Background: The dermatologic surgeon is the dermatologist with special expertise in the surgical care of the health and beauty of the skin.
Objectives, Methods, Results: There is no better arena for the use of topical regimens to preserve skin quality than in the time interval devoted to before and after care with respect to surgical procedures.
Conclusion: Many of these regimens can be tailor devised with topical drugs and cosmeceuticals together in proper balance in the patient's best interest for affordable health care.
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| http://dx.doi.org/10.1111/j.1524-4725.2005.31722 | DOI Listing |
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Mohs Micrographic Surgery: A Brief Overview.
Semin Plast Surg
November 2024
Department of Dermatology, University of Texas Southwestern Medical Center, Dallas, Texas.
Mohs micrographic surgery (MMS) is a tissue-sparing skin cancer resection technique that involves 100% margin analysis. This procedure is performed in the outpatient setting under local anesthesia by dermatologic surgeons who act as both the surgeon and the pathologist. The technique allows for prompt reconstruction immediately after cancer clearance and offers the highest cure rate for many skin malignancies, including basal and squamous cell carcinoma, as well as more rare tumors.
View Article and Find Full Text PDFDisparities and longitudinal complications in opioid prescriptions after dermatologic surgery: An international propensity score-matched, retrospective cohort study.
Int J Dermatol
December 2024
Division of Dermatology, Baylor University Medical Center, Dallas, Texas, USA.
Background: In dermatology, the majority of opioid prescriptions occur in dermatologic surgery. Even short courses of opioids are linked to substance abuse. Reported rates of opioid prescription in dermatologic surgery are variable, with no consensus on when they should be prescribed.
View Article and Find Full Text PDFAdvisory on delayed fading caused by the use of a xylene substitute for frozen tissue specimen staining in micrographic surgery.
Lab Med
December 2024
Department of Dermatology, Texas Tech University Health Sciences Center, Lubbock, TX, US.
Background: The use of xylene substitutes is becoming more common in the setting of micrographic surgery frozen tissue section staining, and dermatologic surgeons need to be aware of possible undesirable delayed effects of using these agents and the possibility of modifying H&E staining protocols to prevent delayed fading. This report demonstrates an undesirable outcome of using an isoparaffinic aliphatic hydrocarbon as a xylene substitute, implementation of a quality improvement intervention to eliminate frozen section slide fading in the setting of micrographic surgery tissue processing, and recommendations for the modification of protocol when using a xylene substitute.
Clinical And Laboratory Information: Frozen section slides processed with xylene and xylene substitute were analyzed by histotechnicians, a dermatopathologist, and a micrographic surgery surgeon at 1-week and 1-month intervals.
Management of a large basal cell carcinoma masquerading as psoriasis using Mohs and serial excisions.
SAGE Open Med Case Rep
December 2024
Division of Dermatology, McGill University, Montreal, QC, Canada.
Article Synopsis
- Basal cell carcinoma (BCC) is the most prevalent form of skin cancer, often manifesting as a scaly red patch, particularly in its superficial subtype.
- The case report highlights an elderly patient whose large BCC on the left scalp was mistakenly treated as plaque psoriasis for years.
- It emphasizes the importance of scouting biopsies for accurate cancer mapping and discusses serial excisions via Mohs micrographic surgery as an effective treatment option for large BCCs located in high-tension areas.
Innovative Use of Bilateral Pedicle Advancement Flap for Post-auricular Defect Reconstruction.
Cureus
November 2024
Dermatology, Brevard Skin and Cancer Center, Rockledge, USA.
Article Synopsis
- Managing large skin defects after Mohs surgery can be tough, especially in areas with low skin elasticity, requiring complex reconstruction techniques to ensure good results.
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