Dermatologic Surgery




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Outcomes of Sentinel Lymph Node Biopsy for Primary Cutaneous Squamous Cell Carcinoma of the Head and Neck

Pride, Renee L. D. MD*; Lopez, Jonathan J. MD*; Brewer, Jerry D. MD, MS*; Price, Daniel L. MD†; Otley, Clark C. MD*; Roenigk, Randall K. MD*; Arpey, Christopher J. MD*; Baum, Christian L. MD*

doi : 10.1097/DSS.0000000000003304

February 2022 - Volume 48 - Issue 2 - p 157-161

Limited data exist on sentinel lymph node biopsy (SLNB) for cutaneous squamous cell carcinoma (cSCC) of the head and neck.

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Local Recurrence of Melanoma Is Higher After Wide Local Excision Versus Mohs Micrographic Surgery or Staged Excision: A Systematic Review and Meta-analysis

Pride, Renee L.D. MD*; Miller, Christopher J. MD†; Murad, M. Hassan MD‡; Erwin, Patricia J. MLS§; Brewer, Jerry D. MD, MS*

doi : 10.1097/DSS.0000000000003309

February 2022 - Volume 48 - Issue 2 - p 164-170

Complete removal of melanoma is a primary goal of excision, and local recurrence is one measure to evaluate the efficacy of surgical technique.

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Risk of Malignant Transformation Arising From Giant Congenital Melanocytic Nevi: A 20-year Single-center Study

Kim, Ji-Young MD*; Jeon, Ji Hui MD†; Choi, Tae Hyun MD, PhD‡; Kim, Byung Jun MD*

doi : 10.1097/DSS.0000000000003341

February 2022 - Volume 48 - Issue 2 - p 171-175

Although giant congenital melanocytic nevus (GCMN) is regarded as premalignant, the incidence and risk factors of malignant transformation are controversial.

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Risk Factors That Are Associated With Outliers in Mohs Micrographic Surgery in the National Medicare Population, 2018

Aggarwal, Pushkar MBA*; Neltner, Scott A. MD*; Fleischer, Alan B. Jr MD*

doi : 10.1097/DSS.0000000000003349

February 2022 - Volume 48 - Issue 2 - p 181-186

Physician variation exists in the mean number of stages performed per Mohs micrographic surgery (MMS) case. Physicians who are outliers in medical practice may be leading to a higher health care cost burden.

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Pilot Survey of Adoption of Telemedicine in Mohs Surgery During the COVID-19 Pandemic

Maruthur, Mario MD*; Lee, Erica MD†; Dusza, Stephen DrPH‡; Nehal, Kishwer MD†; Rossi, Anthony MD*

doi : 10.1097/DSS.0000000000003352

February 2022 - Volume 48 - Issue 2 - p 187-190

The Covid-19 Pandemic prompted the widespread implementation of telemedicine across healthcare.

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Evaluation of Intraoperative Triamcinolone Injection or Primary Lobe Tacking (Pexing) Sutures for Preventing Pincushioning in Bilobed Transposition Flaps

Boylan, Conor T. BSc, MBChB*; Salmon, Paul J. M. MD, FACMS†; Mortimer, Neil J. MD, FACMS†

doi : 10.1097/DSS.0000000000003348

February 2022 - Volume 48 - Issue 2 - p 191-194

Bilobed transposition flaps are prone to pincushioning (trapdooring), whereby contraction of the flap over the wound bed may produce an unsatisfactory functional and aesthetic outcome. There are several proposed methods to prevent this, but there is currently no clear consensus on the ideal technique.

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1,550 nm Erbium-Doped and 1,927 nm Thulium Nonablative Fractional Laser System: Best Practices and Treatment Setting Recommendations

Friedman, Paul M. MD*; Dover, Jeffrey S. MD, FRCPC†; Chapas, Anne MD‡; Rahman, Zakia MD§; Ross, Edward V. MD?; Kilmer, Suzanne L. MD¶; Roberts, Wendy E. MD**; Sodha, Pooja MD††; Stimmel, Julie B. PhD‡‡; Moncrief, Mary Beth C. PhD‡‡; Waibel, Jill S. MD§§

doi : 10.1097/DSS.0000000000003321

February 2022 - Volume 48 - Issue 2 - p 195-200

The Fraxel Dual laser system (Solta Medical, Inc., Bothell, WA) contains a 1,550 and 1,927 nm wavelength single handpiece with different indications for each wavelength.

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Trichloroacetic Acid Paint for Boxcar and Polymorphic Acne Scars

Sun, Cong BSC, MD, MMed (Clinical Epidemiology)*; Lim, Davin BSC, MBBS, FACD†

doi : 10.1097/DSS.0000000000003339

February 2022 - Volume 48 - Issue 2 - p 214-218

Scarring is a common complication of acne vulgaris with a significant impact on the psychological well-being of patients. Focal application of high concentration trichloroacetic acid (TCA) has been proven efficacious in treating ice-pick scars, but the utility in other scar types is understudied.

