4,142 results match your criteria Mohs Micrographic Surgery


Unusual use of a common skin flap for a large cutaneous defect following Mohs surgery for lentigo maligna of the cheek: A case report.

SAGE Open Med Case Rep 2019 10;7:2050313X19843770. Epub 2019 Apr 10.

Centre Hospitalier Universitaire de Montréal and Division of Dermatology, Faculty of Medicine, University of Montreal, Montreal, QC, Canada.

The bilobed flap is most often used for the reconstruction of small cutaneous defect of the nose. Under certain circumstances, it can also be useful in the reconstruction of much larger defects of the face. Our objective is to report a case of bilobed flap reconstruction in a patient with a large defect of the zygomatic cheek following a Mohs micrographic surgery for lentigo maligna. Read More

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http://dx.doi.org/10.1177/2050313X19843770DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6458667PMC

Revised Mohs surgery care guidelines for squamous cell carcinoma in-situ are overdue.

Dermatol Online J 2019 Mar 15;25(3). Epub 2019 Mar 15.

University of California Irvine, Department of Dermatology, Irvine, California.

The treatment of cutaneous squamous cell carcinoma in situ by Mohs micrographic surgery is currently deemed as appropriate by the Mohs Appropriate Use Criteria. However, squamous cell carcinoma in situ is a very superficial, indolent, low-risk tumor amenable to destructive and non-surgical treatments. It is uncommon for squamous cell carcinoma in situ to have progressed to invasive malignancy subsequent to definitive management. Read More

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March 2019
1 Read

Wide local excision prior to sentinel lymph node biopsy for primary melanoma of the head and neck.

Int J Dermatol 2019 Apr 10. Epub 2019 Apr 10.

Department of Otorhinolaryngology-Head and Neck Surgery, Mayo Clinic School of Medicine, Rochester, MN, USA.

Background: Previous wide local excision prior to sentinel lymph node biopsy (SLNB) may have the potential to disrupt lymphatic channels, thus incorrectly identifying the sentinel node. The purpose of this study was to investigate: (1) regional recurrence rates of prior wide local excision compared to other biopsy techniques and (2) survival outcomes in patients with melanoma of the head and neck.

Methods: Between the years 2000 and 2016, 391 cases were reviewed with a median follow-up time of 30 months in a large tertiary care center. Read More

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http://dx.doi.org/10.1111/ijd.14435DOI Listing

The practice patterns in the management of sebaceous carcinoma of the eyelid in the Asia Pacific region.

Eye (Lond) 2019 Apr 5. Epub 2019 Apr 5.

Department of Ophthalmology, Hong Kong Eye Hospital, 147K Argyle Street, Kowloon, Hong Kong SAR, China.

Purpose: To determine the practice patterns of ophthalmic plastic surgeons regarding the management of eyelid sebaceous carcinoma (SC).

Methods: An electronic survey was distributed to oculoplastic surgical colleagues in the Asia Pacific region requesting clinical information and treatment approaches to SC.

Results: The responses from 192 respondents from the Asia Pacific region was included and analyzed in this study. Read More

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http://dx.doi.org/10.1038/s41433-019-0432-0DOI Listing
April 2019
1 Read

A retrospective review of conchal bowl full-thickness skin grafts for reconstruction of nasal ala defects.

Br J Dermatol 2019 Apr 4. Epub 2019 Apr 4.

Mohs Micrographic and Dermatologic Surgery Unit, Skin Cancer Institute, Skin Centre, Tauranga, New Zealand.

Following our report of full thickness grafts for repair of ala defects , we present our experience with conchal bowl donor skin, for reconstruction of partial-thickness defects of the ala. Analysis of electronic medical records (April 2007 to January 2017) identified all cases. Defect dimension, revisionary procedures, infections and necrosis were recorded. Read More

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http://dx.doi.org/10.1111/bjd.17988DOI Listing
April 2019
1 Read

Outcomes of Second Intention Healing of the Lower Eyelid Margin After Mohs Micrographic Surgery.

Dermatol Surg 2019 Mar 28. Epub 2019 Mar 28.

