2,325 results match your criteria Dermatologic Surgical Complications


[Advantages of minimally invasive approach for carotid endarterectomy].

Khirurgiia (Mosk) 2020 (3):48-55

Petrovsky Russian Research Center of Surgery, Department of Vascular Surgery, Moscow, Russia.

Objective: To identify the advantages and disadvantages of different approaches for carotid endarterectomy (conventional, longitudinal and transverse incision).

Material And Methods: There were 58 patients who underwent carotid endarterectomy. Patients were divided into 2 groups depending on surgical approach. Read More

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http://dx.doi.org/10.17116/hirurgia202003148DOI Listing

Laser Treatment of Accidental Tattoos: Experience at a Tertiary Referral Center.

Dermatology 2020 Apr 2:1-7. Epub 2020 Apr 2.

Department of Dermatology, University Hospital of Zurich, Zurich, Switzerland,

Background: To date, information on laser treatment of accidental tattoos is limited.

Objectives: This study analyzes the efficacy and safety of quality-switched ruby, quality-switched Nd:YAG and picosecond lasers in the treatment of accidental hyperpigmentation in a larger patient cohort. To date, there is limited information on laser therapy of accidental hyperpigmentation. Read More

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http://dx.doi.org/10.1159/000506459DOI Listing

The surgeon’s perspective: a retrospective study of wide local excisions taken to healthy subcutaneous fat in the management of advanced hidradenitis suppurativa

Can J Surg 2020 Feb 28;63(2):E94-E99. Epub 2020 Feb 28.

From the Department of Medicine, Women’s College Hospital, and the Department of Surgery, CIBC Breast Centre, St. Michael’s Hospital, University of Toronto, Toronto, Ont.

Background: Hidradenitis suppurativa (HS) is a chronic debilitating folliculopilosebaceous disease that affects the skin most commonly in the axilla, groin, inframammary, genital and buttock areas. Surgical intervention may be an appropriate option in selected cases, but there is a risk of recurrence. The purpose of this study was to assess the results of wide local excision (WLE) to healthy subcutaneous fat with secondary intention healing in patients with HS who were under concurrent surgical and dermatologic care. Read More

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http://dx.doi.org/10.1503/cjs.003119DOI Listing
February 2020

Darier and Ferrand's dermatofibrosarcoma: A carcinologic and cosmetologic challenge in a low-income country.

Bull Cancer 2020 Mar 12;107(3):328-332. Epub 2020 Feb 12.

CHU de Sourô-Sanou, service de chirurgie générale et digestive, Bobo-Dioulasso, Burkina-Faso.

Introduction: Dermatofibrosarcoma (DFS) is a common dermic sarcoma. It is a local malignant tumor occurring in young adults. The recurrence potential justifies an R0-type surgery with a three centimeters margin. Read More

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http://dx.doi.org/10.1016/j.bulcan.2019.11.018DOI Listing

[Rieger-Marchac flaps: Complications and patient satisfaction].

Ann Dermatol Venereol 2020 Apr 11;147(4):265-270. Epub 2020 Feb 11.

Service de dermatologie, université Paris Descartes, hôpital Cochin-Centre Tarnier, Assistance publique-Hôpitaux de Paris, 89, rue d'Assas, 75006 Paris, France.

Purpose: Like all surgical procedures, dorsal nasal flaps may be followed by both early and late complications. The aim of this study was to evaluate the surgical complications and cosmetic outcome of dorsal nasal flaps over a 7-year period in an academic dermatologic surgery unit.

Patients And Methods: Data were collected retrospectively for all patients undergoing dorsal nasal flap between 1 January 2006 and 31 December 2013. Read More

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http://dx.doi.org/10.1016/j.annder.2019.01.028DOI Listing

Effect of short-term ischemia on microcirculation and wound healing of adipocutaneous flaps in the rat.

Acta Cir Bras 2020 10;34(12):e201901203. Epub 2020 Feb 10.

PhD, DSc, Department of Operative Techniques and Surgical Research, Institute of Surgery, Faculty of Medicine, University of Debrecen, Hungary. Conception and design of the study, analysis and interpretation of data, manuscript preparation.

Purpose: Composite flaps used in reconstructive surgery may intra- and postoperatively suffer from hypoperfusion and/or ischemia-reperfusion influencing wound healing. We aimed to follow-up the effect of ischemia on adipocutaneous flaps' wound healing and microcirculation.

