bluuebunny/crossref_metadata_2025 huggingface dataset:
Subcuticular Skin Closure—Description of Technique
Authors: Sanders Richard J.
Published: May 2014

A technique of subcuticular wound closure is described in which both ends of a running suture are buried in the wound. Thus, there are no suture ends left on the skin. This method is only applicable to absorbable sutures.
Treatment of Depressed Scars with Fibrin Foam—Seventeen Years of Experience
Authors: Spangler Arthur S.
Published: May 2014

Over 7,000 depressed scars in 527 patients were treated by the fibrin foam method. This paper discusses the method and material on this treatment.
Excisions in the Area of the Chin—A Clinical Note
Authors: Popkin George L.
Published: May 2014

Elective excisions on the face below the mouth and on the sides of the chin appear to yield better results when the wrinkle lines radiating out from the lips are utilized. Smile wrinkle lines appear to be less useful as demonstrated in the two cases presented.
Capsule Anesthesiology: Use of Local Anesthetics in Dermatology
Authors: Abadir Adel
Published: May 2014

This paper, the third of three articles, discusses the basic techniques of administering local anesthetics to the scalp, face, and neck.
Topical Antibiotics
Authors: Rasmussen James E.
Published: May 2014

The efficacy and safety of topical antibiotics is reviewed in the following paper. Complications and side effects are also discussed.
Wedge Resection of the Pinna
Authors: Honeycutt W. Mage
Published: May 2014

In the treatment of large carcinomas whose local removal would be mutilating to a greater or lesser extent, wedge resection of the ear can preserve the normal appearance and function of the pinna. No significant complications have occurred in any of the patients so treated.
Proper Biopsy Technique for Immunofluorescence Tests on Skin
Authors: Bean Samuel F.
Published: May 2014

Successful use of direct immunofluorescence tests on skin depends on selection of the appropriate biopsy site, careful preparation of the specimen, and prompt transportation to a reliable laboratory. Recommendations for selection of biopsy sites in various dermatoses and methods available for handling specimens are discussed.
Ask the Experts
Authors: Cottel Willis I.
Published: May 2014

Ask the Experts is a new feature we are instituting in response to questions about management of problem cases in dermatologic surgery. We will welcome submission of such problems and questions for answer. A clinical photograph, histologic section or report, clinical description or relevant history would be useful to accompany each submission. We will try to answer all queries in print, but if space does not permit us to do this, we will still send a written reply.
Histopathologic Considerations in the Management of Skin Cancer
Authors: Freeman Robert G.
Published: May 2014

A knowledge of the pathology and biologic behavior of skin cancers is essential for accurate diagnosis and effective treatment. The dual nature and newer concepts of squamous‐cell carcinoma and basal‐cell epithelioma are reviewed. Some difficulties encountered in differentiating the two are discussed, including the “basosquamous” problem, squamous metaplasia, and pseudoepitheliomatous hyperplasia. Sclerosis within basal‐cell epitheliomas is discussed, specifically relating to its importance in treatment. Follicular involvement in epidermal malignant and premalignant lesions is presented as a possible cause of recurrence.
Little Tips With Big Rewards
Authors: Jansen Gerald Thomas
Published: May 2014

We all would like to reduce the pain of injecting a local anesthetic, to simplify the treatment of xanthelasma palpebrarum and chondrodermatitis nodularis; and to improve methods of shave excision of nevi and cosmetic extirpation of large seborrheic keratoses. Here are some tips that might help.
Dermabrasion for Showers of Seborrheic Keratoses
Authors: Brown Gary R. , Burks James W. , Farber George A.
Published: May 2014

Seborrheic keratoses, skin tumors of undetermined etiology, are easily traumatized with consequent local irritation and inflammation, and are cosmetically undesirable. They can occasionally undergo malignant degeneration. A rapid increase in size and number of these lesions is thought by many to be a sign of internal malignancy.

