Dermatologic Surgery最新文献

Background: Scalp skin cancers have delayed detection due to their discreet location. Hairstylists are uniquely positioned to alert their clients about possible scalp skin cancers.

Objective: This study aimed to educate hairstylists on the basic concepts of skin cancer, increase their confidence in identifying suspicious lesions, and, subsequently, their likelihood of referring to dermatology.

Methods: Hairstylist students across 7 cities in the Midwest were surveyed before and after an educational lecture.

Results: A total of 242 students across 8 schools participated in the study. Most participants (79.3%) completed both surveys. The mean knowledge score postintervention was significantly higher than preintervention (9.13 vs 7.93; p < .001). Cosmetology students reported significantly increased confidence in identifying suspicious skin lesions, informing clients about suspicious lesions, educating clients about skin cancer prevention, and referring a client to a doctor on seeing a suspicious skin lesion postintervention compared with preintervention (p < .001 for all).

Conclusion: The authors' lecture significantly improved hairstylists' knowledge of skin cancer basics and increased their confidence in informing clients about suspicious lesions and the likelihood of referring to a dermatologist.

Background: Tunnels of hidradenitis suppurativa (HS) are one of the most challenging aspects to manage, and different surgical techniques have been proposed for their treatment. CO2 laser and surgical deroofing are 2 of the most widely used techniques, but no studies have compared them directly.

Objective: The objective of this study was to compare the efficacy and outcomes of CO2 laser treatment versus surgical deroofing for HS tunnels, with a focus on healing time, complication rates, pain perception, and cosmetic outcomes.

Materials and methods: The authors performed a multicentric retrospective analysis of 20 patients with HS tunnels who were treated with either CO2 laser (n = 10) or surgical deroofing (n = 10). The primary end point was to compare the 2 procedures in terms of healing time, complication rates, pain, and cosmetic outcome. Outcome measures included Visual Analog Scale for pain, the Vancouver Scar Scale for scar evaluation, and the relapse rate at 6 months. Secondary end point included the identification of variables associated with the healing time.

Results: The mean time to healing was 4.7 ± 1.9 weeks in the CO2 laser group and 10.9 ± 4.1 weeks in the surgical deroofing group (p < .01). Pain score at the first dressing change was lower in the CO2 laser group, with a mean Visual Analog Scale score of 1.7 ± 0.8 in the CO2 laser group and 4.9 ± 1.7 in the surgical deroofing group (p < .01). The mean scar evaluation score using the Vancouver Scar Scale at 6-month follow-up was 2.5 ± 1.3 in the CO2 laser group and 3.4 ± 1.1 in the surgical deroofing group. The number of postprocedural complications was low in both groups (1 in the CO2 laser group and 3 in the surgical deroofing group). The proportion of patients achieving complete healing of the tunnels at 6 months was similar among the CO2 laser and the surgical deroofing group (90% in the CO2 laser group vs 80% in the surgical group).

Conclusion: CO2 laser is a safe and effective treatment for HS tunnels, with fast healing rates and low pain perception.

Background: Solid organ transplant recipients are at high risk for developing skin malignancies due to prolonged immunosuppression. The field of transplant dermatology (TD) has experienced a surge in research and clinical advancements, yet there is no quantitative evaluation estimating the impact of TD literature.

Objective: Identify and characterize the most frequently cited TD articles.

Methods: Institute For Scientific Information Web of Science was used to identify the 50 most cited research articles in TD. Results were reviewed by 3 independent authors. A network analysis was performed to assess collaboration patterns among coauthors.

Results: Top articles held a combined total of 12,114 citations. The top-cited article was "Cancer incidence before and after kidney transplantation," by Vajdic and colleagues in the Journal of the American Medical Association (2006) with 872 citations. A total of 22 countries and 221 institutions were represented.

Conclusion: This bibliometric analysis offers a detailed overview of the most cited manuscripts in TD and illustrates the discoveries steering TD research and practice.