All authors are affiliated with Trieu Dermatology, Harvey, Louisiana and Derm Surgery Associates, Houston, Texas.

Background: Lower eyelid margin defects can be a reconstructive challenge. A possible alternative is second intention healing of the lower eyelid margin.

Objective: To determine the cosmetic outcomes and patient satisfaction of second intention healing of the lower eyelid margin after Mohs micrographic surgery (MMS). Read More

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http://dx.doi.org/10.1097/DSS.0000000000001951DOI Listing
March 2019
1 Read

Atypical Fibroxanthoma: The Washington University Experience.

Dermatol Surg 2019 Mar 28. Epub 2019 Mar 28.

Division of Dermatology, Department of Medicine, Washington University School of Medicine, St. Louis, MO.

Background: Atypical fibroxanthoma (AFX) is a rare dermal neoplasm typically occurring on sun-exposed skin in the elderly. As AFX remains a diagnosis of exclusion, updated characterization and treatment assessments are necessary to support informed diagnosis and management.

Objective: Characterization of contemporary AFX and surgical outcomes by Mohs micrographic surgery (MMS) and conventional local excision (LE). Read More

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http://dx.doi.org/10.1097/DSS.0000000000001943DOI Listing
March 2019
2 Reads

Extrapolating Straight Lines to Curves: Can the Dynamics of Z-Plasties Be Applied to Bilobed and Trilobed Flaps?

Authors:
Ian A Maher

Dermatol Surg 2019 Mar 28. Epub 2019 Mar 28.

Division of Mohs Surgery and Dermatologic Oncology, Department of Dermatology, Saint Louis University, St. Louis, Missouri.

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http://dx.doi.org/10.1097/DSS.0000000000001947DOI Listing

Commentary on Combination of Sclerotherapy and Dual Wavelength Laser in the Management of Infantile Hemangiomas in Chinese Patients.

Dermatol Surg 2019 Mar 28. Epub 2019 Mar 28.

Department of Dermatology, UC Irvine Health, Irvine, California Westlake Dermatology Clinical Research Center, Westlake Dermatology and Cosmetic Surgery, Austin, Texas Department of Mohs Surgery, Dermatology, and Vascular Surgery, Scripps Clinic, San Diego, California.

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http://dx.doi.org/10.1097/DSS.0000000000001861DOI Listing

Non-Melanoma Skin Cancer Tumor's Characteristics and Histologic Subtype as a Predictor for Subclinical Spread and Number of Mohs Stages required to Achieve Tumor-Free Margins.

P R Health Sci J 2019 Mar;38(1):40-45

Department of Dermatology, University of Puerto Rico Medical Sciences Campus, San Juan, Puerto Rico.

Objective: To describe the behavior of non-melanoma skin cancer (NMSC) based on tumor's characteristics.

Methods: A total of 219 of NMSC were analyzed via a retrospective medical chart review. The data obtained from each record included but was not limited to: number of Mohs micrographic surgery (MMS) stages required for tumor clearance, defect size, repair type and size according to the neoplasm's histopathologic subtype. Read More

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March 2019
4 Reads

Facial Reconstruction after Mohs Surgery.

Authors:
John Paoli

Acta Derm Venereol 2019 Apr;99(4):468

Department of Dermatology and Venereology, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.

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http://dx.doi.org/10.2340/00015555-3132DOI Listing
April 2019
1 Read

Symptoms of and Palliative Treatment for Unresectable Skin Cancer.

Curr Treat Options Oncol 2019 Mar 27;20(4):34. Epub 2019 Mar 27.

Division of Dermatology, Department of Medicine of Sensory and Motor Organs, Faculty of Medicine, Tottori University, 36-1, Nishicho, Yonago, Tottori, 683-8503, Japan.

Opinion Statement: The symptom prevalence in patients with advanced cancer depends on the type of primary cancer, and the palliative treatment varies according to the nature of the primary cancer. Palliative treatment for unresectable skin cancer has not been fully discussed. Patients with unresectable skin cancer sometimes show the primary lesion in the skin and metastases to the lung, skin, liver, and bone. Read More

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http://dx.doi.org/10.1007/s11864-019-0626-5DOI Listing
March 2019
2 Reads

[A Case of Advanced Breast Cancer in an Elderly Patient That Was Well Controlled by Mohs' Paste, Endocrine Therapy, and Denosumab].