Dermabrasion using a diamond fraise is a simple and fast method for removing multiple seborrheic keratoses with minimal trauma, rapid healing, and good cosmetic results.
The Use of Epidermis Over a Keloid as an Autograft After Resection of the Keloid
Authors: Apfelberg David B. , Maser Morton R. , Lash Harvey
Published: May 2014

A technique is described using the epithelium over a keloid as a graft after excision of the keloid. Advantages of this procedure are availability of skin and avoidance of the danger of keloid formation in a distant donor site. Results in a series of five patients followed for five years were satisfactory in three.
Book Reviews
Authors: Brodie Sheldon J.
Published: May 2014

LEG ULCERS: MEDICAL AND SURGICAL MANAGEMENT. Henry H. Roenigk, Jr. M.D. and Jess R. Young, M.D. Harper & Row, 265 pages, 1975, $27.50.
Surgical Management of Some Conditions In and About Nails
Authors: Baran Robert , Bureau Henry
Published: May 2014

The surgical management of the nail complex with regard to biopsy, relief of pain, repair of congenital and traumatic anatomical deformities and treatment of fingertip tumors is briefly described.
A New Disposable Punch for Use in Hair Transplantation
Authors: Stillman Michael A.
Published: May 2014

A sterile, sharp, disposable skin biopsy punch for use in hair transplantation is described.
Malignant Angioendothelioma of the Face
Authors: Mikhail George R. , Kelly Alexander P.
Published: May 2014

A case of malignant angioendothelioma of the face is presented. A combination of conventional wide excision, chemosurgery (Mohs' technique), and plastic reconstruction proved successful. To our knowledge, this is the first case of a facial lesion of this type that has been cured by surgery.
Surgical Repair of Defects Resulting from the Serial Fresh‐Tissue Technique of Mohs
Authors: Smith J.D.
Published: May 2014

Chemosurgery by Mohs' fresh‐tissue technique lends itself readily to plastic repair of the defects. The advantages and disadvantages of this approach and the various techniques that have been used successfully are discussed.
A Review of Modern Concepts of Healing of Cutaneous Wounds
Authors: Hayes Harry
Published: May 2014

Basic‐science aspects of wound healing are discussed in the light of recent developments in wound‐healing research. The author discusses wound healing in six, arbitrarily chosen phases, namely, inflammation, epithelialization, vascularization, contraction, collagen synthesis and late remodeling of scars that occur simultaneously in concert, but in such a manner that enables one to distinguish clinically between healing by primary intention and healing by secondary intention.
Reconstruction of the Eyelids
Authors: Maillard G. F.
Published: May 2014

The author presents basic and complex techniques of repair of palpebral defects
Book Reviews
Authors: Leider Morris
Published: May 2014

THE LANGUAGE OF MEDICINE. John H. Dirckx. Harper and Row, New York, 170 pages, 1976, 55.95. Paperback.
Repair of Tissue Defects Resulting from Removal of Cutaneous Neoplasms
Authors: Bennett Richard G. , Robins Perry
Published: May 2014

The repair of large defects resulting from ablation of a primary malignancy of the skin requires judicious decision. Failing reasonable surety of extirpation, permitting spontaneous healing, if feasible, is the best course. Grafting or primary closure that does not require extensive undermining are usually second choices. Flap repair is least desirable, except in instances where immediate function is necessary.
Studies on the Allergenicity of 5‐Fluorouracil
Authors: Leyden James J. , Kligman Albert M.
Published: May 2014

A recent investigation has suggested that delayed hypersensitivity reactions commonly develop during topical 5‐FU therapy and imply that the mechanism of action of 5‐FU may involve destruction of actinic keratoses by a nonspecific immunological reaction. We evaluated a 1% and a 5% formulation of 5‐FU in the Kligman maximization procedure for inducing contact sensitization and were unable to induce contact allergy to 5‐FU. On the basis of these experiments, we conclude that contact allergy to 5‐FU is unlikely to be as common as suggested by others.
The Uniqueness of Hair Transplantation in Black Patients
Authors: Pierce Harold E.
Published: May 2014

The author presents his own observations on hair transplant procedures in black patients. With slight modifications in the manner of obtaining donor autografts, the integrity of the hair shafts and papillae are maintained. Generally, the aesthetic results are comparable to those obtained in white patients and often are achieved with considerably fewer autografts.
A Study of Some Innovations in Hair Transplanting
Authors: Unger Walter P.
Published: May 2014

The value of 1) cooling of plugs to induce a shorter “resting phase“; 2) power‐driven punches to produce a greater yield of hair per graft; and 3) larger grafts to produce a greater yield of hair has been studied. Cooling does not appear to shorten the “resting phase.” Power‐driven punches produce an insignificant increase in the number of hairs yielded per graft. Using larger “standard” grafts does not lead to an increased yield of hair per graft and results in an overall decrease in yield from donor areas.
The Skin Incision in the Excision of the Prepatellar Bursa
Authors: Ger Ralph
Published: May 2014

