Journal of Cutaneous and Aesthetic Surgery最新文献

Selective therapy (cryo or scalpel) combined with multimodal therapy for treating keloids. 选择性治疗(冷冻或手术刀)联合多模式治疗瘢痕疙瘩

Journal of Cutaneous and Aesthetic Surgery Pub Date : 2024-04-01 DOI: 10.4103/JCAS.JCAS_40_23

Sushil S Savant, Satish S Savant, Feral Daruwala

{"title":"Selective therapy (cryo or scalpel) combined with multimodal therapy for treating keloids.","authors":"Sushil S Savant, Satish S Savant, Feral Daruwala","doi":"10.4103/JCAS.JCAS_40_23","DOIUrl":"10.4103/JCAS.JCAS_40_23","url":null,"abstract":"Background: Keloids are less responsive to any single treatment modality; hence, there is a need for combination therapy that can yield satisfactory outcomes.Objective: The present study assessed efficacy and safety of combination therapy-surgical excision or cryotherapy and intralesional corticosteroids along with 5-fluorouracil [IL (S + 5-FU)] injection, followed by silicone gel sheet (SGS) under compression therapy in the treatment of keloids.Materials and methods: This was a retrospective, observational study comprising 21 clinically diagnosed keloid patients. All patients were treated with the stated combination therapy. Data about demographic, lesions, procedural characteristics, and treatment outcomes were reported.Results: Of 21, 11 (52.4%) patients were treated with liquid nitrogen (LN2) cryotherapy, and 10 (47.6%) patients were treated with surgical excision. Mean age was 30.8 ± 7.6 (range: 14-44) years with slight male (52.4%) predominance. A mean surface area of keloid lesion was 96.8 ± 170.5 cm3. The most frequently involved site was auricle (8 [38.1%] patients). Patients received the following types of treatments: intralesional LN2 cryotherapy (6 [28.6%]), intralesional excisional surgery (6 [28.6%]), surface LN2 cryotherapy (5 [23.8%]), and extralesional excisional surgery (4 [19.0%]). Complications of recurrence (2 [9.5%]), secondary infections (2 [9.5%]), persistent postinflammatory hypopigmentation (1 [4.8%]), and atrophic scarring with postinflammatory hyperpigmentation (1 [4.8%]) were reported. After a study period of 2.5 years, 100% cure rate was achieved.Conclusion: Combination therapy of surgical excision or cryotherapy and IL (S + 5-FU), followed by SGS under compression, was safe and effective in treating keloids.","PeriodicalId":15415,"journal":{"name":"Journal of Cutaneous and Aesthetic Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11126220/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46736644","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Successful management of an unusual hypopigmented scar after surgical repair of a unilateral Tessier 7 cleft. 手术修复单侧 Tessier 7 裂隙后的异常色素沉着疤痕的成功治疗。

Journal of Cutaneous and Aesthetic Surgery Pub Date : 2024-04-01 DOI: 10.4103/JCAS.JCAS_11_21

Kriti Jain

引用次数: 0

Efficacy of 15% trichloroacetic acid peel versus 35% glycolic acid peel in acanthosis Nigricans: A randomized open-label study. 15%三氯乙酸皮与35%乙醇酸皮治疗黑棘皮病的疗效：一项随机开放标签研究

Journal of Cutaneous and Aesthetic Surgery Pub Date : 2024-04-01 DOI: 10.4103/JCAS.JCAS_76_23