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Postmarket Safety Surveillance of Delayed Complications for Recent FDA-Approved Hyaluronic Acid Dermal Fillers

Cohen, Joel L. MD*,†; Hicks, Jessica PhD‡; Nogueira, Alessandra MD‡; Lane, Vanessa PhD§; Andriopoulos, Bill PhD?

doi : 10.1097/DSS.0000000000003350

February 2022 - Volume 48 - Issue 2 - p 220-224

To review postmarketing data for delayed (?14 days post-treatment) adverse events (AEs) of interest (inflammatory and noninflammatory nodules, hypersensitivity, granulomas) for newer hyaluronic acid (HA) fillers FDA-approved within the last 5 years (2016–2020).

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Three-Dimensional Computed Tomographic Study of the Supratrochlear Artery and Supraorbital Artery to Determine Arterial Variations and Their Relationship

Liao, Zhi-Feng MD*,†; Cong, Li-Yao DDS, PhD*; Hong, Wei-Jin MD, PhD*; Luo, Cheng-En BSc*; Luo, Sheng-Kang MD, PhD*,†

doi : 10.1097/DSS.0000000000003347

February 2022 - Volume 48 - Issue 2 - p 225-231

The forehead has high risks associated with filler injection considering its highly complex vascular system. This study aims to thoroughly describe the anatomical variations and relationships between the supratrochlear artery (STA) and supraorbital artery (SOA).

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Commentary on “Outcomes of Sentinel Lymph Node Biopsy for Primary Cutaneous Squamous Cell Carcinoma of the Head and Neck”

Carr, David R. MD, MPH

doi : 10.1097/DSS.0000000000003300

February 2022 - Volume 48 - Issue 2 - p 162-163

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Commentary on Laser Treatment of Hypopigmented Traumatic Scars

Uebelhoer, Nathan S. DO, FAAD*

doi : 10.1097/DSS.0000000000003336

February 2022 - Volume 48 - Issue 2 - p 207-208

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Commentary on Trichloroacetic Acid Paint

Rullan, Peter MD*

doi : 10.1097/DSS.0000000000003340

February 2022 - Volume 48 - Issue 2 - p 219

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Mohs Micrographic Surgery Versus Wide Local Excision in the Treatment of Merkel Cell Carcinoma: A Systematic Review

Carrasquillo, Osward Y. MD, MPH*; Cancel-Artau, Karina J. MD†; Ramos-Rodriguez, Alvaro J. MD†; Cruzval-O’Reilly, Estefania MD‡; Merritt, Bradley G. MD*

doi : 10.1097/DSS.0000000000003331

February 2022 - Volume 48 - Issue 2 - p 176-180

Merkel cell carcinoma (MCC) is an aggressive neoplasm with high rates of recurrences. Current guidelines recommend wide local excision (WLE) with 1 to 2 cm margins. However, Mohs micrographic surgery (MMS) offers a potential advantage over WLE because of its ability of sparing healthy tissue and assessing 100% of margins.

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Laser Treatment of Hypopigmentation in Scars: A Review

Baugh, Erica G. BA*; Anagu, Olive BS*; Kelly, Kristen M. MD*,†

doi : 10.1097/DSS.0000000000003330

February 2022 - Volume 48 - Issue 2 - p 201-206

Despite history of multiple treatment modalities, repigmentation of hypopigmented scars remains a difficult clinical problem.

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The Efficacy of Pulsed Dye Laser Treatment for Acne Vulgaris: A Systemic Review and Meta-Analysis

Yang, Ting-Hua MD*,†; Li, Chien-Nien MD‡; Huang, Yu-Chen MD†,§

doi : 10.1097/DSS.0000000000003345

February 2022 - Volume 48 - Issue 2 - p 209-213

Previous reports have shown that pulsed dye laser (PDL) is promising for the treatment of acne; however, results provide conflicting evidence.

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Pain Intensity Assessment Scales for Dermatologic Surgery Patients: A Systematic Review

Govas, Panayiota MD, MScMed*; Ketchum, Andrea MS, MLIS, Librarian Emeritus†; Kazi, Rashek MD, PhD*; Gordon, Beth R. BS*; Carroll, Bryan T. MD, PhD‡,§,?

doi : 10.1097/DSS.0000000000003353

February 2022 - Volume 48 - Issue 2 - p 232-238

Pain assessment plays an important role in dermatologic surgery. The numeric rating scale (NRS), visual analog scale (VAS), verbal rating scale (VRS), and Faces Pain Scale (FPS) are commonly used scales for pain measurement. Conflicting evidence exists regarding the use of each. Prompt pain recognition and treatment during procedures result in higher patient satisfaction.