Commonly used incisions to remove a prepatellar bursa in patients with bursitis are often ill placed and give rise to unnecessary morbidity, such as tender or contracted scars or areas of anesthesia or hyperesthesia in pressure‐bearing areas.
Prevention of Cobblestoning in Hair Transplantation
Authors: Borges Albert F.
Published: May 2014

Cobblestoning, a complication of the hair transplant technique, occurs when donor grafts taken by punch sometimes heal above the surrounding skin. A suturing technique whereby cobblestoning may be prevented is described in detail.
Indications and Technique of Biopsy for Diseases of the Scalp
Authors: Stengel Fernando M.
Published: May 2014

Indications for biopsy of scalp skin are discussed and the technique for obtaining adequate tissue for histologic examination is described.
Cryotherapy of Basal‐Cell Carcinoma By a Simple Method of Standardized Freeze‐Thaw Cycles
Authors: McLean David I. , Haynes Harley A. , McCarthy Philip L. , Baden Howard P.
Published: May 2014

One hundred seventy‐seven basal‐cell carcinomas treated by cryotherapy with liquid nitrogen according to a standard protocol had a recurrence rate of 2.3% in a mean of 4.8 years of follow‐up. The cryotherapeutic method used freeze‐thaw times rather than temperatures measured by thermocouples as indices of adequacy of freeze.
So‐Called Cellulite
Authors: Scherwitz Christian , Braun‐Falco Otto
Published: May 2014

So‐called cellulite is not a disease in a strict sense. An appropriate term to describe it would be adiposis edematosa. Clinically the condition is characterized by “orange‐peel” skin (enlarged and hyperkeratotic follicular orifices) and the “mattress” phenomenon (flattish protrusions and linear depressions of the skin surface). It is not possible to make an exact distinction between so‐called cellulite and simple obesity. The buttocks and the thighs are the most common sites of the condition. Women of all ages may be affected. When so affected, they complain of a feeling of tightness, heaviness, and tenderness or diffuse spontaneous pain in involved skin. The cause of cellulite, in addition to simple obesity, seems to be the typical inner structure of the subcutis in the female, which is probably dependent on the nature of their hormones. The connection between cutis and subcutis in skin of women displaying the “mattress” phenomenon reveals radial arch‐like structures of the connective tissue, whereas the corresponding structures in males run tangentially. Histologically there are no signs of inflammation. The only pathological changes are slight edema, enlarged lymph vessels in the dermis, and slight degenerative changes in the musculi arrectores pilorum. In the subcutis there is a conspicuous increase in the volume of fat cells. There is no convincing experimental proof of changes in the ground substance of the connective tissue. An increase in the degree of polymerization of the acid glycosaminoglycans has not been shown. For this reason treatment with so‐called “spreading” enzymes does not seem to be rational nor is it indeed effective. Therapy should be restricted to a low‐calorie diet and physiotherapy in the form of exercises, massage, and sports.
Pigmentations of the Nails (Chromonychia)
Authors: Baran Robert
Published: May 2014

Nails, particularly fingernails, may show signs that are important not only for detection of diseases of the nails themselves, but of diseases of other organs or the system as a whole. Changes of color in nail plates or nail beds sometimes seem to suggest the parts are windows to what is happening in the body. Above all, changes of color in nails that compel investigation for malignant melanoma, the most dread of diseases, are most important.
Lower Limb to Limb Flaps for Repair of Traumatic Ulcers
Authors: Dulanto F. , Armijo M. , Camacho F.
Published: May 2014

Techniques of advancing flaps to cover traumatic ulcers on legs are described briefly and illustrated in detail. In particular, the advantages of the direct, uncrossed variety are explained and shown.
The Suppurative Keloid
Authors: Onwukwe MBA F.
Published: May 2014

There is a type of keloid that tends to suppuration. The causes and mechanisms, symptomatology, and management of suppurative keloids are discussed briefly.
Planning Closure of a Surgical Wound
Authors: Stegman Samuel J.
Published: May 2014

The decision as to whether to close or not close a surgical wound, and by what method if closure is decided upon, must be individualized for each patient and each wound. This paper suggests a mental calculation that can be worked out rapidly by the operator in order to make judicious decisions expeditiously.
Cosmetic Principles in Surgery on the Face
Authors: Webster Richard C. , Smith Richard C.
Published: May 2014

