Dermatologic Surgery最新文献_第8页

Reconstruction of a Medial Canthus and Full-Thickness Eyelid Defect.

IF 2.5 3区医学

Dermatologic Surgery Pub Date : 2025-03-10 DOI: 10.1097/DSS.0000000000004607

Jose L Cortez, Sasha R Vigil, Andrew Matsumoto

引用次数: 0

Subsequent Primary Malignancies Incur a Significant Mortality Penalty in Patients With Dermatofibrosarcoma Protuberans.

IF 2.5 3区医学

Dermatologic Surgery Pub Date : 2025-03-05 DOI: 10.1097/DSS.0000000000004590

Tejas P Joshi, Ikue Shimizu

引用次数: 0

Patient Satisfaction With Different Anesthesia Types in Skin Cancer Reconstruction.

IF 2.5 3区医学

Dermatologic Surgery Pub Date : 2025-03-05 DOI: 10.1097/DSS.0000000000004582

Cedar Slovacek, Laura Roider, Aurora Kareh, Ramona Behshad, Michael Bernstein

{"title":"Patient Satisfaction With Different Anesthesia Types in Skin Cancer Reconstruction.","authors":"Cedar Slovacek, Laura Roider, Aurora Kareh, Ramona Behshad, Michael Bernstein","doi":"10.1097/DSS.0000000000004582","DOIUrl":"https://doi.org/10.1097/DSS.0000000000004582","url":null,"abstract":"Background: Over 1 million skin cancer diagnoses are made each year. Although patients experience stress from the diagnosis, surgical management may cause additional anxiety reducing outcome and satisfaction scores. The authors sought to better understand the impact of local (local anesthesia [LA]) versus intravenous (IV) anesthesia, with the goal of optimizing treatment plans.Methods: Patients who underwent Mohs micrographic surgery and subsequent reconstruction from 2019 to 2022 completed a survey evaluating satisfaction, pain, and anxiety at 1-week postop. Anesthesia type during reconstruction determined grouping, and analysis between the 2 groups was performed.Results: Of 78 patients, 30 received IV and 48 received LA. IV group (IVG) was significantly younger (p = .01), had larger defects (p = .04) and final reconstruction sizes (p = .03). The IVG experienced significantly less anxiety during the procedure (p = .02), however, reported more anxiety postoperatively (p = .01). No significant differences regarding satisfaction or pain were identified.Conclusion: Compared with LA, patients who underwent reconstruction with IV experienced significantly lower intraprocedural anxiety; however, the IVG experienced greater anxiety in the postoperative period. Despite this difference in anxiety, no significant difference was demonstrated in overall satisfaction. In conclusion, with patients undergoing a high anxiety procedure, it is important to tailor the treatment plan to decrease anxiety.","PeriodicalId":11289,"journal":{"name":"Dermatologic Surgery","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143556117","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: Reconstruction of Combined Lateral Upper and Lower Eyelid Defects.

IF 2.5 3区医学

Dermatologic Surgery Pub Date : 2025-03-04 DOI: 10.1097/DSS.0000000000004605

Laura K Archibald, Ian A Maher

引用次数: 0

Intralesional Insulin is Superior to Intralesional Botulinum Toxin-A in the Treatment of Keloids.

IF 2.5 3区医学

Dermatologic Surgery Pub Date : 2025-03-04 DOI: 10.1097/DSS.0000000000004566

Mona Elradi, Heba Selim, Dina E Hamed

{"title":"Intralesional Insulin is Superior to Intralesional Botulinum Toxin-A in the Treatment of Keloids.","authors":"Mona Elradi, Heba Selim, Dina E Hamed","doi":"10.1097/DSS.0000000000004566","DOIUrl":"https://doi.org/10.1097/DSS.0000000000004566","url":null,"abstract":"Background: Keloids represent a troublesome condition that lacks a proper standard management protocol. Insulin and botulinum toxin A (BTX-A) both have evidence-based anti-scarring effects. Hence, their role in treating keloids needs to be investigated.Objective: To compare insulin's efficacy versus BTX-A in treating keloids.Patients and methods: Sixty-three patients with keloids were randomly allocated into 3 equal groups. Group A was treated with intralesional insulin, Group B with intralesional BTX-A, and Group C with intralesional corticosteroids, each for 4 monthly sessions. The results were assessed objectively and subjectively using the patient and observer scar assessment scale.Results: All 3 groups showed a statistically significant reduction in volume before and after therapy, with percent changes of 66.6%, 25.3%, and 75% for Groups A, B, and C, respectively. Insulin and corticosteroids were statistically superior to BTX-A in improving pigmentation, reducing thickness, and inducing relief in treated keloids.Conclusion: Both insulin and BTX-A show a promising role in managing keloids, with insulin demonstrating better efficacy. Botulinum toxin A is better recommended as an adjuvant therapy alongside other mainstay treatment modalities. Larger-scale studies are needed to confirm their roles and establish guidelines for their use.","PeriodicalId":11289,"journal":{"name":"Dermatologic Surgery","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143540537","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

