Dermatologic Surgery




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سفارش

Dermatofibrosarcoma Protuberans Recurrence After Wide Local Excision Versus Mohs Micrographic Surgery: A Systematic Review and Meta-Analysis.

Martin, Emma C. St. MD *; Vyas, Krishna S. MD, PhD, MHS +; Batbold, Sarah MS *; Erwin, Patricia J. MLS ++; Brewer, Jerry D. MD, MS [S]

doi : 10.1097/DSS.0000000000003411

Volume 48(5) pgs. 479-593 May 2022

Local recurrence (LR) rates of dermatofibrosarcoma protuberans (DFSP) treated with different surgical modalities are unknown. OBJECTIVE: To evaluate the differences in LR rates of DFSP treated with wide local excision (WLE) versus Mohs micrographic surgery (MMS). MATERIALS AND METHODS: Pertinent studies of DFSP treated with either WLE or MMS were identified through a search of multiple databases, including Ovid MEDLINE (1946-2018), Embase (1988-2018), Web of Science (1975-2018), and Scopus (1970-2018). Comparative 2-arm and noncomparative single-arm studies were assessed through meta-analyses.

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Incisional Biopsy Technique Is Associated With Decreased Overall Survival for Cutaneous Melanoma.

Liszewski, Walter MD *,+; Stewart, Jacob R. MD ++; Vidal, Nahid Y. MD ++,[S]; Demer, Addison M. MD ++,[S]

doi : 10.1097/DSS.0000000000003430

pg. 486-491

Previous studies examining melanoma biopsy technique have not demonstrated an effect on overall survival. OBJECTIVE: To examine overall survival of patients with cutaneous melanoma diagnosed by shave, punch, incisional, or excisional techniques from the National Cancer Database (NCDB). MATERIALS AND METHODS: Melanoma data from the 2004 to 2016 NCDB data set were analyzed. A Cox proportional hazards model was constructed to assess the risk of 5-year all-cause mortality

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Recurrence Rate for Melanoma Excised by Mohs Micrographic Surgery Without Immunostaining.

Vieira, Carlos MD *; Jennings, Tara MD +; Renzi, Michael A. Jr MD +; Lawrence, Naomi MD +; Decker, Ashley MD +

doi : 10.1097/DSS.0000000000003435

pg. 492-497

Mohs micrographic surgery (MMS) is becoming increasingly popular for the treatment of cutaneous melanoma (CM) as multiple studies have demonstrated favorable outcomes for local recurrence and overall survival. OBJECTIVE: To analyze the outcomes of noninvasive (NIM) and invasive melanomas (IM) using MMS with fresh frozen sections. The primary outcome was local recurrence. The secondary outcome was to identify mean surgical margins based on tumor type and location. METHODS: Retrospective cohort study of 224 cases of CM treated from 2006 to 2016 at a tertiary academic center with MMS and fresh frozen sections by a single Mohs surgeon

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Commentary on "Recurrence Rate for Melanoma Excised by Mohs Micrographic Surgery Without Immunostaining".

Bennett, Richard G. MD *,+,++

doi : 10.1097/DSS.0000000000003436

pg. 498-499

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Commentary on "Recurrence Rate for Melanoma Excised by Mohs Micrographic Surgery Without Immunostaining".

Council, Martha Laurin MD

doi : 10.1097/DSS.0000000000003449

pg. 500-501

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Workforce Requirements for Skin Cancer and Related Skin Tumors Continue to Increase: Clinicians Expend an Average of 1,740 Full-Time Effort Years Annually.

Peck, Gabrielle M. BA *; Fleischer, Alan B. Jr MD +

doi : 10.1097/DSS.0000000000003413

pg. 502-507

With an aging population, estimating workforce requirements for management of common conditions such as skin cancer will be necessary to meet the health care needs of the American people. OBJECTIVE: The authors aimed to estimate the workforce requirements for managing skin cancer and other skin tumors.