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Approaching a Large Defect on the Lower Nasal Sidewall—A Twist on a Classic Reconstruction

Hussain, Walayat BSc (Hons), MB ChB, MRCP (UK)

doi : 10.1097/DSS.0000000000002881

February 2022 - Volume 48 - Issue 2 - p 239-241

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Repair of a Full-Thickness Defect of the Upper Third of the Ear, Scalp, and Cheek

Swanson, Marco A. MD*; Bordeaux, Jeremy S. MD†; Scott, Jeffrey F. MD‡

doi : 10.1097/DSS.0000000000002837

February 2022 - Volume 48 - Issue 2 - p 243-245

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Reconstruction of an Oblong Nasal Tip Defect

Sharma, Aditi A. MD*; Ashbaugh, Alyssa BA†; Rotunda, Adam M. MD*,‡

doi : 10.1097/DSS.0000000000002890

February 2022 - Volume 48 - Issue 2 - p 247-249

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Squamous Cell Carcinoma Arising in Chronic Erosive Pustular Dermatosis

Barilla, Steven MD*; Malviya, Neeta MD*; Wang, Hongbei MD*; Sharon, Victoria R. MD, DTMH*

doi : 10.1097/DSS.0000000000003326

February 2022 - Volume 48 - Issue 2 - p 250-251

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Reasons for Mohs Micrographic Surgery Cancellation: A Retrospective 1-Year Analysis in a Tertiary Care Clinic Before the COVID-19 Pandemic

Nadimi, Ardeshir Edward MD*; Spierling Bagsic, Samantha R. PhD†; Prosser, Megan BS‡; Greenway, Hubert T. MD*

doi : 10.1097/DSS.0000000000003291

February 2022 - Volume 48 - Issue 2 - p 252-253

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Histologic Features of Dermal Regeneration Template Identified in Mohs Layer Frozen Sections

McGuinness, Ashley E. MD*; Richey, Patricia M. MD*; Stone, Mary S. MD*,†; Ferguson, Nkanyezi N. MD*

doi : 10.1097/DSS.0000000000003322

February 2022 - Volume 48 - Issue 2 - p 253-255

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Broadening the Differential for Complicated Hemostasis in the Surgical Management of Skin Cancer

Herringshaw, Emilee A. BS*; Maloney, Mary E. MD†

doi : 10.1097/DSS.0000000000003323

February 2022 - Volume 48 - Issue 2 - p 255-256

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Use Caution When Traveling and Wearing Medical Dressings: Foam Dressings Containing Silver May Set Off Metal Detectors

Kesaria, Sarah BA*; Armenta, Andrew M. MD†; Gleghorn, Kristyna MD†; Wagner, Richard F. Jr MD†

doi : 10.1097/DSS.0000000000003356

February 2022 - Volume 48 - Issue 2 - p 256-257

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Fractional Ablative Laser-Assisted Delivery of Topical Poly-l-lactic Acid: A 2.5-Year Safety Review

Wang, Jordan V. MD, MBE, MBA*; Ugonabo, Nkemjika MD, MPH†; Geronemus, Roy G. MD*,†

doi : 10.1097/DSS.0000000000003333

February 2022 - Volume 48 - Issue 2 - p 258-259

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Multinucleate Cell Angiohistiocytoma Treated With a 650 Microsecond Nd:YAG 1064 Laser

Le, Cuong DO*; Jacobson, Mark MD†; Ros, Adriana DO‡

doi : 10.1097/DSS.0000000000003337

February 2022 - Volume 48 - Issue 2 - p 259-261

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Leukocyte- and Platelet-Rich Fibrin: A New Method for Scalp Defect Reconstruction

Van Cleemput, Tim MD, DDS*,†; Hendrikx, Sylvie MD, DDS†; Politis, Constantinus MD, DDS, MM, MHA, PhD*; Spaey, Yannick MD, DDS*,†

doi : 10.1097/DSS.0000000000003325

February 2022 - Volume 48 - Issue 2 - p 261-262

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Large Diameter Is Associated With High Recanalization Rate During Cyanoacrylate Closure Treatment of Great Saphenous Vein Insufficiency

Kubat, Emre MD*; Kadan, Murat MD*; Akyol, Furkan Burak MD*; Do?anc?, Suat MD*

doi : 10.1097/DSS.0000000000003294

February 2022 - Volume 48 - Issue 2 - p 263

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Cross-Sectional Study of Hyaluron Pens Posted on the TikTok Social Media Platform

Nguyen, Quoc-Bao D. MD, MBA*,†; Kesaria, Sarah A. BS‡; Hebert, Adelaide A. MD*,§; Alam, Murad MD, MSCI, MBA?

doi : 10.1097/DSS.0000000000003332

February 2022 - Volume 48 - Issue 2 - p 263-264

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Effective Use of Lidocaine With Epinephrine During a Nationwide Shortage

Fathizadeh, Sam BS*; Rorex, Jennifer N. MD†; Fathi, Ramin MD*,†

doi : 10.1097/DSS.0000000000003346

February 2022 - Volume 48 - Issue 2 - p 265

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