Gan To Kagaku Ryoho 2019 Feb;46(2):336-338

Dept. of Surgery, JCHO Sapporo Hokushin Hospital.

We report a case of advanced left breast cancer with continuous bleeding from the primary tumor surface in an 81-year-old woman. Pathological findings showed invasive carcinoma with positive expression of hormone receptors. CT and bone scintigraphy showed primary tumor invasion of the greater pectoral muscle and multiple bone metastases. Read More

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February 2019
1 Read

Dual Immunostaining With SOX10 and AE1/AE3 to Confirm Perineural Invasion on Mohs Sections

J Drugs Dermatol 2019 Mar;18(3):262-264

Perineural invasion (PNI) is associated with high risk keratinocyte carcinomas. Identification of PNI during Mohs surgery is important for staging and post-adjuvant treatment decisions but can be challenging. To confirm or exclude PNI suspected on hematoxylin and eosin sections, we performed immunohistochemical double staining on Mohs frozen sections. Read More

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Surgical Management of Localized Melanoma: A National Cancer Database Retrospective Review.

Br J Dermatol 2019 Mar 25. Epub 2019 Mar 25.

Rutgers New Jersey Medical School, Newark, NJ, USA.

Mohs micrographic surgery (MMS) for melanoma remains controversial. Currently, no published clinical trials have examined the role of MMS versus wide local excision (WLE) for melanoma, despite the fact that the use of MMS for melanoma is increasing in the United States. The limited retrospective data that does exist demonstrates MMS as an equally effective modality for the management of melanoma in-situ, lentigo maligna melanoma, and cutaneous head and neck melanomas. Read More

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http://dx.doi.org/10.1111/bjd.17901DOI Listing
March 2019
1 Read

Effect of Postoperative Telephone Calls on Patient Satisfaction and Scar Satisfaction After Mohs Micrographic Surgery.

Dermatol Surg 2019 Mar 19. Epub 2019 Mar 19.

Dermatology, Columbia University Medical Center, New York, New York.

Background: Mohs micrographic surgery is considered the gold standard for high-risk nonmelanoma skin cancer. Postoperative telephone follow-up (TFU) is linked to higher patient satisfaction; however, there are no randomized, blinded studies examining whether TFU after Mohs surgery improves patient satisfaction.

Objective: To perform a randomized single-blinded prospective survey study examining whether patient satisfaction or scar satisfaction varied between Mohs patients who received a postoperative call and patients who did not. Read More

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http://dx.doi.org/10.1097/DSS.0000000000001913DOI Listing

Mohs Micrographic Surgery Volume, Utilization, and Overutilization Based on Medicare Data.

Authors:
Jonathan Kantor

Am J Clin Oncol 2019 Apr;42(4):411-412

Department of Dermatology, University of Pennsylvania Perelman School of Medicine Philadelphia, PA.

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http://dx.doi.org/10.1097/COC.0000000000000517DOI Listing

Mohs Reconstruction and Scar Revision.

Otolaryngol Clin North Am 2019 Mar 21. Epub 2019 Mar 21.

Department of Ophthalmology and Visual Sciences, University of Michigan Medical School, 714 Kellogg Eye Center, Ann Arbor, MI 48109, USA.

Facial reconstruction may be effectively performed in an office setting using a variety of techniques. Careful patient selection is paramount for achieving successful outcomes in this setting. The most common reconstructive techniques used in the office setting include local flaps and skin grafts. Read More

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http://dx.doi.org/10.1016/j.otc.2019.02.002DOI Listing

Mohs micrographic surgery versus wide local excision for sebaceous adenocarcinoma of the eyelid : Analysis of a national database.

J Plast Reconstr Aesthet Surg 2019 Mar 2. Epub 2019 Mar 2.