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Safety and Efficacy of Oral Benzodiazepines for Periprocedural Anxiolysis: A Systematic Review.

Boettler, Michelle A. BS *; Shahwan, Kathryn T. MD +,++; Cusick, Austin DO [S]; Avila, Christina MD, MPH [S]; Carr, David R. MD, MPH +

doi : 10.1097/DSS.0000000000003407

pg. 508-515

Oral benzodiazepines (BZDs) are useful tools for periprocedural anxiolysis. The United States Food and Drug Administration (FDA) recently issued a black-box warning of their risks of abuse and dependence. We performed a systematic review evaluating the safety and efficacy of oral BZDs for periprocedural anxiolysis in outpatient dermatologic, plastic surgery, dental, and ophthalmologic procedures performed under local anesthesia.

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Chin Microgenia: An Anthropometric Analysis on the Prevalence and Severity in a Chinese Population.

Hsieh, Daniel Meng-Yen MD *; He, Huinan MD +; Zhong, Shaomin MD, PhD *; Liew, Steven MD ++; Wu, Yan MD, PhD *

doi : 10.1097/DSS.0000000000003383

pg. 516-522

The chin is an important component of facial harmony, and deficient chins are associated with unattractiveness. Previous studies have reported microgenia as the most common subtype of chin deformities. OBJECTIVE: To investigate the prevalence and severity of microgenia in a Chinese population through facial anthropometric analysis.

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Commentary on "Chin Microgenia: An Anthropometric Analysis on the Prevalence and Severity in a Chinese Population".

Kane, Michael MD

doi : 10.1097/DSS.0000000000003445

pg. 523-526

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Clinical Implication of the Regional Thickness of the Lower Facial Skin, Superficial Fat, and Superficial Musculoaponeurotic System on High-Intensity Focused Ultrasound Treatment.

Kwon, Soon-Hyo MD, PhD *; Ahn, Gun Young MD, PhD +; Lew, Bark-Lynn MD, PhD *; Shin, Jung-Won MD, PhD ++; Na, Jung-Im MD, PhD ++; Huh, Chang-Hun MD, PhD ++

doi : 10.1097/DSS.0000000000003393

pg. 527-531

Knowledge of the topographic thickness of the skin and soft tissues is necessary when performing a high-intensity focused ultrasound (HIFU) procedure. Thermal tissue injury to the superficial musculoaponeurotic system (SMAS) or deeper can injure the facial nerve and its branches. OBJECTIVE: To demonstrate the topographic thickness of the lower facial skin, superficial fat, and SMAS. MATERIALS AND METHODS: The ultrasound data of 200 healthy patients who underwent lower facial rejuvenation were retrospectively reviewed.

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Commentary on "Clinical Implication of the Regional Thickness of the Lower Facial Skin, Superficial Fat, and Superficial Musculoaponeurotic System on High-Intensity Focused Ultrasound Treatment".

Taub, Amy Forman MD

doi : 10.1097/DSS.0000000000003444

pg. 532-533

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Can 595-nm Pulsed Dye Laser in Conjunction With an Optical Clearing Agent Improve the Treatment of Port-Wine Stains?.

Yu, Wenxin MD, PhD *; Chen, Yanyu MD +; Cen, Qingqing MD +; Zhu, Jiafang MD *; Lin, Xiaoxi MD, PhD *,+

doi : 10.1097/DSS.0000000000003410

pg. 534-538

Studies have demonstrated that glycerol can act as an optical clearing agent (OCA) to increase the light penetration through the skin and laser deposition to the target chromophore, thus potentially increasing the efficacy of laser treatment. OBJECTIVE: To evaluate whether a pulsed dye laser (PDL) in combination with an OCA can increase the ef�cacy in treating port-wine stains (PWSs).

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Fractional CO2 Laser-Assisted Delivery Versus Intralesional Injection of Methotrexate in Psoriatic Nails.