Bharati Bharati, Rashmi Sarkar, Taru Garg, Rajeev Goyal, Vibhu Mendiratta

{"title":"Efficacy of 15% trichloroacetic acid peel versus 35% glycolic acid peel in acanthosis Nigricans: A randomized open-label study.","authors":"Bharati Bharati, Rashmi Sarkar, Taru Garg, Rajeev Goyal, Vibhu Mendiratta","doi":"10.4103/JCAS.JCAS_76_23","DOIUrl":"10.4103/JCAS.JCAS_76_23","url":null,"abstract":"Introduction: Acanthosis Nigricans (AN) is an acquired disorder of keratinization. It presents as hyperpigmentation, velvety texture of skin that can involve any part of the body including the face. Different topical, systemic therapies, or physical therapies including laser have been explored. However, there are not many randomized controlled studies for the majority of therapy alternatives besides lifestyle modifications and weight reduction.Objectives: The aim of this study was to compare the effectiveness of 15% trichloroacetic acid (TCA) and 35% glycolic acid (GA) peel for AN.Materials and methods: Forty participants were included and randomized into two groups. In groups A and B, peeling with 15% TCA and 35% GA was done, respectively. The effectiveness of each peel was assessed using changes in the Acanthosis Nigricans Area and Severity Index Score (ANASI) and Physician Assessment Score. Statistical analysis included Wilcoxon-Mann-Whitney test, Friedman test, and generalized estimating equations.Results: The overall change in ANASI over time was compared in the two groups using the generalized estimating equations method. A significant difference was observed in the trend of ANASI over time between the two groups (P < 0.001). TCA peel group showed more change in ANASI as compared with GA peel group.Conclusion: In our research, 15% TCA has a better efficacy when compared with 35% GA peel after three sessions of chemical peeling. We therefore recommend the use of 15% TCA peel in AN as a safe and effective treatment option. However, more comprehensive randomized control studies are required for supporting data.","PeriodicalId":15415,"journal":{"name":"Journal of Cutaneous and Aesthetic Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11126224/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44841362","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Mohs surgery for squamoid eccrine ductal carcinoma. 莫氏手术治疗鳞状上皮导管癌。

Journal of Cutaneous and Aesthetic Surgery Pub Date : 2024-04-01 DOI: 10.4103/JCAS.JCAS_60_22

Maryam Eghtedari, Matthew James Lin, Leo Kim

引用次数: 0

PRP and its benefit as an adjunctive therapy with subcision and microneedling in atrophic scars: a comparative study. PRP 及其作为亚切割和微针疗法对萎缩性疤痕的辅助疗法的益处：一项比较研究。

Journal of Cutaneous and Aesthetic Surgery Pub Date : 2024-04-01 DOI: 10.4103/JCAS.JCAS_64_23

Aditi Vashisht, Arvind Krishna, Robin Chugh, Abhinav David, Divyanshu Srivastava

{"title":"PRP and its benefit as an adjunctive therapy with subcision and microneedling in atrophic scars: a comparative study.","authors":"Aditi Vashisht, Arvind Krishna, Robin Chugh, Abhinav David, Divyanshu Srivastava","doi":"10.4103/JCAS.JCAS_64_23","DOIUrl":"10.4103/JCAS.JCAS_64_23","url":null,"abstract":"Context: Scarring is a biological process of wound repair which leads to a difference in the normal structure and function of the skin and manifests as a depressed or raised area. Treatment of scars is challenging. A number of therapeutic approaches like surgical techniques and non-surgical techniques are performed to improve scarring.Aims and objectives: The aim of this study was to compare the outcome of subcision followed by microneedling versus subcision followed by microneedling and topical platelet-rich plasma (PRP) in atrophic scars.Materials and methods: A comparative prospective study was conducted at a tertiary care hospital in North India to compare the efficacy of subcision followed by microneedling versus subcision followed by microneedling and topical PRP. A total of 40 cases were taken and were randomly divided into two groups, A and B of 20 patients in each group. Topical PRP was applied as an additional therapy in Group B in the same sitting. Minimum three sittings were done in each patient at an interval of 4 weeks and results were assessed after 1 month of the third session. The statistical software used is Microsoft Excel and SPSS software program, version 24.0 for analysis of data and Microsoft Word to generate graphs and tables.Results: Improvement in scar grading was more in Group B as compared to Group A with statistically significant difference (P = 0.032). There was an improvement in scar grading from grade 4 scar to grade 2 in 15% and 30% patients of Groups A and B, respectively, with improvement in skin texture and pigmentation more in Group B.Conclusion: PRP proved to add to the improvement of grade of atrophic scars when combined with subcision and microneedling.","PeriodicalId":15415,"journal":{"name":"Journal of Cutaneous and Aesthetic Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11126227/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141154174","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Noncultured epidermal suspension procedure of vitiligo surgery using freeze-dried trypsin coated on silicon pellets. 使用涂在硅颗粒上的冻干胰蛋白酶进行白癜风手术的非培养表皮悬浮程序。