Baylor College of Medicine, Houston, Texas, United States.

Background: Sebaceous adenocarcinomas are rare and potentially aggressive tumors, which typically arise in the periocular region. Surgical treatments for eyelid sebaceous adenocarcinomas include Mohs micrographic surgery (MMS) and wide local excision (WLE). The objective of this study was to compare long-term survival outcomes of MMS versus WLE techniques for eyelid sebaceous adenocarcinomas. Read More

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http://dx.doi.org/10.1016/j.bjps.2019.02.009DOI Listing
March 2019
1 Read

The Flip-Back Myocutaneous Advancement Flap for Periocular Reconstruction.

Ophthalmic Plast Reconstr Surg 2019 Mar 18. Epub 2019 Mar 18.

Bascom Palmer Eye Institute, Department of Ophthalmology, University of Miami Miller School of Medicine, Miami, Florida.

Purpose: To present a novel myocutaneous flap for anterior lamellar reconstruction.

Methods: Retrospective interventional case series of consecutive patients who underwent Mohs reconstruction using the flip-back flap. Operations were performed by a single surgeon (DTT) between January 2012 and May 2016. Read More

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http://dx.doi.org/10.1097/IOP.0000000000001377DOI Listing
March 2019
7 Reads

An Advanced Preoperative Mohs Micrographic Surgery Scoring System.

Dermatol Surg 2019 Mar 15. Epub 2019 Mar 15.

Providence Transitional Residency, Spokane Teaching Health Center, Spokane, Washington University of Washington School of Medicine, Seattle, Washington Chesnut MD Cosmetic Surgery Fellowship, Spokane, Washington.

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http://Insights.ovid.com/crossref?an=00042728-900000000-9839
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http://dx.doi.org/10.1097/DSS.0000000000001847DOI Listing
March 2019
2 Reads

Outcomes of Adjuvant Radiotherapy Following Negative Surgical Margins for Cutaneous Squamous Cell Carcinoma.

Dermatol Surg 2019 Mar 15. Epub 2019 Mar 15.

Departments of Dermatology.

Background: The role of adjuvant radiotherapy (ART) for cutaneous squamous cell carcinoma (cSCC) following negative surgical margins is unclear.

Objective: To retrospectively examine the clinical outcomes in a cohort of patients with cSCC who completed ART after Mohs micrographic surgery or wide local excision with negative margins.

Methods And Materials: After the institutional review board approval, a retrospective review was conducted of all patients with cSCC treated in the Mayo Clinic Department of Radiation Oncology from March 10, 1998, through April 26, 2013. Read More

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http://dx.doi.org/10.1097/DSS.0000000000001827DOI Listing

Squamous Cell Carcinoma In Situ With Occult Invasion: A Tertiary Care Institutional Experience.

Dermatol Surg 2019 Mar 15. Epub 2019 Mar 15.

Memorial Sloan Kettering Cancer Center Dermatology Service, New York, New York.

Background: The rate of occult invasive disease within biopsy-proven squamous cell carcinoma in situ (SCCIS) is not well defined.

Objective: To examine the rate of occult invasion in SCCIS.

Methods: An institutional-wide pathology database was retrospectively searched for "squamous cell carcinoma in situ" over a 6-year period, and the treatment modality and final pathology results were analyzed for evidence of invasion. Read More

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http://dx.doi.org/10.1097/DSS.0000000000001841DOI Listing
March 2019
2 Reads

A Novel Way for Mapping in Mohs Micrographic Surgery.

J Am Acad Dermatol 2019 Mar 15. Epub 2019 Mar 15.

Department of Dermatology, The Third Affiliated Hospital of Sun Yat-sen University, Guangzhou, China. Electronic address:

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http://dx.doi.org/10.1016/j.jaad.2019.03.019DOI Listing
March 2019
1 Read

Oral and Intraincisional Antibiotic Prophylaxis in Mohs Surgery: A Systematic Review and Meta-analysis.

Dermatol Surg 2019 Feb 18. Epub 2019 Feb 18.

