Journal ArticleDermatol Surg · June 1, 2024
BACKGROUND: Reconstruction of lower lip defects is challenging because of the functional and aesthetic demands of the lower face. We review the functional and aesthetic outcomes of the Karapandzic-type flaps for reconstructing lower lip defects. METHODS: A ...
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Journal ArticleJ Invest Dermatol · October 2021
UVR and immunosuppression are major risk factors for cutaneous squamous cell carcinoma (cSCC). Regulatory T cells promote cSCC carcinogenesis, and in other solid tumors, infiltrating regulatory T cells and CD8+ T cells express ectonucleoside triphosphate d ...
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Journal ArticleJ Am Acad Dermatol · August 2021
A multi-disciplinary work group involving stakeholders from various backgrounds and societies was convened to develop guidelines for the management of reconstruction after skin cancer resection. The goal was to identify areas of common ground and provide e ...
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Journal ArticleDermatol Surg · July 1, 2021
A multi-disciplinary work group involving stakeholders from various backgrounds and societies was convened to develop guidelines for the management of reconstruction after skin cancer resection. The goal was to identify areas of common ground and provide e ...
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Journal ArticlePlast Reconstr Surg · May 1, 2021
A multi-disciplinary work group involving stakeholders from various backgrounds and societies was convened to develop guidelines for the management of reconstruction after skin cancer resection. The goal was to identify areas of common ground and provide e ...
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Journal ArticlePlast Reconstr Surg Glob Open · May 2021
Small-to-medium cutaneous defects of the distal nose pose a significant challenge to reconstructive surgeons, and commonly described reconstructive techniques have their limitations. As the skin of this region is characteristically rigid and sebaceous, car ...
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Journal ArticleDermatol Surg · June 2019
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 ...
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Journal ArticleBr J Dermatol · September 2014
The nasal ala, critically important in the function and appearance of the central face, has significant reconstructive demands given the lack of suitable adjacent donor tissue that can be used to repair all but the smallest surgical defects in this area. I ...
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Journal ArticleDermatol Surg · September 2014
BACKGROUND: Surgical wounds on the central face present reconstructive challenges given the aesthetic prominence of these visually important areas and a general lack of local tissue availability. MATERIALS AND METHODS: Illustrative case examples demonstrat ...
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Journal ArticleDermatol Surg · March 2014
OBJECTIVES: To describe the design, execution, outcomes, and advantages of a combined flap and split-thickness skin graft reconstructive technique for the repair of wounds of the scalp with exposed bone after Mohs micrographic surgery. MATERIALS AND METHOD ...
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Journal ArticleDermatol Surg · February 2013
BACKGROUND: Large full-thickness wounds of the upper lip are often referred to operating room-based surgeons for repair given the perceived difficulties in restoring upper lip form and function with simpler operative techniques. OBJECTIVE: To illustrate th ...
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Journal ArticleInt J Surg Pathol · July 2008
Onychomatricoma is a rare nail tumor with a distinctive architecture. Proximally, there are serum-filled invaginations of nail matrix epithelium into the stroma, and distally, dermal protrusions perforate the nail plate. Because other matrical tumors of fo ...
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Book · January 1, 2008
Authored by experts in the field, this brand-new reference presents a systematic approach to which flap or graft to use in which clinical situation and how to cut and move the skin. More than 350 full-color photographs and line drawings offer you step-by-s ...
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Journal ArticleDermatol Surg · November 2007
BACKGROUND: The practice of office-based surgery is increasing in many specialties. OBJECTIVE: Using Mohs surgery as a model, we investigated the role of ergonomics in office-based surgery to limit work-related musculoskeletal disorders. METHODS: All Mayo ...
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Journal ArticleDermatol Surg · April 2007
PURPOSE: The beneficial role of elective neck dissection (END) in the management of high-risk cutaneous squamous cell carcinoma (CSCC) of the head and neck remains unproven. Some surgical specialists suggest that END may be beneficial for patients with cli ...
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Journal ArticleJ Clin Psychiatry · January 2006
OBJECTIVE: Given the often prominent and persistent nature of hyperhidrosis in social anxiety disorder (SAD), to compare botulinum toxin type A to placebo for generalized SAD with hyperhidrosis, in combination with paroxetine. METHOD: Adults with severe ax ...