Methods: In anesthetized rats groin flaps were formed bilaterally. Read More

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http://dx.doi.org/10.1590/s0102-865020190120000003DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7011208PMC

The Clinical Features, Risk Factors, and Outcome of Aneurysmal Lesions in Behcet's Disease.

J Immunol Res 2019 20;2019:9198506. Epub 2019 Dec 20.

Department of Rheumatology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Peking Union Medical College, National Clinical Research Center for Dermatologic and Immunologic Deseases (NCRC-DID), The Ministry of Education Key Laboratory, Beijing, China.

Objective: To investigate the clinical features and potential risk factors of aneurysmal lesions in Behcet's disease (BD).

Methods: We retrospectively reviewed the clinical data of BD patients with aneurysmal lesions in our institute from 1997 to 2017 and compared them with 207 BD patients without aneurysmal lesions. The treatment and outcome of these patients were also analyzed. Read More

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http://dx.doi.org/10.1155/2019/9198506DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6942855PMC
December 2019

Diagnosis and novel clinical treatment strategies for pyoderma gangrenosum.

Expert Rev Clin Pharmacol 2020 Feb 6;13(2):157-161. Epub 2020 Jan 6.

Department of Dermatology, Oregon Health and Science University, Portland, OR, USA.

: Pyoderma gangrenosum (PG) is a noninfectious, reactive inflammatory neutrophilic dermatosis that is commonly associated with autoimmune and neoplastic disorders. There are emerging diagnostic tools and treatment options for PG.: The diagnosis of PG should be seriously considered when managing ulcers to avoid unnecessary medical and surgical complications with prompt and suitable treatment. Read More

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http://dx.doi.org/10.1080/17512433.2020.1709825DOI Listing
February 2020

Pemphigus vulgaris possibly associated with application of a tissue expander in a patient with Crohn's disease and primary sclerosing cholangitis.

Acta Dermatovenerol Alp Pannonica Adriat 2019 Dec;28(4):173-176

Center for Dermatologic Diseases, Limassol, Cyprus.

Pemphigus vulgaris (PV) is an autoimmune disease of the skin and mucous membranes characterized by suprabasal acantholysis and formation of blisters and erosions due to generation of IgG autoantibodies directed against desmosomal proteins. Tissue expanders are devices that, through controlled mechanical overstretch, are capable of generating new skin that is used to cover wounds or extended surgical defects. We report the case of a 13-year-old girl suffering from Crohn's disease (CD) and primary sclerosing cholangitis (PSC) who developed PV after application of a tissue expander for surgical removal of a giant congenital melanocytic nevus (GCMN). Read More

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December 2019

Hydroxyurea-induced cutaneous squamous cell carcinoma: A case report.

Authors:
Yan Xu Jian Liu

World J Clin Cases 2019 Dec;7(23):4091-4097

Department of Surgical Oncology, The First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou 310003, Zhejiang Province, China.

Background: Hydroxyurea (HU) is a non-alkylating antineoplastic agent that is active in the S-phase of the cell cycle and inhibits the enzyme ribonucleoside reductase. HU is currently used to treat leukemia, sickle cell anemia, psoriasis, and chronic myeloproliferative disorders. Although HU is easy to use and effective and has high tolerance, there have been numerous reports of cutaneous complications during long-term therapy with HU. Read More

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http://dx.doi.org/10.12998/wjcc.v7.i23.4091DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6906572PMC
December 2019

Efficacy of an Innovative Film-Forming Wound Dressing on Open Wounds.

Skinmed 2019 1;17(5):298-304. Epub 2019 Sep 1.

Dermaclinic, Logroño (La Rioja), Spain.

Standards in post-surgery wound care management require a rapid healing process in order to prevent and minimize abnormal scarring. For the healing process to start as early as possible, the ideal dressing should be applied directly on the open wound and perfectly adapt to it. The authors report a case study series regarding the efficacy of a flexible film-forming wound dressing in the form of a gel (Stratamed, Stratpharma AG, Switzerland) that is approved for the use on open wounds and injured skin. Read More

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Mohs Micrographic Surgery at Challenging Anatomical Sites.

Dermatol Surg 2019 12;45 Suppl 2:S142-S154

All authors are affiliated with the Department of Dermatology, University of Minnesota, Minneapolis, Minnesota.

