By Elizabeth Hale, Julie Karen, Perry Robins
The guide of Dermatologic Surgery comprises the main leading edge know-how acceptable to dermatologists and dermatologic surgeons this day. Designed as a reference advisor for dermatologic surgical procedure and aesthetic techniques, it disseminates key medical details in an easy-to-use pocket book.
This instruction manual is designed to be without problems portable for dermatologists and dermatologic surgeons, in addition to these in education, dermatology citizens and fellows, and clinical scholars rotating via dermatology.
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Extra resources for Handbook of Dermatologic Surgery
Another method utilizes a skin hook placed in the apex of the fold and pulled to one side. One side is incised with a scalpel. This piece of tissue is then pulled to the opposite side of the wound and also incised with a scalpel. Sutures are then placed accordingly. When/Where Where there is excess of bulging skin at some point of a wound closure, which usually results when closure involves inadequate length-to-width ratio or an elliptical excision with sides of unequal length.
Aromatic: responsible for onset of activity 2. Intermediate (middle) chain: determines class (amide vs. ester) 3. Amine: determines duration of action • Three portions of the chemical structure: • Esters should not be used in patients with pseudocholinesterase deficiency • Tetracaine is the most potent ester • Esters can cause allergic reaction due to PABA (an ester intermediate metabolite) which cross-reacts with paraphenylenediamine (PPD), sulfonamides, and other ester anesthetics 1. 1 % lidocaine = 10 mg/mL 2.
7 (continued) Section B Excisional and Non-excisional Surgery 38 • Non-melanoma skin cancer (BCC/SCC) in high-risk anatomic locations (periorbital, perinasal, periauricular, perioral, and hair-bearing scalp), or tissue sparing location (genitals, digits) • Poorly defined tumors • Recurrent tumors • Aggressive histology (morpheaform, micronodular and infiltrating BCCs, SCC with poor differentiation, and infiltrative or spindle cell SCC) • Perineural invasion • Dermatofibrosarcoma protuberans, atypical fibroxanthoma, microcystic adnexal carcinoma, merkel cell carcinoma, extramammary paget’s disease, and sebaceous carcinoma • Tumors >2 cm in diameter • Previous history of radiation treatment at site of malignancy • Basal cell nevus syndrome, Xeroderma Pigmentosum • Immunocompromised patients Main Indications for Mohs Micrographic Surgery Section B Excisional and Non-excisional Surgery 39 • Disc excision of tumor with 1–2 mm margin with scalpel blade beveled at approximately 45° angle • Tumor orientation is maintained and mapped • Frozen sections prepared via sectioning in horizontal planes (vs.