Dermatologic Surgery最新文献_第9页

Squamous Cell Carcinoma Arising in a New Tattoo. 新纹身引起的鳞状细胞癌。

IF 2.2 3区医学

Dermatologic Surgery Pub Date : 2025-09-03 DOI: 10.1097/DSS.0000000000004849

Kush Maheshwari, Renat Ahatov, Juan Pinto-Cuberos, Richard F Wagner

引用次数: 0

National Trends in Repair Type Selection After Mohs Micrographic Surgery: A Benchmark Analysis Using TriNetX. 莫氏显微摄影手术后修复类型选择的全国趋势：使用TriNetX的基准分析。

IF 2.2 3区医学

Dermatologic Surgery Pub Date : 2025-09-03 DOI: 10.1097/DSS.0000000000004851

Travis S Dowdle, Madelyn Schmidt, Frank T Winsett, Richard F Wagner

{"title":"National Trends in Repair Type Selection After Mohs Micrographic Surgery: A Benchmark Analysis Using TriNetX.","authors":"Travis S Dowdle, Madelyn Schmidt, Frank T Winsett, Richard F Wagner","doi":"10.1097/DSS.0000000000004851","DOIUrl":"10.1097/DSS.0000000000004851","url":null,"abstract":"Background: Following histologic tumor clearance in Mohs micrographic surgery, reconstruction plays a critical role in patient outcomes. Despite its importance, national-level data on real-world reconstructive patterns by anatomic site are lacking.Objective: Characterize national repair patterns by anatomic site following Mohs micrographic surgery.Methods: Using the TriNetX research network, we extracted Mohs micrographic surgery cases performed between 2006 and 2024 (N = 607,214) and categorized repairs into reconstructive classes using CPT groupings. Cases were stratified by anatomic subunit using ICD-10 codes. Temporal trends and statistical significance were assessed using chi-squared tests.Results: Our analysis revealed the following distribution of repair types across all sites: complex repairs (34%), no same day repair (19%), local flaps (19%), intermediate repairs (18%), skin grafts (8%), interpolation flaps (0.8%), island pedicle flaps (0.1%), and simple closures (1.0%). Utilization of island pedicle flaps and complex repairs declined significantly over time (P<0.0001), coinciding with CPT coding revisions, while intermediate repair use increased. Local flaps, skin grafts, and no same day repair remained relatively stable but trended downward over time.Conclusion: This study provides valuable insights for Mohs surgeons seeking to benchmark their own reconstructive practices as understanding one's practice patterns in relation to national norms is critical.","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":"144946685","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

Navigating the Mohs Fellowship Match: What Applicants Value in Programs and Their Perceptions Regarding Fellowship Directors Preferences. Mohs奖学金匹配导航：申请人在项目中的价值以及他们对奖学金主任偏好的看法。

IF 2.2 3区医学

Dermatologic Surgery Pub Date : 2025-09-03 DOI: 10.1097/DSS.0000000000004820

Emily R Hunter, Stephanie Y Wang, Karla L Valdes-Morales, Dylan Haynes, Steven C Freeman, Joseph F Sobanko, Jeremy R Etzkorn, Joanna L Walker, Junqian Zhang, David R Carr, Justin Leitenberger, Anna Bar, Murad Alam, William Higgins, Christopher J Miller

{"title":"Navigating the Mohs Fellowship Match: What Applicants Value in Programs and Their Perceptions Regarding Fellowship Directors Preferences.","authors":"Emily R Hunter, Stephanie Y Wang, Karla L Valdes-Morales, Dylan Haynes, Steven C Freeman, Joseph F Sobanko, Jeremy R Etzkorn, Joanna L Walker, Junqian Zhang, David R Carr, Justin Leitenberger, Anna Bar, Murad Alam, William Higgins, Christopher J Miller","doi":"10.1097/DSS.0000000000004820","DOIUrl":"10.1097/DSS.0000000000004820","url":null,"abstract":"Background: The current Micrographic Surgery and Dermatologic Oncology (MSDO) fellowship match process requires applicants and fellowship directors to rank each other with limited information. Fellowship directors receive standardized information about applicants, but applicants lack comparable program data.Objective: To determine how MSDO applicants learn about fellowship programs, and what program characteristics influence their rank list decisions.Materials and methods: All MSDO applicants to the University of Pennsylvania for the 2025 to 2026 fellowship year were invited to participate in a web-based survey distributed via email. The survey evaluated applicant characteristics, preferred information sources to learn about programs, program characteristics impacting applicants rank list, and which applicant achievements and personal characteristics they believed fellowship directors valued most. Data collection concluded when 20% of the estimated 2024 national MSDO applicant pool responded.Results: This survey analyzed responses from 39 MSDO applicants (26% of the estimated national applicant pool). Applicants primarily relied on interviews (84.6%), program websites (82.0%), and mentors (71.8%) for information. The most valued program characteristics were clinical autonomy, complex case volume, and prior fellows' satisfaction.Conclusion: Fellowship directors can improve match outcomes by providing clear, standardized information through program websites, structured interviews, and details on clinical training, case complexity, and fellow autonomy.","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":"144946748","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