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Journal ArticleDermatol Surg · November 2005
BACKGROUND AND OBJECTIVES: Although considerable attention has been directed toward the nasolabial fold in the esthetic surgery literature, there are infrequent discussions of the fold's importance in reconstructive surgery of the face. Because the use of ...
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Journal ArticleDermatol Surg · August 2005
BACKGROUND: Radiation therapy is an acceptable treatment choice for many cutaneous malignancies. A potential late sequela of ionizing radiation is the development of secondary neoplasms within the treatment field. Although there are well-known cutaneous sy ...
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Journal ArticleDermatol Surg · August 2005
BACKGROUND: Although the bilobed transposition flap's utility in the reconstruction of difficult facial surgical wounds is often praised, the complicated design of the flap can produce unacceptable esthetic results if the nuances of flap design and executi ...
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Journal ArticleAnn Plast Surg · January 2005
Cutaneous melanoma remains an ongoing public health threat, and the cornerstone of management continues to be early diagnosis and treatment. Unfortunately, primary melanomas may have atypical presentations, making early diagnosis difficult and causing sign ...
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Journal ArticleSkinmed · 2005
Patients with chronic lymphocytic leukemia are at heightened risk for the development of cutaneous malignancies, especially squamous cell carcinoma. These tumors portend a worse prognosis than is typically seen in immunocompetent patients. Patients with ch ...
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Journal ArticleDermatologic Surgery · January 1, 2005
BACKGROUND. Radiation therapy is an acceptable treatment choice for many cutaneous malignancies. A potential late sequela of ionizing radiation is the development of secondary neoplasms within the treatment field. Although there are well-known cutaneous sy ...
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Journal ArticleDermatol Surg · January 2004
BACKGROUND: The cartilage and soft tissues of the ear are frequently employed as donor sites for tissue used in the repair of defects of the nose and external ear after Mohs surgery. Enthusiasm for using these auricular donor sites is occasionally tempered ...
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Journal ArticleSemin Cutan Med Surg · December 2003
Because the nose is a very prominent aesthetic feature of the face, wounds located here are particularly challenging from a reconstructive perspective. Poor tissue availability and the potential for introducing anatomic distortion certainly increase surgic ...
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Journal ArticleDermatol Surg · September 2003
BACKGROUND: The reconstruction of full-thickness alar wounds often requires multiple challenging surgical procedures. These procedures, although often functionally and aesthetically successful, are often staged, and they therefore introduce operative risks ...
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Journal ArticleDermatol Surg · August 2003
BACKGROUND: Trichilemmal carcinoma is an uncommon cutaneous malignancy that is thought to be the malignant counterpart of the trichilemmoma. Despite histologic features such as pronounced cytologic atypia, trichilemmal carcinoma is often described as havin ...
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Journal ArticleCutis · February 2003
We report the case of a 43-year-old woman with basal cell carcinoma (BCC) of the umbilicus. Although BCC is a common skin tumor, only 2 cases of BCC arising within the umbilicus have been reported previously. Our review of the literature shows that truncal ...
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Journal ArticleArch Dermatol · February 2003
BACKGROUND: Because outpatient surgery is being increasingly scrutinized in the lay press, it is important that dermatologists and dermatologic surgeons accurately characterize the safety of office-based surgery. Although there is abundant anecdotal eviden ...
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Journal ArticleDermatol Surg · September 2001
BACKGROUND: When confronted with a histologic specimen that is appreciably smaller than the same tissue specimen immediately after acquisition, the Mohs surgeon is faced with two possibilities, namely that the tissue has either shrunken during laboratory p ...
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Journal ArticleDermatol Surg · April 2000
BACKGROUND: The bilobed flap excels in the surgical reconstruction of the distal nose. Unfortunately the aesthetic success of the flap is occasionally limited by the production of distracting alar displacement. OBJECTIVE: To review elements of the bilobed ...
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Journal ArticleArch Dermatol · October 1997
There are precious few benefits, save perhaps experience and wisdom, that those of advanced age may claim over those who continue to dwell in their youth. One somewhat paradoxical advantage, however, is the ability of older patients to apparently heal bett ...
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