Background: Mohs micrographic surgery (MMS) is often the treatment of choice for skin cancer removal as it maximizes normal tissue sparing and can be paired with a reconstructive approach that optimizes function and cosmesis. Many tumors on the eyelid, nose, ear, and genitals are particularly well suited for MMS but can be challenging for the dermatologic surgeon.

Objective: To review the complex anatomy, as well as the authors' approach to executing and interpreting Mohs layers, at each of these anatomical sites. Read More

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http://dx.doi.org/10.1097/DSS.0000000000002255DOI Listing
December 2019

Mohs Surgery for Advanced Tumors of the Scalp.

Dermatol Surg 2019 12;45 Suppl 2:S110-S117

Department of Dermatology, School of Medicine, University Hospitals Cleveland Medical Center, Case Western Reserve University, Cleveland, Ohio.

Background: The scalp presents unique surgical challenges, and specialized techniques are sometimes required to achieve optimal results. Tumors arising on the scalp may also be at increased risk of complications such as in-transit metastasis and perineural invasion.

Objective: To review challenges to Mohs micrographic surgery on the scalp and techniques for successful tumor extirpation and reconstruction. Read More

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http://dx.doi.org/10.1097/DSS.0000000000002249DOI Listing
December 2019

[Mushroom keratoplasty in rosacea keratitis complicated by corneal perforation (a clinical case)].

Vestn Oftalmol 2019 ;135(5. Vyp. 2):215-219

Research Institute of Eye Diseases, 11A Rossolimo St., Moscow, Russian Federation, 119021.

Rosacea is a polyethiologic chronic inflammatory disease with varying clinical manifestations. It is primarily a dermatologic disease, which often manifests in the eyes affecting eyelids, cornea and conjunctiva. The leading role in the pathological process belongs to disruption of regulatory mechanisms in the vascular, immune and nervous systems. Read More

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http://dx.doi.org/10.17116/oftalma2019135052215DOI Listing
November 2019

A Review of the Use of Telemedicine in Dermatologic Surgery.

Dermatol Surg 2020 Apr;46(4):501-507

Department of Dermatology, University of California San Francisco, San Francisco, California.

Background: Telemedicine is an emerging field with numerous applications within medicine. Previous review articles describe its use within plastic surgery and otolaryngology but none, to the authors' knowledge, within dermatologic surgery.

Objective: To provide a review of the applications of telemedicine within dermatologic surgery. Read More

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http://dx.doi.org/10.1097/DSS.0000000000002230DOI Listing
April 2020
2 Reads

Primary Skin Closure after Repair of Hollow Viscus Injuries.

Am Surg 2019 Oct;85(10):1139-1141

Decisions regarding whether to close the skin in trauma patients with hollow viscus injuries (HVIs) are based on surgeon discretion and the perceived risk for an SSI. We hypothesized that leaving the skin open would result in fewer wound complications in patients with HVIs. We performed a retrospective analysis of all adult patients who underwent operative repair of an HVI. Read More

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October 2019

Postoperative Antibiotic Use Among Patients Undergoing Functional Facial Plastic and Reconstructive Surgery.

JAMA Facial Plast Surg 2019 Dec;21(6):491-497

Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology-Head and Neck Surgery, Stanford Hospital and Clinics, Stanford, California.

Importance: Best practices for antibiotic use after facial plastic and reconstructive procedures have been the subject of much debate, and there is a need for large-scale data to guide further development of evidence-based guidelines for antibiotic use in this setting.

Objective: To assess patterns of postoperative antibiotic prescriptions and infection rates after nasal and oculoplastic procedures.

Design, Setting, And Participants: A retrospective population-based cohort study was conducted using IBM MarketScan Commercial and Medicare Supplemental research databases of 294 039 patients who underwent facial plastic surgery procedures between January 1, 2007, and December 31, 2015. Read More

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http://dx.doi.org/10.1001/jamafacial.2019.1027DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6813590PMC
December 2019

The Cheek Interpolation Flap for Reconstruction of Auricular Mohs Defects.

Dermatol Surg 2019 Oct 11. Epub 2019 Oct 11.

All authors are affiliated with the Department of Dermatology and Dermatologic Surgery, Medical University of South Carolina, Charleston, South Carolina.

Background: Surgical reconstruction of auricular defects after Mohs surgery may prove challenging secondary to the complex topography of the ear and few options for local flap repair that do not introduce inordinate risk of anatomic distortion. The matched preauricular skin may be used to overcome these limitations.