Alakad, Rania MD; Nassar, Amany MD; Atef, Hadeel MSc; Eldeeb, Fatma MD *

doi : 10.1097/DSS.0000000000003418

pg. 539-544

Nail psoriasis has a major negative impact on physical and psychological aspects of the patient's life. Treatment is often unsatisfactory because of difficult penetration of the drug into the nail. OBJECTIVE: To evaluate and compare the efficacy of laser-assisted delivery of methotrexate versus its intralesional injection in fingernail psoriasis.

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Review of Eye Injuries Associated With Dermatologic Laser Treatment.

Flegel, Lisa MD *; Kherani, Femida MD, FRCSC, Dipl ABO +,++,[S]; Richer, Vincent MD, FRCPC, FAAD *,[forms double vertical]

doi : 10.1097/DSS.0000000000003427

pg. 545-550

The eye is susceptible to damage during dermatologic laser treatments. OBJECTIVE: Discuss the anatomy of the eye related to these procedures, the principles of laser-eye interactions, and ocular injuries reported with dermatologic laser treatments. METHODS: PubMed and Embase searches were conducted to identify cases of eye injuries associated with dermatologic laser treatments.

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Serious Adverse Events With Injectable Fillers: Retrospective Analysis of 7,659 Patient Outcomes.

Kern, Jessica A. BS *; Kollipara, Ramya MD +; Hoss, Elika MD ++; Boen, Monica MD [S]; Wu, Douglas C. MD, PhD [S]; Groff, William DO [S]; Goldman, Mitchel P. MD [S]

doi : 10.1097/DSS.0000000000003409

pg. 551-555

In total, 2.7 million injectable filler treatments were performed in 2019 in the United States. Although generally considered to be a safe treatment modality, adverse events may occur in rare situations. OBJECTIVE: Analyze serious adverse events from injectable filler treatments, including infections, cutaneous necrosis, blindness, or delayed-onset nodule formation, spanning 11 years for 3 board-certified dermatologists and review their incidence, management, and outcomes.

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Tranexamic Acid Microinjection Alone Versus Its Combination With Fractional Carbon Dioxide Laser in Melasma Treatment: A Dermoscopic Evaluation.

Tawfic, Shereen O. MD *; Abdel Hay, Rania M. MD *; Abouelazm, Dina I. MSc *; Said, Eman R. MD *

doi : 10.1097/DSS.0000000000003423

pg. 556-561

Melasma is a challenging pigmentation disorder. OBJECTIVE: To assess and compare the efficacy of tranexamic acid (TXA) intradermal microinjection alone versus its combination with low-power, low-density fractional CO2 laser in a sequential pattern in melasma. Patients and Methods: This study included 29 patients with melasma. Half of the face was randomly assigned to fractional CO2 laser; the other half to TXA. This split-face session was repeated every 6 weeks for 3 sessions. In between, TXA was applied to the full face every 2 weeks. Treatment duration was 4 months. Dermoscopy, melanin index (M.I), and erythema index (E.I) were evaluated at baseline and 4 weeks after the last session.

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Repair of a Large Lateral Forehead Defect.

Kokoska, Ryan BS; Au, Jeremiah H. MD; Somani, Ally-Khan MD, PhD *

doi : 10.1097/DSS.0000000000003217

pg. 563-565

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Deep Plane Reconstruction of a Large Forehead Defect and Modified Browlift With Browpexy.

Hughes, Connor T. BA *; Chesnut, Cameron MD +,++

doi : 10.1097/DSS.0000000000002931

pg. 567-569

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Repair of a Defect on the Central Face Involving 9 Cosmetic Subunits.

Scott, Jeffrey F. MD *; Garland, Kevin BS +; Bordeaux, Jeremy S. MD +,++

doi : 10.1097/DSS.0000000000003076

pg. 571-573

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A Response to: "A Step Toward Environmental Sustainability in Mohs Surgery": A United Kingdom Perspective on Environmental Sustainability in Mohs Surgery.