Excisions from the face are performed to cure diseases and to remove blemishes. Satisfactory cosmetic appearances can be achieved in most cases, even when large defects result from the excisions, if the surgeon employs cosmetic surgical principles and techniques in the repairs. Some esthetic concepts and artful methods are presented to illustrate this feasibility.
Cowden's Disease: A Case Report and Review of the Literature
Authors: Wade Thomas R. , Kopf Alfred W.
Published: May 2014

Cowden's disease is one of the rare genodermatoses. The most characteristic findings in this disease are cutaneous and oral lesions that are widespread papillomas and verrucous papules. On the palms the lesions are keratoses. Aside from these findings, this syndrome complex is sooner or later associated with various internal abnormalities involving the mammary, thyroid, gastrointestinal, reproductive and skeletal systems. In the 28 reported cases, 13 cancers have been found, most of the breasts. Because of the characteristic cutaneous and oral lesions, it is possible to recognize this disease early and then to follow afflicted patients closely for the possibility of development of cancers or other abnormalities of other organs.
Cutaneous Pseudolymphoma
Authors: Cocke William M.
Published: May 2014

The diagnosis of cutaneous lymphoreticular infiltrative lesions is difficult. There are many diagnoses possible, and oftentimes it is difficult to distinguish between a malignant lymphoma cutis and any of the many benign lymphomas. This article deals with a patient who was diagnosed as having metastatic small‐cell carcinoma. Because of the inconsistency between the pathologic diagnosis of malignancy and the benign clinical findings and course, a wide ablative excision of the lesion was done and the surgical specimen was studied thoroughly by numerous pathologists. Even then the diagnosis could not be clearly established. The differential diagnosis of cutaneous lymphomatoses is discussed.
Malignant Melanoma and Subsequent Other Malignancies
Authors: Shafir Raphael
Published: May 2014

This report describes two young men who suffered from cutaneous malignant melanomas and subsequently other malignancies, namely, adrenal in one and testicular in the other.
Radiotherapy of Cutaneous Cancers and Some Other Malignancies
Authors: Storck Hans
Published: May 2014

The principles of radiotherapy for the common cutaneous carcinomas of the skin are discussed and results illustrated. Shorter accounts of X‐ray therapy of other, less common malignancies are also presented.
Teleroentgen Therapy for Mycosis Fungoides
Authors: Goldschmidt Herbert , Lukacs Stefan , Schoefinius Hans‐Helmar
Published: May 2014

Different techniques of teleroentgen therapy with soft X rays for total body treatment of cutaneous lymphomas are described. Therapeutic results in 26 patients with mycosis fungoides are reported.
Multiple Vascular Anomalies: Report of a Case
Authors: Ratz John Louis , Roenigk Henry H.
Published: May 2014

A patient with multiple congenital vascular anomalies is described. The lesions are a nevus flammeus on the face, a nevus anemicus on the trunk, and asymmetric reticulated mottling of a lower extremity that had undergone spontaneous ulceration. The characteristics of these lesions are reviewed and the difficulty of differential diagnosis of the reticulated lesion is discussed. The ulcerations healed after administration of reserpine intraarterially followed by oral administration of phenoxybenzamine hydrochloride.
Management of Foot Problems in Diabetics
Authors: Seder Joseph I.
Published: May 2014

Podiatric arts, skillfully practiced, may prevent or help to heal ulcers in susceptible diabetics.
Book Reviews
Authors: Leider Morris
Published: May 2014

COMMON SKIN DISEASES: DIAGNOSIS AND TREATMENT. Howard T. Behrman, M.D., Theodore A. Labow, M.D., and Jack H. Rozen, M.D. 3rd edition. Grune & Stratton, New York, New York, 189 pages, 1978, $29.50.
Dermatologic Quiz
Authors: Ramsay David L.
Published: May 2014

This is a new section that will appear regularly in the Journal. It is designed to serve as a means of self‐testing of what has been gleaned from articles that have appeared in the Journal. Authors whose articles have been accepted by the Journal are requested to frame several questions on them. The quiz is based upon these questions and consists of ten, single‐response, multiple‐choice questions. Answers and references are to be found on page 783.
The Nasolabial Flap for Reconstruction of the Alae Nasi
Authors: Petres Johannes , Hagedorn Manfred
Published: May 2014