Faculty of Medicine and Dentistry, University of Alberta Medical School, Edmonton, Alberta, Canada Division of Dermatology, Department of Medicine, University of Alberta, Alberta, Canada.

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http://dx.doi.org/10.1097/DSS.0000000000001838DOI Listing
February 2019

Crescentic Modification to Island Pedicle Rotation Flaps for Defects of the Distal Nose.

Dermatol Surg 2019 Feb 18. Epub 2019 Feb 18.

Division of Dermatology. Department of Medicine, University of Vermont Medical Center, Burlington, VT.

Background: Island pedicle flaps based on a lateral sling of the nasalis have difficulty reaching distal nasal defects due to tethering of the muscle to its insertion point. The authors hypothesized that reach could be improved by modifying a crescentic flap to rotate around a pivot point equidistant to the flap and the defect.

Objective: To describe the design, execution, and results with a modified crescentic island pedicle rotation flap for repair of distal nasal defects after Mohs micrographic surgery. Read More

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http://dx.doi.org/10.1097/DSS.0000000000001855DOI Listing
February 2019
1 Read

Virtual Reality to Improve the Experience of the Mohs Patient-A Prospective Interventional Study.

Dermatol Surg 2019 Feb 18. Epub 2019 Feb 18.

Department of Dermatology, Keck Medicine of the University of Southern California, Los Angeles, California.

Background: Nonmelanoma skin cancer is the most common cancer in the United States with significant quality of life impact.

Objective: To assess the utility of a highly immersive virtual reality (VR) experience in the context of outpatient skin cancer surgery as a means to minimize patient-reported feelings of anxiety or pain. The authors also sought to assess the effects on patient-reported overall satisfaction. Read More

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http://dx.doi.org/10.1097/DSS.0000000000001854DOI Listing
February 2019
5 Reads

Absorbable Barbed Suture Suspension of the Lower Eyelid to Prevent Ectropion After Mohs Micrographic Surgery.

Dermatol Surg 2019 Mar 13. Epub 2019 Mar 13.

Division of Dermatology, Albert Einstein College of Medicine, Bronx, New York.

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http://dx.doi.org/10.1097/DSS.0000000000001896DOI Listing

Histologic predictors of invasion in partially biopsied lentigo maligna melanoma.

J Am Acad Dermatol 2019 Apr 26;80(4):1150-1152. Epub 2018 Oct 26.

Research Unit EA 4340 Biomarkers in Cancerology and in Hemato-oncology, University of Versailles-Saint-Quentin-en-Yvelines, Université Paris-Saclay, Boulogne-Billancourt, France; Department of Dermatology, Ambroise Paré Hospital, Boulogne-Billancourt, France.

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http://dx.doi.org/10.1016/j.jaad.2018.10.036DOI Listing

Nonmelanoma Skin Cancer in Childhood and Young Adult Cancer Survivors Previously Treated With Radiotherapy.

J Natl Compr Canc Netw 2019 Mar;17(3):237-243

dAdult Long-Term Follow-Up Program, Department of Medicine, Memorial Sloan Kettering Cancer Center, and.

Background: Radiotherapy (RT) is a risk factor for nonmelanoma skin cancer (NMSC), specifically basal cell carcinoma (BCC) and squamous cell carcinoma (SCC), but whether features, histology, or recurrence of NMSC after RT resemble those observed in the general population is unknown.

Methods: A retrospective review (1994-2017) was performed within the Adult Long-Term Follow-Up Program and Dermatology Service at Memorial Sloan Kettering Cancer Center. Demographics, clinical features, histology, treatment, and recurrence were collected for this patient cohort that was under close medical surveillance. Read More

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http://dx.doi.org/10.6004/jnccn.2018.7096DOI Listing
March 2019
1 Read

Hydrochlorothiazide Use and Increased Squamous Cell Carcinoma Burden in a High-Risk Mohs Population: A Cross-Sectional Study.

Dermatol Surg 2019 Mar 8. Epub 2019 Mar 8.