Objective: This study aims to examine the utility, technique, and outcomes of preauricular interpolated flaps used for auricular reconstruction. Read More

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http://dx.doi.org/10.1097/DSS.0000000000002226DOI Listing
October 2019
1 Read

Electrochemotherapy for advanced cutaneous angiosarcoma: A European register-based cohort study from the International Network for Sharing Practices of electrochemotherapy (InspECT).

Int J Surg 2019 Dec 13;72:34-42. Epub 2019 Oct 13.

Department of Dermatology, University Medical Center, Mainz, Germany.

Background: Cutaneous angiosarcoma (cAS) is a highly aggressive malignancy that challenges the radicality of surgical treatment. Electrochemotherapy (ECT), a skin-directed treatment based on cytotoxic chemotherapy combined with local electric pulses, may be an intraoperative adjunct and a new opportunity in the therapeutic strategy. This cohort study reports the experience with ECT as an option. Read More

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http://dx.doi.org/10.1016/j.ijsu.2019.10.013DOI Listing
December 2019
1 Read

Skin changes and manifestations associated with the treatment of obesity.

J Am Acad Dermatol 2019 Nov;81(5):1059-1069

Dr Phillip Frost Department of Dermatology & Cutaneous Surgery, University of Miami Miller School of Medicine, Miami, Florida. Electronic address:

In light of the increasing prevalence of obesity, a large proportion of patients are taking weight loss medications or undergoing weight loss procedures. The typical paradigm for treating obesity begins with lifestyle interventions and progresses to medical treatments, and when nonsurgical interventions have failed, procedural techniques are considered. The effect of these interventions on the skin and dermatologic conditions has not been reviewed in depth. Read More

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http://dx.doi.org/10.1016/j.jaad.2018.10.081DOI Listing
November 2019

Clinical pearl: topical timolol for refractory hypergranulation.

Cutis 2019 Aug;104(2):118-119

Hypergranulation is a frequent complication of dermatologic surgery. Management of postoperative hypergranulation with routine wound care and/or topical silver nitrate often is effective, but refractory cases can be challenging given the paucity of treatment options. We present an alternative treatment of refractory hypergranulation using timolol ophthalmic gel forming solution. Read More

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Hemorrhoidectomy and Excision of Skin Tags in IBD: Harbinger of Doom or Simply a Disease Running Its Course?

Dis Colon Rectum 2019 12;62(12):1505-1511

Division of Colon and Rectal Surgery, Mayo Clinic, Rochester, Minnesota.

Background: Controversy in performing hemorrhoidectomy and anal skin tag excision in patients with IBD stems from dated reports of nonhealing wounds resulting in proctectomy.

Objective: This study aimed to determine the safety of interventional management of hemorrhoids or anal skin tags in patients with Crohn's disease or ulcerative colitis.

Design: This study is a retrospective review of patient records from 2000 to 2017. Read More

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http://dx.doi.org/10.1097/DCR.0000000000001524DOI Listing
December 2019
3 Reads

Successful application of modified keystone flaps following skin tumor ablation.

Medicine (Baltimore) 2019 Oct;98(40):e17469

Department of Plastic and Reconstructive Surgery, CHA Bundang Medical Center, CHA University, Seongnam, Republic of Korea.

Skin cancer and precancerous skin lesions cause significant soft-tissue defects following tumor ablation. Recently, keystone flaps have gained popularity due to their simplicity, versatility, and reliability.We evaluated the efficacy of modified keystone flaps for soft-tissue reconstruction following skin tumor ablation in 2 medical centers. Read More

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http://dx.doi.org/10.1097/MD.0000000000017469DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6783187PMC
October 2019
1 Read
5.723 Impact Factor

Erbium-doped Yttrium Aluminium Garnet (Er:YAG) Laser Resurfacing Restores Normal Function and Cosmesis in Patients with Severe Rhinophyma.

J Clin Aesthet Dermatol 2019 Jul 1;12(7):28-33. Epub 2019 Jul 1.

Drs. Mathis and Ibrahim are with the Department of Dermatology at the University of Rochester Medical Center in Rochester, New York.

