Dermatologic Surgery最新文献_第8页

Progression From Cutaneous Abscess to Hidradenitis Suppurativa: A Retrospective Analysis. 从皮肤脓肿到化脓性汗腺炎的进展：回顾性分析。

IF 2.2 3区医学

Dermatologic Surgery Pub Date : 2025-09-04 DOI: 10.1097/DSS.0000000000004729

Hiral Patel, Sujeeth Krishna Shanmugam, Katie K Lovell, Madison Read, Elizabeth Swain, Emily Balding, Rita O Pichardo, Steven R Feldman

{"title":"Progression From Cutaneous Abscess to Hidradenitis Suppurativa: A Retrospective Analysis.","authors":"Hiral Patel, Sujeeth Krishna Shanmugam, Katie K Lovell, Madison Read, Elizabeth Swain, Emily Balding, Rita O Pichardo, Steven R Feldman","doi":"10.1097/DSS.0000000000004729","DOIUrl":"https://doi.org/10.1097/DSS.0000000000004729","url":null,"abstract":"Background: Hidradenitis suppurativa (HS) is often diagnosed late in disease course after irreversible scarring, and other modifiers of quality of life have occurred. Identifying HS earlier may help reduce long-term impact.Objective: This study examines how often patients diagnosed with cutaneous abscesses are later identified as having HS, time to HS diagnosis, and demographic factors associated with diagnosis.Methods: The study was conducted at Atrium Health Wake Forest Baptist from 2012 to 2023. Data on demographics, clinical history, abscess and lesion locations, HS diagnosis, and time to HS diagnosis were collected. Chi-squared and t-tests were conducted to compare outcomes.Results: Four hundred seventy-one patients, predominantly women [70.1%], met inclusion criteria. Seventy-one patients were diagnosed with HS, predominantly women [80.3%]. HS patients were more likely (35.6%) to have abscesses in the axillae (χ2 = 28.3, p < .0001), inframammary region (χ2 = 18.7, p < .0001), or inguinal folds (χ2 = 12.2, p = .005) than those with boils in nontypical locations (5.4%) (χ2 = 66.8, p < .0001).Conclusion: The heterogeneous nature of HS makes early definitive diagnosis challenging. The anatomic location of abscesses may help identify patients for early intervention and treatment of this debilitating condition.","PeriodicalId":11289,"journal":{"name":"Dermatologic Surgery","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144999955","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

Comparison of a Single Treatment of Needleless Microsubcision With Hyaluronic Acid and Carbon Dioxide Pinhole Method for Atrophic Acne Scars. 透明质酸与二氧化碳针孔法治疗萎缩性痤疮疤痕单次无针微切术的比较。

IF 2.2 3区医学

Dermatologic Surgery Pub Date : 2025-09-03 DOI: 10.1097/DSS.0000000000004837

Sang-Doo Lee, Hye Jin Ahn, Sang Jun Lee, Dong-Hye Suh, Kye-Yong Song, Min Kyung Shin

{"title":"Comparison of a Single Treatment of Needleless Microsubcision With Hyaluronic Acid and Carbon Dioxide Pinhole Method for Atrophic Acne Scars.","authors":"Sang-Doo Lee, Hye Jin Ahn, Sang Jun Lee, Dong-Hye Suh, Kye-Yong Song, Min Kyung Shin","doi":"10.1097/DSS.0000000000004837","DOIUrl":"10.1097/DSS.0000000000004837","url":null,"abstract":"Background: Scarring, particularly the atrophic type, is one of the most distressing consequences of acne. Despite the availability of various treatment options, no single best treatment option has been recognized.Objective: To compare the efficacy of carbon dioxide (CO2) pinhole method and needleless microsubcision with hyaluronic acid (HA) to identify a more effective treatment option for acne atrophic scars.Materials and methods: A 4-week prospective, single-center, evaluator-blinded, randomized, split-face study was conducted. Clinical evaluation using the VISIA imaging tool, reflectance confocal microscopy (RCM), and histopathologic analysis was performed a month after a single-treatment session.Results: Microsubcision with HA improved scarring depth and postacne erythema more than CO2 pinhole method, although the differences were not statistically significant. Histopathologic analysis revealed that microsubcision with HA induced diffuse soft tissue remodeling and evenly distributed fine collagen fibers. In addition, RCM analysis revealed evenly distributed hyper-reflective collagen fibers in the dermis and regular honeycomb patterns in the epidermis. No serious adverse effects were observed.Conclusion: This study demonstrated that needleless microsubcision with HA shows a nonsignificant trend toward superiority than CO2 pinhole method in treating atrophic acne scars.","PeriodicalId":11289,"journal":{"name":"Dermatologic Surgery","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144946618","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 Acquired External Ear Canal Stenosis After Basal Cell Carcinoma Excision. 基底细胞癌切除术后后天性外耳道狭窄的重建。