Department of Sociomedical Sciences, Columbia University Mailman School of Public Health, New York City, New York Division of Dermatology, Mohs Micrographic Surgery Unit, Florida State University College of Medicine, Tallahassee, Florida Department of Public Health, Clinical Pharmacology and Pharmacy, University of Southern Denmark, Odense, Denmark Department of Neurology, Odense University Hospital, Odense, Denmark Department of Clinical Research, Faculty of Health Science, University of Southern Denmark, Odense, Denmark Department of Neurology, Odense University Hospital, Odense, Denmark Department of Clinical Research, Faculty of Health Science, University of Southern Denmark, Odense, Denmark Department of Public Health, Clinical Pharmacology and Pharmacy, University of Southern Denmark, Odense, Denmark Division of Dermatology, Mohs Micrographic Surgery Unit, Florida State University College of Medicine, Tallahassee, Florida.

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http://dx.doi.org/10.1097/DSS.0000000000001875DOI Listing

East-West Flap After Mohs Micrographic Surgery.

Actas Dermosifiliogr 2019 Mar 9. Epub 2019 Mar 9.

Cátedra de Dermatología, Hospital de Clínicas Dr. Manuel Quintela, Universidad de la República, Montevideo, Uruguay.

Repair of distal nasal defects resulting from Mohs micrographic surgery is a challenge, but surgeons can choose from a number of techniques. We present 3 cases in which an east-west flap was used to close the defect. The east-west flap is an easily conceived advancement flap that consists of a superior triangle used to cover the defect and an inferior triangle whose base is located along the advancement line. Read More

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http://dx.doi.org/10.1016/j.ad.2018.08.007DOI Listing
March 2019
1 Read

Repair of Apical Triangle Defects Using Melolabial Rotation Flaps.

Dermatol Surg 2019 Mar;45(3):358-362

DermSurgery Associates, Houston, Texas.

Background: The apical triangle of the upper cutaneous lip, also known as the alar-facial sulcus, is an anatomical structure bound medially by the nasal ala, laterally by the medial cheek, and inferiorly by the remainder of the upper cutaneous lip. During reconstruction, retaining the central concavity and the convex lateral and medial outlines of this location is required to maintain midfacial symmetry.

Objective: This is a retrospective study of our use of the melolabial rotation flap for reconstruction of surgical defects of the apical triangle. Read More

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http://dx.doi.org/10.1097/DSS.0000000000001633DOI Listing
March 2019
1 Read

Technique and Results of Permanent Medial Tarsorrhaphy for Complex Eyelid Malposition.

Ophthalmic Plast Reconstr Surg 2019 Mar/Apr;35(2):197-201

Department of Ophthalmology and Visual Sciences, Kellogg Eye Center, University of Michigan, Ann Arbor, Michigan, U.S.A.

Purpose: To evaluate the results of permanent medial tarsorrhaphy and to describe the surgical technique.

Methods: Medial tarsorrhaphy was performed on 30 eyelids with symptomatic exposure keratopathy secondary to eyelid malposition. Observational, retrospective review of preoperative and postoperative examination findings was performed. Read More

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http://dx.doi.org/10.1097/IOP.0000000000001282DOI Listing
March 2019
11 Reads

Patient indications for Mohs micrographic surgery: a clinical practice guideline.

Curr Oncol 2019 Feb 1;26(1):e94-e99. Epub 2019 Feb 1.

Department of Medical Oncology, Odette Cancer Centre, Toronto, ON.

Objective: The purpose of the present work was to develop evidence-based indications for Mohs micrographic surgery in patients with a diagnosis of skin cancer.

Methods: The guideline was developed by Cancer Care Ontario's Program in Evidence-Based Care, together with the Melanoma Disease Site Group and the Surgical Oncology Program, through a systematic review of relevant literature, patient- and caregiver-specific consultation, and internal and external reviews.

Recommendation 1: Given a lack of high-quality, comparative evidence, surgery (with postoperative or intraoperative margin assessment) or radiation (for those who are ineligible for surgery) should remain the standard of care for patients with skin cancer. Read More

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http://dx.doi.org/10.3747/co.26.4439DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6380643PMC
February 2019
2 Reads

What Should We Use? Recommendations on Appropriate Gloves for Dermatologic Surgery.