Rhinophyma is a dermatologic condition that can lead to severe disfiguration and psychological distress. Many therapies, both medical and surgical, have been reported, but few with acceptable and reproducible cosmesis. We assessed the efficacy of erbium-doped yttrium aluminium garnet (Er:YAG) laser resurfacing as a treatment modality for rhinophyma of all degrees. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6715331PMC
July 2019
4 Reads

The Presence of Mites in Patients with Dermatologic Symptoms of the Face

Turkiye Parazitol Derg 2019 Sep;43(3):143-148

Sağlık Bilimleri Üniversitesi Antalya Eğitim Araştırma Hastanesi, Tıbbi Parazitoloji Kliniği, Antalya, Türkiye

Objective: The aim of the study was to investigate the prevalence in patients with dermatological complaints who were admitted to our hospital, and to evaluate the socio-demographic characteristics and risk factors of the patients.

Methods: A total of 133 patients who were sent for screening were included and questionnaire for risk factors was administered. Samples were taken by standard superficial skin biopsy method and the different developmental stages were investigated under microscope. Read More

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http://dx.doi.org/10.4274/tpd.galenos.2019.6062DOI Listing
September 2019

Minilifting technique for treatments of the lower third of the face and anterior cervical neck with tumescent anesthesia.

J Cosmet Dermatol 2020 May 10;19(5):1208-1210. Epub 2019 Sep 10.

Departamento de Cirurgia do Hospital Municipal Souza Aguiar, Rio de Janeiro, Brazil.

Background: Minimally invasive surgical techniques with a low rate of complications and rapid return to daily activities are in high demand for dermatological procedures and include lasers, microfocused ultrasound, botulinum toxin, suture strings, and filling techniques with hyaluronic acid. The facelift, on the other hand, has been criticized for complications such as bruising, relatively slow recovery rates (lasting up to a month), facial nerve lesions, and flap necrosis. Earliest descriptions of the facelift technique described a procedure associated with skin traction and detachment. Read More

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http://dx.doi.org/10.1111/jocd.13148DOI Listing
May 2020
5 Reads

Eruptive Xanthomas: A Dermatologic Clue to the Diagnosis of an Underlying Metabolic Disorder.

Skinmed 2019 9;17(3):200-202. Epub 2019 Sep 9.

Department of Dermatology, Hospital de Clínicas de Porto Alegre, Porto Alegre, Brazil;

A 32-year-old man presented to the dermatology department with generalized asymptomatic yellowish papules on an erythematous base, arms, thighs, and buttocks. These lesions had appeared in the previous month (Figure 1). Dermoscopy revealed a homogeneous yellow color, corresponding to dermal xanthomatous deposits, with interconnected fine and dotted vessels (Figure 2). Read More

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February 2020
4 Reads

Undermining the epidermis around the U-shaped skin incision preserves thick, well-vascularized tissue that effectively prevents posturethroplasty complications.

J Pediatr Surg 2019 Dec 29;54(12):2627-2630. Epub 2019 Aug 29.

Department of Pediatric General and Urogenital Surgery, Juntendo University School of Medicine, Tokyo, Japan.

Purpose: We modified the U-shaped skin incision technique (UIT) during urethroplasty (UP) to prevent post-UP complications (post-UPC).

Patients And Methods: Our modified UIT (mUIT) involves undermining the epidermis for 5-7 mm around the U-shaped incision to create a thicker, better vascularized tissue layer for suturing the neourethra compared with UIT. To prevent injury to underlying connective tissue and avoid compromising blood perfusion, the scalpel should be held at a more slanted angle than is conventional. Read More

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http://dx.doi.org/10.1016/j.jpedsurg.2019.08.017DOI Listing
December 2019

A Comparison of Surgical Outcomes of Two Combination Surgeries for Involutional Entropion: Fixing 3 vs 2 Pathologic Components.

J Craniofac Surg 2019 Nov-Dec;30(8):2304-2307

Department of Ophthalmology, Korea University College of Medicine, Seoul, Republic of Korea.

The purpose of this study was to compare the surgical outcomes of two combinational surgeries for involutional entropion: Inferior retractor tightening (IRT) + lateral tarsal strip (LTS) + skin muscle excision (SME) vs LTS + SME. The authors reviewed the records of 2 groups which were made up of 80 (85 eyelids) and 58 (63 eyelids) involutional entropion patients with 71.4 and 71. Read More

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http://dx.doi.org/10.1097/SCS.0000000000005677DOI Listing
January 2020
2 Reads

Skin/Muscle Incision and Retraction Induces Evoked and Spontaneous Pain in Mice.

Pain Res Manag 2019 31;2019:6528528. Epub 2019 Jul 31.

Department Pain Medicine, The First Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, Zhejiang 310003, China.