Patient Understanding of Health Care Practitioner Titles-A California Survey. 病人对医疗保健从业人员头衔的理解——加州调查。

IF 2.2 3区医学

Dermatologic Surgery Pub Date : 2025-08-26 DOI: 10.1097/DSS.0000000000004807

Elan M Newman, Ann F Haas, Philip R Levin, Christina M Menor, Antonio Hernandez Conte

{"title":"Patient Understanding of Health Care Practitioner Titles-A California Survey.","authors":"Elan M Newman, Ann F Haas, Philip R Levin, Christina M Menor, Antonio Hernandez Conte","doi":"10.1097/DSS.0000000000004807","DOIUrl":"https://doi.org/10.1097/DSS.0000000000004807","url":null,"abstract":"Background: Physicians are concerned that patients are confused by the professional titles used by nonphysician practitioners.Objective: To assess how commonly used medical titles and specialty descriptors are understood by adult Californians in relation to the practitioner's actual training and qualifications.Methods: A 60-question multiple choice online survey was conducted on California adults aged 18 to 99 years. The survey was designed to yield a 3.0% margin of error. Given the demographic diversity of California, participants were sourced from multiple opt-in survey panels and balanced for age, income, gender/race/ethnic diversity, education, community type, geography, and political ideology.Results: A total of 1,033 subjects (24.6% response rate; 4,206 potential participants) met the inclusion criteria for the survey. Participants demonstrated significant confusion by the medical and specialty titles used by nonphysicians in California. Only 9% (N = 91) of participants correctly matched a practitioner's level of training and qualifications with the medical or specialty titles provided in the survey. The understanding of medical titles also varied between age groups and across geographic locations in the state. Of the participants, 88% supported legislation to restrict the use \"doctor\" and \"-ologist\" terms to physicians only.Conclusion: The results underscore the need for California to provide additional regulation and legislation regarding title transparency.","PeriodicalId":11289,"journal":{"name":"Dermatologic Surgery","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144946731","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

Mechanism Exploration of Early Intervention With CO2 Ablative Fractional Laser to Improve Surgical Scars. CO2烧蚀分形激光早期干预改善手术瘢痕的机制探讨。

IF 2.2 3区医学

Dermatologic Surgery Pub Date : 2025-08-25 DOI: 10.1097/DSS.0000000000004732

Jiaxing Liu, Ruishuang Sun, Yingxia Luo, Liujie Shi, Yunsong Zhang

{"title":"Mechanism Exploration of Early Intervention With CO2 Ablative Fractional Laser to Improve Surgical Scars.","authors":"Jiaxing Liu, Ruishuang Sun, Yingxia Luo, Liujie Shi, Yunsong Zhang","doi":"10.1097/DSS.0000000000004732","DOIUrl":"https://doi.org/10.1097/DSS.0000000000004732","url":null,"abstract":"Background: Scarless healing has always been the ultimate goal of surgery. Early intervention with a CO2 ablative fractional laser (CO2 AFL) has been found to improve the appearance of surgical scars.Objective: To investigate the mechanism of early intervention with a CO2 AFL in promoting skin wound healing and the role of follicular stem cells.Methods: The authors used seven-week-old male LGR5-Cre, Rosa-mtmg (LGR5-mtmg), krt14-gfp-creer2, and BALBc mice to establish a skin incision model and apply CO2 AFL treatment. The histological analysis and transcriptome sequencing were performed, and the results were verified using RT-PCR and western blotting. Transgenic fluorescent mice expressing Lgr5 and K14 were used to follow the trajectories of hair follicle stem cells and epidermal stem cells during wound healing.Results: Histological analyses revealed that after CO2 AFL treatment, the number of incision marks in the incision tissue was lower. After treatment, the number of Lgr6 and Lgr5+ hair follicle stem cells and K14 epidermal stem cells increased, and the expression of Trps1 and its downstream Wnt pathway increased.Conclusion: Early intervention with a CO2 AFL to promote skin incision healing in mice may be achieved by activating Trps1 to regulate the Wnt/β-catenin pathway and promote hair follicle stem-cell participation in skin wound healing.","PeriodicalId":11289,"journal":{"name":"Dermatologic Surgery","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144946609","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 Large, Multisubunit Defect of the Lateral Nasal Sidewall, Lower Eyelid, and Infraorbital Cheek. 鼻侧壁、下眼睑及眶下颊大面积多亚单位缺损之重建。

