Verruciform Xanthoma Presenting Within an Ear Piercing.

Verruciform xanthomas are rare lesions affecting 0.025-0.5% of the population.

Painful schwannoma of scalp: A case report.

Schwannoma, also known as neurilemmoma, is a benign neoplasm of Schwann cells of the cranial or peripheral nerve sheath. Scalp involvement has been reported in 25% of patients with extracranial head and neck schwannomas, which can be misdiagnosed clinically as epidermal cyst or lipoma. In this article, we report a 32-year-old male presenting with a slow-growing painful subcutaneous mass on the left occipital scalps without any neurological symptoms.

Upper Lip Anatomy, Mechanics of Local Flaps, and Considerations for Reconstruction.

Reconstruction of defects involving the upper lip can be challenging. The purpose of this review was to analyze the anatomy and function of the upper lip and provide an approach for reconstruction of upper lip defects. The primary role of the upper lip is coverage of dentition and animation, whereas the lower lip is critical for oral competence, speech, and eating.

Assessing the Feasibility of an Alternative Payment Model for Mohs Micrographic Surgery at an Academic Center.

Background: Mohs micrographic surgery (MMS) is a cost-effective treatment for nonmelanoma skin cancer that bundles costs for surgical excision, tissue processing, and histopathological interpretation. A comprehensive MMS bundle would include all aspects of an episode of care (EOC), including costs of reconstruction, preoperative, and postoperative care.

Objective: To assess the feasibility of an alternative payment model for MMS and reconstruction.

Z-plasty for correction of standing cutaneous deformity.

Cutaneous head and neck reconstruction following Mohs micrographic surgery frequently presents the surgical dilemma of dog-ear formation during wound closure. Z-plasty corrects a dog-ear deformity without skin excision by recruiting tissue from the axis of the standing cone and redistributing it along another. We describe dog-ear correction using the Z-plasty technique.

Factors Associated With Patient-Initiated Communication After Mohs Micrographic Surgery.

Background: Despite extensive counseling, patients commonly call with postoperative concerns after Mohs micrographic surgery (MMS).

Objective: We sought to determine the incidence, reasons, and patient and surgical characteristics that lead to patient-initiated communication after MMS.

Materials And Methods: A retrospective chart review of 1,531 patients who underwent MMS during the observational period was conducted.

Effect of Platelet-Rich Plasma Injection for Rejuvenation of Photoaged Facial Skin: A Randomized Clinical Trial.

Importance: There remains little experimental evidence and no randomized clinical trial to date to confirm the benefit of platelet-rich plasma (PRP) for facial rejuvenation.

Objective: To investigate whether PRP injection improves the visual appearance, including texture and color, of photodamaged facial skin.

Design, Setting, And Participants: In this randomized clinical trial, participants and raters were masked to groupings.

Hepatotoxicity with Vismodegib: An MD Anderson Cancer Center and Research on Adverse Drug Events and Reports Project.

Background: On 30 January 2012, the US FDA approved vismodegib (Erivedge, Genentech, CA, USA) for the management of both metastatic and locally advanced basal cell carcinoma.

Objective: Our objective was to identify evidence of hepatotoxicity with vismodegib in the FDA Adverse Event Reporting System (FAERS) in treated patients in two National Cancer Institute Comprehensive Cancer Centers.

Methods: FAERS was searched for reports dated 1 January 2009 through 31 December 2015 using terms including hedgehog pathway and vismodegib and hepatic-related terms such as liver, jaundice, and hepatitis, among others.

Surgical biopsy of suspected interstitial lung disease is superior to radiographic diagnosis.

Background: Different modalities are used to diagnose interstitial lung disease. We compared the effectiveness of minimally invasive surgical biopsy versus high-resolution computed tomography for the diagnosis of interstitial lung disease and report the mortality of the procedure.

Methods: We reviewed 194 patients undergoing video-assisted thoracoscopic lung biopsies for the suspicion of interstitial lung disease from January 2003 to February 2012 at Emory University.

Assessment of zonal perfusion using intraoperative angiography during abdominal flap breast reconstruction.

Background: There is an ongoing debate about the reliability of various lower abdominal flaps for breast reconstruction. The authors evaluate in vivo perfusion of these flaps to objectively determine which techniques and which skin island zones had better perfusion.

Methods: A prospective study was performed on 77 single-pedicle breast reconstructions [pedicled transverse rectus abdominis muscle (TRAM), n = 22; muscle-sparing free TRAM, n = 37; deep inferior epigastric perforator (DIEP), n = 18].