Background: Surgery is a frequent cause of persistent pain. Unrelieved chronic postsurgical pain causes unnecessary patient suffering and discomfort and usually leads to psychological complications. The rat model of skin/muscle incision and retraction (SMIR) with decreased paw withdrawal thresholds developed by Flatters was usually used to investigate the underlying mechanism of chronic postsurgical pain. Read More

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http://dx.doi.org/10.1155/2019/6528528DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6701374PMC
December 2019
3 Reads

Unusual skin toxicity associated with sustained disease response induced by nivolumab in a patient with non-small cell lung cancer.

Tumori 2019 Dec 28;105(6):NP57-NP62. Epub 2019 Aug 28.

Department of Medical Oncology, Fondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy.

Introduction: Immunotherapy has shown efficacy in the treatment of different malignancies. Nivolumab, an immune checkpoint inhibitor directed against programmed death-1, has been approved for non-small cell lung cancer (NSCLC) in pretreated patients. Although it is generally well-tolerated, immunotherapy may be complicated by a wide range of immune-mediated adverse events. Read More

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http://dx.doi.org/10.1177/0300891619872546DOI Listing
December 2019
3 Reads

Histologic and clinical cross-sectional study of chronic hair loss in patients with cutaneous chronic graft-versus-host disease.

J Am Acad Dermatol 2019 Nov 24;81(5):1134-1141. Epub 2019 Aug 24.

Department of Dermatology, Massachusetts General Hospital, Boston, Massachusetts; Harvard Medical School, Boston, Massachusetts. Electronic address:

Background: While scalp alopecia represents a distinctive feature of chronic graft-versus-host disease (cGVHD), little is known about the clinical and histologic presentation of hair loss.

Objectives: We sought to classify the clinical presentations and histologic findings of chronic hair loss in patients with cutaneous cGVHD.

Methods: A prospective cohort of 17 adult hematopoietic cell transplantation (HCT) recipients with cutaneous cGVHD was enrolled. Read More

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http://dx.doi.org/10.1016/j.jaad.2019.03.031DOI Listing
November 2019
4 Reads

Dermal suture only versus layered closure: A randomized, split wound comparative effectiveness trial.

J Am Acad Dermatol 2019 Dec 21;81(6):1346-1352. Epub 2019 Aug 21.

Department of Dermatology, University of California Davis Medical Center, Sacramento, California. Electronic address:

Background: Layered closure of cutaneous wounds is a commonly used surgical practice. However, there are studies that suggest the additional layer of epidermal sutures might not be necessary.

Objective: To compare scar outcomes between the single-layer deep-dermal suture technique and the conventional layered suture technique for primary closure of cutaneous wounds. Read More

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http://dx.doi.org/10.1016/j.jaad.2019.08.040DOI Listing
December 2019
2 Reads
4.449 Impact Factor

Therapeutic Insights in Melasma and Hyperpigmentation Management

J Drugs Dermatol 2019 Aug;18(8):718-729

Melasma and postinflammatory hyperpigmentation (PIH) are the most common forms of dyschromia in patients with skin of color. Both are associated with a high psychological burden of disease. To exacerbate this burden, the need for treatment is chronic, and the results are often suboptimal in the eyes of the patient. Read More

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August 2019
3 Reads

Noncultured Extracted Hair Follicle Outer Root Sheath Cell Suspension versus Noncultured Epidermal Cell Suspension in the Treatment of Stable Vitiligo.

J Cutan Aesthet Surg 2019 Apr-Jun;12(2):105-111

Department of Dermatology, Venereology and Andrology, Faculty of Medicine, University of Alexandria, Alexandria, Egypt.

Background: Various treatment modalities exist for vitiligo, yet none of them are curative. Vitiligo is still considered a challenging disease to manage. Surgical treatment offers an excellent option for patients with stable vitiligo, especially those who fail to respond to medical treatment. Read More

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http://dx.doi.org/10.4103/JCAS.JCAS_136_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6676811PMC
August 2019
2 Reads

Onychocryptosis and asymptomatic external urethritis as complications of oral isotretinoin therapy.

BMJ Case Rep 2019 Aug 13;12(8). Epub 2019 Aug 13.

Dermatology, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.

