Journal of Cutaneous and Aesthetic Surgery最新文献_第4页

Comparative study in treatment of acne scars fractional carbon dioxide laser versus micro needling fractional radio frequency - A retrospective study. 点阵二氧化碳激光与点阵射频微针治疗痤疮疤痕的比较研究 - 一项回顾性研究。

Journal of Cutaneous and Aesthetic Surgery Pub Date : 2024-07-01 Epub Date: 2024-08-29 DOI: 10.25259/jcas_122_23

Rashmi Sriram, B S Chandrashekar, Madura C, Harshavardhan Gowda H

{"title":"Comparative study in treatment of acne scars fractional carbon dioxide laser versus micro needling fractional radio frequency - A retrospective study.","authors":"Rashmi Sriram, B S Chandrashekar, Madura C, Harshavardhan Gowda H","doi":"10.25259/jcas_122_23","DOIUrl":"10.25259/jcas_122_23","url":null,"abstract":"Objectives: Efficacy of fractional carbon dioxide laser and microfractional radiofrequency in treatment of acne scars is well substantiated. The objective of this study was to compare the efficacy and safety of carbon dioxide laser versus microfractional radiofrequency in treatment of acne scars in skin type 3,4.Material and methods: Thirty-two patients of skin types 3-4 with grade 3 and 4 atrophic acne scars, of which 16 were treated with fractional carbon dioxide (CO2) laser and 16 were treated with microfractional radiofrequency were retrospectively analyzed. All patients received either treatment 4 sessions at an interval of 4-6 weeks. Objective assessment was done with qualitative and quantitative Goodman and baron acne scar grading system by assessment of photographs at baseline and 3 months after last session.Results: All the data collected were entered in a Microsoft Excel worksheet and analyzed using R Software R-4.2.1. The study variables acne scar grades were described using frequency with percentage, acne scar scores were described using Mean with Standard deviation, and Median with interquartile range (IQR) (Q1-Q3). Since the data were ordinal, which is non-normal, hence, non-parametric tests are applied. To compare grades between the groups, Mann-Whitney U-test was applied.Conclusion: There was no difference in the last session (after the treatment) between the groups, the Mann- Whitney U-test was 109.5 with P-value of 0.484 >0.05. Therefore, there was no statistically significant difference between the microfractional radiofrequency and carbon dioxide laser group. There were 2 (12.5%) cases reported with post-inflammatory hyperpigmentation in the CO2 laser group and zero cases in the microfractional radiofrequency group.","PeriodicalId":15415,"journal":{"name":"Journal of Cutaneous and Aesthetic Surgery","volume":"17 3","pages":"214-218"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11494830/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142557969","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

Platelet-rich fibrin therapy in the management of nonhealing trophic ulcers due to underlying leprous neuropathy. 富含血小板的纤维蛋白治疗潜在麻风神经病变引起的营养性溃疡

Journal of Cutaneous and Aesthetic Surgery Pub Date : 2024-07-01 Epub Date: 2023-06-27 DOI: 10.4103/JCAS.JCAS_192_22

Senkadhir Vendhan, Shekhar Neema, Biju Vasudevan, Lekshmipriya Krishnan, Vinay Gera

引用次数: 0

Elliptical excision and primary closure of nasal defect to achieve best esthetic outcome: A case series of 50 patients. 椭圆形切除术和鼻缺损的初次闭合以达到最佳美学效果：50 例患者的病例系列。

Journal of Cutaneous and Aesthetic Surgery Pub Date : 2024-07-01 Epub Date: 2024-08-29 DOI: 10.25259/jcas_120_23

Yogesh M Bhingradia, Chinmai Yadav, Tejaswini Sopanrao Salunke

{"title":"Elliptical excision and primary closure of nasal defect to achieve best esthetic outcome: A case series of 50 patients.","authors":"Yogesh M Bhingradia, Chinmai Yadav, Tejaswini Sopanrao Salunke","doi":"10.25259/jcas_120_23","DOIUrl":"10.25259/jcas_120_23","url":null,"abstract":"Objectives: To evaluate the cosmetic result of nasal of an elliptical excision and primary closure on small nasal defect by using Scar assessment using the Stony Brook Scar Evaluation Scale (SBSES) score.Material and methods: This retrospective interventional study was conducted in a private clinic over a 2-year duration. Patients aged 18-60 years with nasal defects <1.5 cm were enrolled after obtaining informed consent. Exclusion criteria included immunocompromised status, keloidal tendency, local site infection, bleeding disorder, age <18 years, and lack of consent. Scar assessment using the SBSES was performed at the end of 6 months. Statistical analysis included summary statistics, analysis of variance tests, and a significance level of P < 0.05.Results: The study included 50 patients, with 54% males and 46% females. The most common age group was 21-40 years, and melanocytic nevi was the most common cause for excision. Lesions were excised mainly from the lateral wall and dorsum of the nose. The mean SBSES score was 3.79 ± 0.467. The best cosmetic outcome was observed in lesions involving the dorsum followed by the root of the nose. No significant difference was found among the SBSES scores for various subunits.Conclusion: Elliptical excision with primary closure is a simple and effective technique for small nasal defects, providing good cosmetic results. The location of the nasal defect influences the cosmetic outcome, with better results observed in areas with thinner skin and increased skin laxity.","PeriodicalId":15415,"journal":{"name":"Journal of Cutaneous and Aesthetic Surgery","volume":"17 3","pages":"234-238"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11497555/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142557972","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

Physics of fractional microneedle radiofrequency - A review. 点阵微针射频物理学--综述。

Journal of Cutaneous and Aesthetic Surgery Pub Date : 2024-07-01 Epub Date: 2024-08-29 DOI: 10.25259/jcas_98_23

Somodyuti Chandra, Venkataram Mysore, Swapnil Shah, Deepthi Malayanur, Shivani S R

{"title":"Physics of fractional microneedle radiofrequency - A review.","authors":"Somodyuti Chandra, Venkataram Mysore, Swapnil Shah, Deepthi Malayanur, Shivani S R","doi":"10.25259/jcas_98_23","DOIUrl":"10.25259/jcas_98_23","url":null,"abstract":"Fractional microneedle radiofrequency (RF) is a novel device that is gaining popularity in the treatment of many esthetic and dermatological conditions. The encouraging effectiveness and side-effect profile, along with little or no recovery time makes it an attractive therapeutic option. The device allows non-thermal penetration of microneedles into the dermis followed by RF-induced coagulation. The aim of this article is to provide a thorough understanding of the working principle and physics of this technology so that the clinicians can modulate its various parameters for effective treatment of a variety of dermatological conditions in all skin types. Methods used for locating, selecting, extracting, and synthesizing data include usage of key words such as microneedling, fractional, and RF using multiple search engines such as PubMed and Google search. Multiple articles were surveyed and finally, 30 articles including a few chapters from the textbook were refined into our search. This article is an attempt to simplify the physics of fractional microneedling RF.","PeriodicalId":15415,"journal":{"name":"Journal of Cutaneous and Aesthetic Surgery","volume":"17 3","pages":"177-183"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11497551/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142557976","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

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":" ","pages":"85-93"},"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":" ","pages":"94-99"},"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":"17 2","pages":"137-145"},"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