Surgical Dermatology

Questions discussed in this category

Any particular concentration? Hayashi et al., PMID 22272655 Ekstein et al., PMID 32905614

When performing a closure with deeps then applying dermabond or glue, do you bill for a simple or intermediate closure?

Would you recommend SLNBx in a patient with moderately differentiated SCC on the scalp?

In your practice or during fellowship training, do you perform curettage of cutaneous carcinomas to define subclinical borders prior to Mohs?

3 Answers available

How do you manage perineural inflammation when encountered on Mohs?

1 Answer available

Do you routinely perform de-fatting for full thickness skin grafts?

1 Answer available

How have you incorporated gene expression profiling tests for melanoma or SCC into your practice and has it changed your approach to treatment and/or monitoring?

1 Answer available

What are your favorite billing tips for EM and CPT codes that you wish you knew earlier in your career?

1 Answer available

How do you approach managing perioperative anxiety in Mohs patients?

1 Answer available

In your experience, what has been the most effective form of field therapy for your patients with higher burdens of actinic keratoses?

And what factors push you towards the selection of a specific treatment modality?

2 Answers available

How do you manage Desmoplastic Trichilemmoma?

1 Answer available

What goes into your decision making when deciding between superficial radiation and Mohs surgery for cutaneous squamous cell carcinoma of the head and neck?

Size: 3 cm, cN0

2 Answers available

How do you counsel patients who report a history of a lidocaine allergy?

1 Answer available

What biologic (e.g. porcine xenografts) or alternative dressings have you found helpful for second-intention wound healing?

Porcine xenografts are no longer available and I am wondering what alternative dressings are other surgeons using.

2 Answers available

Do you typically categorize keratoacanthomas as a distinct entity from squamous cell carcinomas, and do you favor medical treatment vs surgery?

2 Answers available

Do you give neoadjuvant intralesional 5FU/MTX prior to Mohs for CSCC purely to reduce scar size and improve cosmetic outcome?

I worry about introducing skip lesions and there is fairly limited data.

2 Answers available

Do you always excise down to the fascia when treating invasive melanomas and does body site location influence the depth of excision?

1 Answer available

Do you favor absorbable or non-absorbable sutures for epidermal closures?

Do you find absorbable sutures more inflammatory? What factors (cost, erythema, long-term appearance) contribute to your epidermal suture selection?

3 Answers available

What are some techniques you’ve used in the past to manage medial canthal webbing after surgery?

What surgical and non-surgical techniques have you used in the past?

1 Answer available

What therapies do you most commonly utilize for patients with SCC in situ on the head and neck?

Do you favor topical treatments or surgical management?

2 Answers available

How do you manage patients on biologics peri-operatively?

Are there any medications that surgeons like discontinued before their procedure?

1 Answer available

What protocol do you follow when performing staged excision with paraffin sections for the treatment of cutaneous melanoma?

If you perform MART-1 staining, what protocol do you follow?

1 Answer available

Do you utilize surgical and medical treatments when treating patients with erythroplasia of queyrat, bowenoid papulosis or giant condyloma acuminatum?

1 Answer available

Do you routinely collect debulking specimens for paraffin-embedded or frozen section staining prior to taking a Mohs layer for all skin cancers?

If not, what tumor characteristics prompt you to collect debulking specimens for paraffin or frozen section staining?

3 Answers available

Do you divide interpolation flaps 2 or 3 weeks after the initial surgery?

Are there specific cases where you would or would not consider early flap division?

1 Answer available

Papers discussed in this category

Journal of the American Academy of Dermatology, 2011-07

Accelerated takedown of the paramedian forehead flap at 1 week: indications, technique, and improving patient quality of life.

J Am Acad Dermatol, 2022 Jun 23

Value of Permanent Pathology for Debulk and Mohs Specimens during Mohs Micrographic Surgery for Cutaneous Squamous Cell Carcinoma: A Retrospective Cohort Study.

Dermatol Surg,

Utility of Debulk Specimens During Mohs Micrographic Surgery for Cutaneous Squamous Cell Carcinoma.

Arch Dermatol, 2010 Jul 19

Variation in the depth of excision of melanoma: A survey of US physicians.

Journal of the American Academy of Dermatology, 2004-10

Randomized, controlled surgical trial of preoperative tumor curettage of basal cell carcinoma in Mohs micrographic surgery.

Plastic and reconstructive surgery. Global open, 2021 Aug 04

The Effectiveness of Immediate Triamcinolone Acetonide Injection after Auricular Keloid Surgery: A Prospective Randomized Controlled Trial.

Wound repair and regeneration : official publication of the Wound Healing Society [and] the European Tissue Repair Society, 2019 Oct 21

Imiquimod to prevent keloid recurrence postexcision: A systematic review and meta-analysis.

Surgical Dermatology

Questions discussed in this category

Papers discussed in this category

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