This case report presents a patient who, while undergoing oral isotretinoin therapy for acne vulgaris, developed onychocryptosis and asymptomatic external urethritis. These uncommon adverse events are not well-documented in medical literature. While his urethritis spontaneously resolved, his onychocryptosis symptoms necessitated surgical intervention. Read More

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http://dx.doi.org/10.1136/bcr-2019-231387DOI Listing
August 2019
1 Read

Dermoscopic features of lichen planopilaris in Northern Iran: a prospective observational study.

Int J Dermatol 2019 Dec 1;58(12):1406-1414. Epub 2019 Aug 1.

Skin Research Center, Department of Dermatology, Razi Hospital, Guilan University of Medical Sciences, Rasht, Iran.

Background: Dermoscopy can be helpful in assessing nonpigmented lesions and inflammatory processes like lichen planopilaris (LPP).

Material & Methods: In this observational prospective study, 81 patients with a cicatricial alopecic patch on their scalp were included and underwent dermatologic examination. A biopsy was taken from the active part of the lesion based on dermoscopy evaluation. Read More

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http://dx.doi.org/10.1111/ijd.14589DOI Listing
December 2019
2 Reads

Recognition and management of dermatologic complications from interventional radiology procedures.

Diagn Interv Imaging 2019 Nov 10;100(11):659-670. Epub 2019 Jul 10.

Duke University Medical Center Department of Interventional Radiology, NC 27710 Durham, United States.

A variety of dermatologic complications can occur after interventional radiology procedures, including fluoroscopy-induced radiation dermatitis, thermal skin injury from tumor ablation, non-target embolization to the skin, allergic reactions related to interventional radiology procedures, and dermatitis and infections at catheter sites. Yet, interventional radiologists typically lack training in dermatology. This review focuses on recognition of dermatologic complications and introduces basic principles for management of these complications. Read More

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http://dx.doi.org/10.1016/j.diii.2019.06.007DOI Listing
November 2019
1 Read

Combined Transverse Incision and Pouch Incision for the Correction of Medial Epicanthus.

J Craniofac Surg 2019 Jul;30(5):1499-1502

Breast Disease Center of Chongqing University, Chongqing, China.

Background: The epicanthal fold is a distinct characteristic of the upper eyelid in many Asians. To achieve satisfactory results, epicanthoplasty is usually performed with double eyelid plasty and blepharoptosis. Although many surgical procedures have been reported for the elimination of epicanthal folds, such as recurrence, copious designs, conspicuous scar, and unnatural palpebral contours are challenges to the surgeon and also make patients worried. Read More

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http://dx.doi.org/10.1097/SCS.0000000000005222DOI Listing
July 2019
10 Reads

Effect of Simple Interrupted Suture Spacing on Aesthetic and Functional Outcomes of Skin Closures.

J Cutan Med Surg 2019 Nov/Dec;23(6):580-585. Epub 2019 Jul 4.

Department of Dermatology and Dermatologic Surgery, Good Samaritan Regional Medical Center/Silver Falls Dermatology, Salem, OR, USA.

Background: Dermatologic surgeons are trained in fundamental wound closure techniques that minimize wound tension and tissue ischemia to optimize healing and create discrete scars. These include orienting excisions along resting skin tension lines, handling tissue edges with care, and avoiding strangulation while tying suture. Another variable that may affect wound healing and cosmetic outcomes is the spacing between sutures. Read More

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http://dx.doi.org/10.1177/1203475419861077DOI Listing
July 2019
4 Reads
0.714 Impact Factor

Simultaneous squamous cell carcinoma and malignant melanoma of the conjunctiva in a teenager with xeroderma pigmentosum: Case report.

Indian J Ophthalmol 2019 07;67(7):1190-1192

Ocular Oncology Service, Department of Ophthalmology and Visual Sciences, Federal University of São Paulo, Rua Botucatu, 822, São Paulo, Brazil.

Xeroderma pigmentosum (XP) is an autosomal recessive disease with ophthalmic, dermatologic, and neurologic manifestations. Ophthalmological changes are described in up to 100% of XP patients. We report a young XP patient that presented with bilateral conjunctival masses. Read More

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http://dx.doi.org/10.4103/ijo.IJO_1106_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6611241PMC
July 2019
8 Reads

Indurated purple plaques on the scalp.

Dermatol Online J 2019 May 15;25(5). Epub 2019 May 15.

Department of Dermatology, Massachusetts General Hospital, Boston, MA.