Journal of Cutaneous and Aesthetic Surgery Pub Date : 2024-04-01 DOI: 10.4103/JCAS.JCAS_61_22

Sanjiv Choudhary, Suryakant Hayatnagarkar, Maninder Kaur, Suman Patra

引用次数: 0

Difficult venesections: An easy solution. 困难的静脉切开术：简单的解决方案

Journal of Cutaneous and Aesthetic Surgery Pub Date : 2024-04-01 DOI: 10.4103/JCAS.JCAS_84_23

Sanjeev Gupta, Ravi Shankar Jangra, Sunita Gupta, Meghna Khatri, Namya Gupta

引用次数: 0

Multicentric observational study of the possible side effects of the COVID-19 vaccine in relation to absorbable thread insertion. 新冠肺炎疫苗可能与可吸收线插入有关的副作用的多中心观察研究

Journal of Cutaneous and Aesthetic Surgery Pub Date : 2024-04-01 DOI: 10.4103/JCAS.JCAS_93_23

Irina Poleva, Eszter Szomolai, Beata Hegedus, Olga Zhukova

{"title":"Multicentric observational study of the possible side effects of the COVID-19 vaccine in relation to absorbable thread insertion.","authors":"Irina Poleva, Eszter Szomolai, Beata Hegedus, Olga Zhukova","doi":"10.4103/JCAS.JCAS_93_23","DOIUrl":"10.4103/JCAS.JCAS_93_23","url":null,"abstract":"Background: Coronavirus disease 2019 (COVID-19) vaccination programs in Europe began in December 2020, and as the number of vaccinated people increased, more information emerged about the possible side effects of vaccines. Recently, some reports appeared around the association of adverse reactions following soft-tissue filler injections and the COVID-19 vaccines. This fact raised the concerns of esthetic practitioners regarding the possibility of the association of the COVID-19 vaccine and adverse effects in other esthetic treatments. Many of us wonder if botox injection, biostimulation, or other procedure could trigger the same or other adverse reactions after the COVID-19 vaccination. Many colleagues postpone esthetic treatments, canceling the appointments.Objective: The objective of our investigation was to understand if any adverse reactions have been observed in the patients who underwent threads implantation before and after the vaccination.Materials and methods: Four medical centers have collected the data of the patients treated with absorbable threads before the vaccination and after vaccination for COVID-19. The dossiers of 190 patients with a mean age of 50.4 years were evaluated. Three questionnaires were administered 1 week, 1 month, and 3 months after thread implantation.Results: There were no adverse reactions in the groups of patients under monitoring. Only one patient presented signs of inflammation and infection, but they are more probably attributable to the contamination during thread insertion.Conclusions: No patients treated with absorbable threads developed adverse events in relation to the COVID-19 vaccine. The only case of inflammation is attributable probably to the contamination of the thread during the procedure.","PeriodicalId":15415,"journal":{"name":"Journal of Cutaneous and Aesthetic Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11126218/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46964870","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Wet table salt and its saturated hypertonic solution for treating retinoic acid resistant plane viral warts on face. 湿食盐及其饱和高渗溶液用于治疗面部抗维甲酸平面病毒疣。

Journal of Cutaneous and Aesthetic Surgery Pub Date : 2024-04-01 DOI: 10.4103/JCAS.JCAS_43_22

Muhammed Mukhtar, Nadia Mukhtar

引用次数: 0

Modified platelet rich plasma therapy for alopecia totalis. 改良型富血小板血浆疗法治疗全秃。

Journal of Cutaneous and Aesthetic Surgery Pub Date : 2024-04-01 DOI: 10.4103/JCAS.JCAS_101_22

Avita Dhiman, Manmohan Bagri

引用次数: 0