Actas Dermosifiliogr 2019 Mar 29;110(2):160-161. Epub 2018 Jun 29.

Servicio de Dermatología, Hospital Clínic de Barcelona, Barcelona, España. Electronic address:

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http://dx.doi.org/10.1016/j.ad.2017.12.018DOI Listing

Mohs Micrographic Surgery: Development of the Technique.

J Cutan Med Surg 2019 Mar/Apr;23(2):236

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http://dx.doi.org/10.1177/1203475418811346DOI Listing
March 2019
1 Read

Comparison of Mohs Surgery and Surgical Excision in the Treatment of Localized Sebaceous Carcinoma.

Dermatol Surg 2019 Feb 28. Epub 2019 Feb 28.

Department of Dermatology, The Second Xiangya Hospital, Central South University, Changsha, Hunan, China.

Background: It remains controversial if Mohs surgery is superior to surgical excision in treating localized sebaceous carcinoma.

Objective: To compare Mohs surgery and surgical excision for treating patients with localized sebaceous carcinoma.

Materials And Methods: The US National Cancer Database was used to identify patients with histologically confirmed Stage 0 to 2 sebaceous carcinoma from 2004 to 2014. Read More

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http://dx.doi.org/10.1097/DSS.0000000000001780DOI Listing
February 2019
2 Reads

Expertise in Head and Neck Cutaneous Reconstructive Surgery.

Dermatol Surg 2019 Feb 28. Epub 2019 Feb 28.

Division of Dermatology, Section of Procedural Dermatology, Cooper University Health Care, Marlton, New Jersey.

Background: The management of skin cancers has evolved with the development of Mohs micrographic surgery and a greater emphasis on surgical training within dermatology. It is unclear whether these changes have translated into innovations and contributions to the reconstructive literature.

Objective: To assess contributions from each medical specialty to the cutaneous head and neck oncologic reconstructive literature. Read More

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http://dx.doi.org/10.1097/DSS.0000000000001844DOI Listing
February 2019
3 Reads

Safety of Intradermal/Subcutaneous Lidocaine With Epinephrine Use in Dermatologic Surgery.

Dermatol Surg 2019 Feb 28. Epub 2019 Feb 28.

Dell Medical School, University of Texas at Austin, Austin, Texas.

Background: Recently, the safety of lidocaine plus epinephrine use in outpatient surgery has come under scrutiny despite its long history of use in outpatient dermatologic procedures and surgeries.

Objective: To assess the frequency of crash cart and other emergency interventions during Mohs micrographic surgery when lidocaine plus epinephrine is used as a local anesthetic and evaluate patient comorbidities associated with these events.

Materials And Methods: A retrospective chart review was conducted in an outpatient Mohs micrographic surgery clinic. Read More

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http://dx.doi.org/10.1097/DSS.0000000000001900DOI Listing
February 2019
5 Reads

Robust Single-Stage Reconstruction of the Mid and Anterior Alar Rim.

Authors:
James A Rooney

Dermatol Surg 2019 Feb 28. Epub 2019 Feb 28.

Mohs Surgery Private Practice, Atlanta, Georgia.

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http://dx.doi.org/10.1097/DSS.0000000000001871DOI Listing
February 2019

Reconstruction of a Deep and Wide Sternal Notch Defect After Mohs Micrographic Surgery.

Dermatol Surg 2019 Feb 15. Epub 2019 Feb 15.

All authors are affiliated with the Department of Dermatology, University of California, San Francisco, San Francisco, California.

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http://dx.doi.org/10.1097/DSS.0000000000001843DOI Listing
February 2019

Use of Antibiotics for Dermatologic Procedures From 2008 to 2016.

JAMA Dermatol 2019 Mar 2. Epub 2019 Mar 2.

Department of Dermatology, University of Pennsylvania Perelman School of Medicine, Philadelphia.

Importance: Although overall antibiotic use among dermatologists is decreasing, there has been an increase in use associated with dermatologic procedures during the past decade. This higher antibiotic use may increase antibiotic-associated adverse events and promote the development of antibiotic resistance.