Cutaneous epithelioid angiosarcoma is a rare neoplasm of vascular endothelial cell origin that can mimic a cutaneous lymphoma, metastatic carcinoma, or Kaposi sarcoma. It is one of the most malignant cutaneous tumors and early diagnosis is essential, as the tumor metastasizes quickly. We describe a 75-year-old man who presented with three tender, indurated violaceous plaques on his scalp. Read More

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May 2019
17 Reads

Bilateral Cochlear Implantation in Vogt-Koyanagi-Harada Syndrome: A Case Report.

Otol Neurotol 2019 08;40(7):e694-e697

Department of Otolaryngology, Neurotology & Skull Base Surgery, King Saud University, Riyadh, Saudi Arabia.

Objective: To evaluate cochlear implantation in Vogt-Koyanagi-Harada syndrome with regard to surgical difficulties and hearing outcomes.

Patients: Single case report.

Intervention(s): Therapeutic complete electrode insertion during surgery despite evident intra-cochlear fibrosis. Read More

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http://dx.doi.org/10.1097/MAO.0000000000002262DOI Listing
August 2019
9 Reads

Overlapping dermatologic diagnoses in severe Crohn's disease with duel genetic mutations.

Int J Dermatol 2019 Nov 17;58(11):e214-e216. Epub 2019 Jun 17.

Department of Dermatology, University of Florida College of Medicine, Gainesville, FL, USA.

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http://dx.doi.org/10.1111/ijd.14520DOI Listing
November 2019
1 Read

Fournier's Gangrene: 10-Year Experience of a Plastic Surgery and Burns Department at a Tertiary Hospital.

Acta Med Port 2019 May 31;32(5):368-374. Epub 2019 May 31.

Department of Plastic Surgery and Burns. Coimbra Hospital and University Centre. Coimbra. Portugal.

Introduction: Fournier gangrene is a polymicrobial life threatening infection of perineal subcutaneous soft tissues with its point of origin in urologic, colorectal or skin diseases. Although more frequent in elderly and men, it can affect all genders and age groups. Perianal abscess, diabetes mellitus and Escherichia coli are the most frequent cause, predisposing comorbidity, and microorganism found in tissue culture analysis respectively. Read More

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http://dx.doi.org/10.20344/amp.11003DOI Listing
May 2019
31 Reads

Silicone-Based Scar Cream for Post Upper Eyelid Blepharoplasty-associated Cicatricial and Hypertrophic Scarring

J Drugs Dermatol 2019 May;18(5):440-446

PURPOSE: Silicone cream has been shown to improve the appearance of postoperative scars. Nevertheless, surgeons may incorporate intralesional wound modulators such as a triamcinolone and/or 5-fluorouracil (5-FU) for scars that do not completely heal well or those that do not completely respond to other treatment options such as silicone cream. This study sought to determine whether a silicone-based topical scar cream that incorporates selective growth factors can help reduce the incidence of postoperative cicatricial and hypertrophic changes in upper eyelid blepharoplasty incisions. Read More

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May 2019
17 Reads

Comparison of two methods of subcision Nokor and blunt blade in acne scars treatment.

J Cosmet Dermatol 2019 Dec 18;18(6):1788-1793. Epub 2019 May 18.

Department of Dermatology, Skin Diseases and Leishmaniasis Research Center, Isfahan University of Medical Sciences, Isfahan, Iran.

Context: Subcision is a simple surgical method that can be effective in treatment of acne scars.

Aims: This study was conducted to evaluate and compare the two methods of Nokor needle and blunt blade (BB) subcision in treatment of acne scars.

Settings And Design: This clinical trial study was conducted on 28 patients with acne scars. Read More

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http://dx.doi.org/10.1111/jocd.12981DOI Listing
December 2019
1.000 Impact Factor

Optimizing Patient Safety in Dermatologic Surgery.

Dermatol Clin 2019 Jul 16;37(3):319-328. Epub 2019 Apr 16.

University of Texas Southwestern Medical Center, 5939 Harry Hines Boulevard, Suite 400, Dallas, TX 75390, USA. Electronic address:

Overall, dermatologic surgery performed in the outpatient setting is very low risk to patients and safer than similar procedures performed under general anesthesia, and is also more cost-effective. There are several approaches to mitigating the risk of complications while optimizing patient outcomes. Strict oversight of the dermatology clinic helps to ensure team members all adhere to standards of care. Read More

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http://dx.doi.org/10.1016/j.det.2019.02.006DOI Listing
July 2019
6 Reads
1.434 Impact Factor