characterized by extensive subclinical spread, delayed diagnosis, and higher stage-adjusted recurrence compared with nonacral cutaneous melanomas. Anatomic constraints additionally necessitate specialized surgical approaches, although current management is extrapolated from nonacral melanoma data. Retrospective data support MMS and margin-controlled excision and tissue preservation in ALM, with the benefit of digit-sparing surgery and functional preservation. No randomized trials have included ALM, highlighting a key evidence gap.Conclusion: Margin-controlled approaches such as MMS may improve local control and tissue preservation in select ALM patients. Prospective ALM-specific research and standardized diagnostic and surgical protocols are strongly needed.","PeriodicalId":11289,"journal":{"name":"Dermatologic Surgery","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149036921","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