Surgical Anatomy of the Head and Neck
Abstract The dermatologic surgeon must have a comprehensive knowledge of regional anatomy in order to obtain acceptable operative results. Proper tissue movement on the face and neck is essential for…
Biopsy Techniques and Basic Excisions
Abstract The skin is a very accessible organ for obtaining tissue specimens for pathologic examination or for performing definitive curative surgery. Under local anesthesia, specimens may be obtained via a…
Cryosurgery
Abstract Cryosurgery is a minimally invasive technique that utilizes subzero temperatures to destroy benign, premalignant, and malignant lesions. It is versatile, relatively easy to learn, and low-cost. Compared to standard…
Mohs Micrographic Surgery
Abstract Mohs micrographic surgery (MMS) is a specialized surgical and histologic processing technique for cutaneous neoplasms. It combines tumor extirpation and complete surgical margin evaluation. The conceptual basis for this…
Anesthesia
Abstract Local anesthetics have one of two chemical structures – esters or amides. Allergic reactions are far more common with ester anesthetics. In dermatology, lidocaine, an amide, is by far…
Wound Closure Materials and Instruments
Abstract A thorough working knowledge of suture materials and instruments is essential for successful dermatologic surgery. This chapter reviews suture properties, including physical configurations, capillarity, USP size, elasticity, coefficient of…
Biology of Wound Healing
Abstract As the outer barrier to the environment, the skin is the organ most challenged by a range of external stress factors that can lead to cellular damage and barrier…
Fibrous and Fibrohistiocytic Proliferations of the Skin and Tendons
Abstract Fibrous and fibrohistiocytic proliferations of the skin and tendons comprise a heterogeneous group of both benign and malignant mesenchymal tumors. Predominant tumor cells are CD34 + fibroblasts, α-smooth muscle…
Electrosurgery
Abstract Modern electrosurgery encompasses a range of techniques by which high-frequency, alternating electrical current is applied to living tissues, resulting in superficial or deep coagulation or cutting of the skin….
B-Cell Lymphomas of the Skin
Abstract Primary cutaneous B-cell lymphomas (pCBCLs) are classified into 3 main categories: primary cutaneous marginal zone B-cell lymphoma (PCMZL), primary cutaneous follicle center lymphoma (PCFCL), and primary cutaneous diffuse large…