Objective: To characterize antibiotic use associated with dermatologic procedures, including geographic variation. Read More

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http://dx.doi.org/10.1001/jamadermatol.2019.0152DOI Listing

Autoamputation of Dermatofibrosarcoma Protuberans: A Novel and Rare Presentation of a Familiar Entity.

Int J Surg Pathol 2019 Feb 27:1066896919832658. Epub 2019 Feb 27.

1 Henry Ford Health System, Detroit, MI, USA.

Dermatofibrosarcoma protuberans (DFSP) is categorized as a fibrohistiocytic tumor of intermediate malignant potential. It has significant risk for local recurrence and, less commonly, local or distant metastasis. Initially, these tumors typically arise as a firm plaque on the skin that slowly progresses to a nodular and protuberant dermal lesion. Read More

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http://dx.doi.org/10.1177/1066896919832658DOI Listing
February 2019

Peri-operative delineation of non-melanoma skin cancer margins in vivo with handheld reflectance confocal microscopy and video-mosaicking.

J Eur Acad Dermatol Venereol 2019 Feb 27. Epub 2019 Feb 27.

Dermatology Service, Memorial Sloan Kettering Cancer Center, New York, NY, USA.

Background: The surgical removal of non-melanoma skin cancers (NMSCs) is guided by the pathologic examination of margins. However, the preparation of histopathology is time consuming, labour-intensive and requires separate laboratory infrastructure. Furthermore, when histopathology indicates positive margins, patients must return for re-excisions. Read More

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http://dx.doi.org/10.1111/jdv.15491DOI Listing
February 2019
1 Read

The female pioneers in Mohs micrographic surgery.

Authors:
N Papac L Collins

Int J Womens Dermatol 2019 Feb 19;5(1):18-20. Epub 2018 Oct 19.

Department of Dermatology, The University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma.

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http://dx.doi.org/10.1016/j.ijwd.2018.08.006DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6374705PMC
February 2019

Targeted Drug Delivery and Image-Guided Therapy of Heterogeneous Ovarian Cancer Using HER2-Targeted Theranostic Nanoparticles.

Theranostics 2019 24;9(3):778-795. Epub 2019 Jan 24.

Departments of Surgery, Emory University School of Medicine, Atlanta, GA, 30322, USA.

Cancer heterogeneity and drug resistance limit the efficacy of cancer therapy. To address this issue, we have developed an integrated treatment protocol for effective treatment of heterogeneous ovarian cancer. An amphiphilic polymer coated magnetic iron oxide nanoparticle was conjugated with near infrared dye labeled HER2 affibody and chemotherapy drug cisplatin. Read More

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http://www.thno.org/v09p0778.htm
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http://dx.doi.org/10.7150/thno.29964DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6376473PMC
January 2019
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Histopathology of Basal Cell Carcinoma After Treatment With Vismogedib

J Drugs Dermatol 2019 Feb;18(2):136-138

Background: Vismodegib used in the treatment of metastatic basal cell carcinoma (BCC) or locally advanced, recurrent BCC not amenable to surgery or radiation leads to various clinical changes. Objective: Aim was to elucidate the histopathology that corresponds to tumor involution observed with vismodegib therapy. Methods: Retrospective case series of patients treated with vismodegib between May 2012 and April 2017 with intra- or post-treatment biopsy. Read More

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February 2019
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Time to recurrence after surgical excision of atypical fibroxanthoma-updated systematic review and meta-analysis.

Australas J Dermatol 2019 Feb 21. Epub 2019 Feb 21.

Department of Medicine, Monash University, Melbourne, Victoria, Australia.

Atypical fibroxanthoma (AFX) remains a rare cutaneous dermally based fibrohistiocytic tumour with high rates of local recurrence. Mohs micrographic surgery (MMS) and wide local excision (WLE) with margins 1-2 cm are two surgical options. It is unclear whether timing of recurrence following surgical excision of AFX differs according to technique. Read More

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http://dx.doi.org/10.1111/ajd.13010DOI Listing
February 2019
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