Reconstruction of a Multisubunit Defect at the Juncture of the Nasal Ala, Nasal Sidewall, and Medial Infraorbital Cheek.

IF 2.5 3区医学

Dermatologic Surgery Pub Date : 2025-03-04 DOI: 10.1097/DSS.0000000000004601

Nour El-Kashlan, Adriana Lopez, Jesse M Lewin

引用次数: 0

Treatment of Neck Hyperhidrosis With Botulinum Toxin Type A: A Prospective, Observational Study.

IF 2.5 3区医学

Dermatologic Surgery Pub Date : 2025-03-04 DOI: 10.1097/DSS.0000000000004609

Stamatios Gregoriou, Aikaterini Tsiogka, Alexander Stratigos, Efthymia Agiasofitou

引用次数: 0

Development and Validation of the Sun Exposure and Behavior Inventory in the Arabic Language.

IF 2.5 3区医学

Dermatologic Surgery Pub Date : 2025-03-04 DOI: 10.1097/DSS.0000000000004603

Abdullah Aleisa, Alhanoof Alajlan, Yazeed A Alrodiman, Qais A Almuhaideb, Nasser M AbuDujain

{"title":"Development and Validation of the Sun Exposure and Behavior Inventory in the Arabic Language.","authors":"Abdullah Aleisa, Alhanoof Alajlan, Yazeed A Alrodiman, Qais A Almuhaideb, Nasser M AbuDujain","doi":"10.1097/DSS.0000000000004603","DOIUrl":"https://doi.org/10.1097/DSS.0000000000004603","url":null,"abstract":"Background: Skin cancer prevalence has been increasing worldwide, particularly among Caucasian populations. Sun exposure is a significant risk factor, and some tools, such as the sun exposure and behavior inventory (SEBI), have been developed to assess sun-related behaviors.Objective: To translate, culturally adapt, and validate the Arabic version of SEBI to assess its reliability and validity in measuring sun exposure behaviors.Methods: A quantitative cross-sectional study was conducted at King Saud University Medical City in Riyadh between May and June 2024, focusing on dermatology patients fluent in Arabic. The instrument was translated forward and backward. Construct validity was assessed through exploratory factor analysis. Reliability was established by internal consistency and the intraclass correlation coefficient.Results: Arabic SEBI showed good Cronbach alpha values (0.61-0.71) across various domains. The test-retest reliability of intraclass correlation coefficients ranged from 0.67 to 0.72. Furthermore, factor analysis revealed 3 main factors representing 51.2% of the variance. Discriminant validity was also significant; clear differentiation is seen between the highest and lowest quartile scores in the SEBI domains (p < .001).Conclusion: The Arabic-translated SEBI is a reliable and valid tool for assessing sun exposure and protective behaviors in Arabic-speaking populations.","PeriodicalId":11289,"journal":{"name":"Dermatologic Surgery","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143556113","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

A Single-Center, Evaluator-Blinded, Split-Body, Randomized Pilot Study of Intense Pulsed Light Activation of Silver Nanoparticles Versus Intense Pulsed Light Alone in the Treatment of Keratosis Pilaris.

IF 2.5 3区医学

Dermatologic Surgery Pub Date : 2025-03-04 DOI: 10.1097/DSS.0000000000004610

Lisa Ishii, Raheel Zubair, Kavita Darji, Misha Zarbafian, Mitchel P Goldman

引用次数: 0

Mohs Micrographic Surgery Affords Comparable Disease-Specific Survival to Wide Local Excision for Acral Lentiginous Melanomas: A National Database Study.

IF 2.5 3区医学

Dermatologic Surgery Pub Date : 2025-03-04 DOI: 10.1097/DSS.0000000000004612

Tejas P Joshi, Alok Vij

引用次数: 0