Prevention of cross-contamination when using microdermabrasion equipment.

This article addresses the concern of cross-contamination with the use of microdermabrasion equipment. After performing microdermabrasion on a patient with acne scarring, the instrument was examined for debris on the plateau of the hand piece. Bloody material was noted, indicating that it is not sufficient to only sterilize the distal cap of the hand piece or to use disposable caps.

Repair of a large wound of the back, post-Mohs micrographical excision, using chronic skin expansion.

Background: Large defects not otherwise closed primarily may be closed after chronic skin expansion.

Objective: If chronic expansion were deemed indicated for the closure of a proposed defect expected to result from Mohs micrographic surgery, can it be performed before Mohs surgery, avoiding the increased chance of expander extrusion via the defect when done postoperatively?

Methods: A team approach of a Mohs surgeon and a plastic surgeon coordinated scheduling an insertion of and staged infiltration of a tissue expander before Mohs surgical removal of a large basal cell carcinoma on the back of a young woman. The reconstruction after Mohs surgery was scheduled for the immediate postoperative period.

Minocycline-induced hyperpigmentation of the tongue: successful treatment with the Q-switched ruby laser.

Background: Minocycline-induced hyperpigmentation (MIH) is a benign condition that may persist for years despite abrogation of therapy. The Q-switched ruby laser (QSRL) has been successful in removing such lesions from the skin. To date there is no documentation of QSRL or any laser being used to treat lingual hyperpigmentation associated with minocycline therapy.