IF 2.2 3区医学

Dermatologic Surgery Pub Date : 2025-09-03 DOI: 10.1097/DSS.0000000000004848

Marin P Melloy, Alexander Hou, Daniel B Eisen

引用次数: 0

Impact of Prior Malignancies on Survival of Patients With Merkel Cell Carcinoma. 既往恶性肿瘤对默克尔细胞癌患者生存的影响。

IF 2.2 3区医学

Dermatologic Surgery Pub Date : 2025-09-03 DOI: 10.1097/DSS.0000000000004832

Tejas P Joshi, H William Higgins

引用次数: 0

Vibration-Assisted Anesthesia Reduces Pain in Dermatologic Procedures: A Split-Lesion Study. 振动辅助麻醉减轻皮肤外科手术中的疼痛：一项分裂损伤研究。

IF 2.2 3区医学

Dermatologic Surgery Pub Date : 2025-09-03 DOI: 10.1097/DSS.0000000000004850

Rohan Manoj, Amod Apastamb, Aayush Gupta, Shrishti Singh, Aditi Gupta, Shubham Deokar, Sandra Arora, Rohit Kothari

{"title":"Vibration-Assisted Anesthesia Reduces Pain in Dermatologic Procedures: A Split-Lesion Study.","authors":"Rohan Manoj, Amod Apastamb, Aayush Gupta, Shrishti Singh, Aditi Gupta, Shubham Deokar, Sandra Arora, Rohit Kothari","doi":"10.1097/DSS.0000000000004850","DOIUrl":"10.1097/DSS.0000000000004850","url":null,"abstract":"Background: Vibration-assisted anesthesia, grounded in the gate control theory, offers a nonpharmacologic alternative to reduce pain; however, real-world dermatologic data remain sparse.Objective: To evaluate the efficacy of a novel wearable vibrating kinetic anesthesia (VKA) device in reducing pain during dermatologic procedures, using a split-lesion, intrapatient-controlled design.Methods: In this prospective observational study, 629 patients underwent dermatologic procedures. Each patient received the same procedure on 2 comparable sites, one with and one without VKA. Pain was assessed using the Visual Analog Scale (VAS), Numeric Rating Scale (NRS), and Modified Verbal Rating Scale (MVRS). Composite clinical success was defined as a ≥2-point reduction in both VAS and NRS along with a stated preference for VKA.Results: Use of VKA resulted in significant pain reduction: mean ΔVAS = 2.61 (95% CI: 2.46-2.76, p < .001), ΔNRS = 2.44 (95% CI: 2.30-2.58, p < .001). Effect sizes were large (Cohen's d > 1.0), and composite success was achieved in 81.5% of procedures. Patients preferred VKA in 94.6% of cases. Verbal descriptors shifted from \"stabbing\" and \"burning\" to \"dull\" and \"prickling.\" Procedure type and baseline VAS score were significant predictors of response.Conclusion: Vibration-assisted anesthesia significantly reduces procedural pain and improves patient experience in dermatology.","PeriodicalId":11289,"journal":{"name":"Dermatologic Surgery","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144946720","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

Effects of 24-Hour Delayed Implantation on Graft Survival: A Pilot Study. 24小时延迟植入对移植物存活的影响：一项初步研究。

IF 2.2 3区医学

Dermatologic Surgery Pub Date : 2025-09-03 DOI: 10.1097/DSS.0000000000004843

Dawn Queen, Marc R Avram

引用次数: 0

Nail Cutter as a Tool to Remove Necrotic Bone and Stimulate Granulation Tissue on Exposed Scalp Bone. 指甲剪作为去除坏死骨和刺激暴露头皮骨上肉芽组织的工具。

IF 2.2 3区医学

Dermatologic Surgery Pub Date : 2025-09-03 DOI: 10.1097/DSS.0000000000004847

Helen Chen, Melanie P Hager, Leonard H Goldberg, Ziv Schwartz

引用次数: 0

Assessing UV Rejection in Window Tints: A Comparative Study of Professional and E-Commerce Products. 评估窗户色调的紫外线抑制：专业产品和电子商务产品的比较研究。