IF 2.2 3区医学

Dermatologic Surgery Pub Date : 2025-08-25 DOI: 10.1097/DSS.0000000000004838

Jaclyn Rosenthal Himeles, Adriana Marton, Jesse M Lewin

引用次数: 0

Recurrence Rates After Mohs Micrographic Surgery and Wide Local Excision for Squamoid Eccrine Ductal Carcinoma: A Systematic Review of 85 Cases. 85例鳞状上皮导管癌Mohs显微手术及广泛局部切除后复发率的系统分析。

IF 2.2 3区医学

Dermatologic Surgery Pub Date : 2025-08-25 DOI: 10.1097/DSS.0000000000004841

Anuj B Kunadia, Isha Jhingan, Eric Cline, Victoria Brito, Lindsey K Collins

引用次数: 0

Reviewing the Role of Angiosomes in Filler-Induced Tissue Necrosis: Observed Patterns and Clinical Signs. 血管小体在填充物诱导的组织坏死中的作用：观察模式和临床症状。

IF 2.2 3区医学

Dermatologic Surgery Pub Date : 2025-08-25 DOI: 10.1097/DSS.0000000000004842

Bridget Myers, Joel L Cohen

{"title":"Reviewing the Role of Angiosomes in Filler-Induced Tissue Necrosis: Observed Patterns and Clinical Signs.","authors":"Bridget Myers, Joel L Cohen","doi":"10.1097/DSS.0000000000004842","DOIUrl":"https://doi.org/10.1097/DSS.0000000000004842","url":null,"abstract":"Background: Angiosomes are 3-dimensional vascular territories supplying skin, soft tissues, and bones by a main perforating artery. The inadvertent injection of filler into a vessel can portend serious consequences including soft tissue necrosis and blindness. The structure and function of angiosomes are key in the pathogenesis of these complications, as they determine the location, the progression, and the extent of damage caused by filler-related vascular events.Objective: To review the anatomy and function of angiosomes and discuss their role in filler-induced tissue necrosis location and clinical warning signs (pain, blanching, livedoid pattern, gray discoloration, pustules, skin demarcation, coagulative necrosis, skin breakdown, eschar formation, and tissue slough).Materials and methods: A literature search of PubMed and EMBASE databases was performed using the terms \"hyaluronic acid,\" \"dermal fillers,\" \"soft tissue fillers,\" \"skin necrosis,\" \"tissue ischemia,\" \"vascular occlusion,\" \"retinal injury,\" \"angiosomes,\" \"perforasomes,\" and \"choke vessels.\" Clinical expertise from a busy cosmetic and laser dermatology practice was included.Results: We identified and included 26 articles exploring or reviewing facial angiosomes and/or vascular complications after filler injections.Conclusion: Understanding the role of angiosomes in filler complications helps practitioners take care in their injections, practice safe technique, and appropriately manage complications.","PeriodicalId":11289,"journal":{"name":"Dermatologic Surgery","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144946753","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

Modification of the SCAR Score for Clinician-Only, Retrospective, Photograph Analysis. 仅用于临床、回顾性、照片分析的SCAR评分的修改。

IF 2.2 3区医学

Dermatologic Surgery Pub Date : 2025-08-22 DOI: 10.1097/DSS.0000000000004827

Melanie P Hager, Ziv Schwartz, Leonard H Goldberg

引用次数: 0

Comparison of Pain Perception Between Needle and Cannula Subdermal Injections for PDLLA: A Randomized, Double-Blinded, Split-Injection Study. 针和套管皮下注射治疗PDLLA的疼痛感觉比较：一项随机、双盲、分裂注射研究。

IF 2.2 3区医学

Dermatologic Surgery Pub Date : 2025-08-22 DOI: 10.1097/DSS.0000000000004840

Kyu-Ho Yi, Jong Keun Song, Song Eun Yoon, Jin-Hyun Kim

引用次数: 0