Nikookam, Yasmin BSc (Hons), MBChB *; Wernham, Aaron MBChB (Hons), MRCP (UK), MRCP Derm (UK) +; Varma, Sandeep BMedSci (Hons), MBBCh, MRCP (UK) ++

doi : 10.1097/DSS.0000000000003406

pg. 574-575

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Ultrasonography as a Novel Technique for Intraoperative Delimitation of Dermatofibrosarcoma Protuberans.

Sanchez-Diaz, Manuel MD *; Martinez-Lopez, Antonio MD, PhD *,+; Montero-Vilchez, Trinidad MD *; Arias-Santiago, Salvador MD, PhD *,++

doi : 10.1097/DSS.0000000000003404

pg. 575-577

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A Multicenter Study Investigating the Effect of Preconsent on Predicting Scar Size.

Veitch, David MBChB, MRCP *; Wernham, Aaron MBChB, MRCP +; Woo, Pick MBChB, MRCP ++; Hacking, Hazel RN [S]; McKenna, Dennis MBChB, MRCP *; Monk, Barry MB, BChir, MA, FRCP ++

doi : 10.1097/DSS.0000000000003399

pg. 577-579

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The Use of Z-Plasty for Reconstructing Posterior Ear Defects.

Asadi, Leila K. *,+; Tarantino, Isadore S. MD *; Beroukhim, Kourosh MD *; Goldberg, Leonard H. MD *,+

doi : 10.1097/DSS.0000000000003386

pg. 579-581

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How to Bolster Antihelical, Triangular Fossa and Scaphoid Fossa Defects.

Layher, Heather DO, MBA *; Gackstetter, Leah BA +; Nguyen, Jeannie MD *; Akin, Russell MD ++,[S]

doi : 10.1097/DSS.0000000000003412

pg. 581-582

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"Balloon Glove" Technique: An Easy Alternative to Pressure Dressing for Postoperative Hemostasis.

Nguyen, Julie K. MD *,+; Buethe, Maria MD, PhD *,+; Siegel, Daniel M. MD, MS *,+

doi : 10.1097/DSS.0000000000003385

pg. 582-583

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Simultaneous Midface Lifting Surgery and Immediate Sideburn Reconstruction With Hair Transplantation.

Park, Jae Hyun MD, PhD *; Han, Chung Hee MD +

doi : 10.1097/DSS.0000000000003415

pg. 584-585

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Microneedling for the Treatment of Plantar Warts.

Martin, Amylee BS *; Nguyen, Cristina MD, MSBS, MHA *; Sung, Calvin T. MD, MBA *; Mesinkovska, Natasha Atanaskova MD, PhD *

doi : 10.1097/DSS.0000000000003408

pg. 585-586

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Intralesional Radiofrequency Ablation Followed by Lip Reduction Surgery for Port-Wine Stain-Related Lip Hypertrophy.

Narayanan, Arunachalam MD *; Kharghoria, Geetali MD *; Gupta, Somesh MD *

doi : 10.1097/DSS.0000000000003381

pg. 586-588

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Erythromelanosis Follicularis Faciei et Colli Treated With Intense Pulsed Light.

Tsunoda, Kanako MD, PhD *; Watanabe, Ayano MD, PhD *; Amano, Hiroo MD, PhD *

doi : 10.1097/DSS.0000000000003382

pg. 588-589

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Same-Day Treatment Using Hyaluronic Acid Filler With 1927-nm and 1550-nm Nonablative Fractional Resurfacing: A 6-Year Safety Assessment.

Wang, Jordan V. MD, MBE, MBA *,+; Valiga, Alexander MD +; Geronemus, Roy G. MD *

doi : 10.1097/DSS.0000000000003384

pg. 589-591

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Efficacy and Safety of Electrical Multidirectional Stimulation for Abdominal Contouring in Thai Subjects With Normal Body Mass Index.

Manuskiatti, Woraphong MD *; Nanchaipruek, Yanisorn MD *; Gervasio, Mia K. MD *; Lektrakul, Nittaya MD +

doi : 10.1097/DSS.0000000000003379

pg. 591-593

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