Cicatrizing basal‐cell carcinomas, especially in the area of the alae nasi, require radical therapeutic treatment. Surgical removal, therefore, often results in penetrating defects. The nasolabial flap is recommended in such cases as a relatively simple operative method of reconstructing the lateral part of the nose. This technique offers favorable results in a curative and esthetic respect.
Treatment of an Epithelioma Cuniculatum Plantare by Local Excision and a Plantar Skin Flap
Authors: Flynn Kevin J. , Wiemer D. Robert
Published: May 2014

Differentiation between benign and malignant lesions on the plantar surfaces is sometimes clinically impossible and requires biopsy. A case of epithelioma cuniculatum plantare is reported that was futilely treated for years as a plantar wart and then upon proper diagnosis was successfully treated by complete excision and rotation of a flap of plantar skin.
Concurrent Cutaneous and Hepatic Hemangiomata in Infancy: Report of a Case and a Review of the Literature
Authors: Berman Brian , Lim Henry Wan‐Peng
Published: May 2014

Fifty‐eight cases of concurrent cutaneous and hepatic hemangiomatosis in infants have been reported in the world literature. A fifty‐ninth case is herewith reported and the literature is reviewed. Untreated cases have a mortality rate of 81%, whereas the mortality of treated cases is 29%. The main cause of death appears to be the consequence of arteriovenous shunting in the liver. Early and aggressive treatment by prednisone, radiotherapy to the liver, partial resection of liver, and ligation of the hepatic artery, each alone or in combinations, have been effective.
Dermatologic Quiz
Authors: Ramsay David L.
Published: May 2014

This is a new section that will appear regularly in the Journal. It is designed to serve as a means of self‐testing of what has been gleaned from articles that have appeared in the Journal. Authors whose articles have been accepted by the Journal are requested to frame several questions on them. The quiz is based upon these questions and consists of ten, single‐response, multiple‐choice questions. Answers and references are to be found on page 894.
Repigmentation of Leukoderma by Minigrafts of Normally Pigmented, Autologous Skin
Authors: Falabella Rafael
Published: May 2014

A method of repigmenting some leukodermas by transplantation of minigrafts of normally pigmented, autologous skin into them is described. Such grafts in addition to retaining their pigment stimulate repigmentation around them by migration of melanocytes and spread of pigment from the grafts. Three patients, one with piebaldism, another with leukoderma from monobenzyl ether of hydroquinone, and a third with depigmentation following healing of a burn enjoyed successful and cosmetically acceptable repigmentation from practice of the method.
Dermatologic Quiz
Authors: Ramsay David L.
Published: May 2014

This is a new section that will appear regularly in the Journal It is designed to serve as a means of self‐testing of what has been gleaned from articles that have appeared in the Journal. Authors whose articles have been accepted by the Journal are requested to frame several questions on them. The quiz is based upon these questions and consists of ten, single‐response, multiple‐choice questions. Answers and references are to be found on page 958.
Treatment of Lentigo Maligna and Lentigo Maligna Melanoma
Authors: Pitman Gerald H. , Kopf Alfred W. , Bart Robert S. , Casson Phillip R.
Published: May 2014

The results of treatment of 42 cases of lentigo maligna and 16 of lentigo maligna melanoma at the New York University Medical Center were reviewed. The recurrence rate after surgical excision of 22 lesions of lentigo maligna was 9% (2/22), but after treatment of 20 such lesions with destructive techniques (X rays, curettageelectrodesiccation, cryosurgery), it was 35% (7120). Of 11 cases of lentigo maligna melanoma that were excised, none recurred locally, but fatal metastases ensued in one case. Five patients who were eventually classified as having lentigo maligna melanomas had been treated by destructive techniques. In four of them there were local recurrences and in two, metastases as well; the fifth patient had metastases without local recurrence. On the basis of this review of these 58 cases, we conclude that surgical excision and careful histologic study of step sections through the entire lesion insure accurate diagnosis and provide the highest cure rates for both lentigo maligna and lentigo maligna melanoma.
Understanding the Relationship Between Lateral Spread of Freeze and Depth of Freeze
Authors: Torre Douglas
Published: May 2014

The predictable relationship between lateral spread of freeze and depth of freeze is a keystone concept in the clinical evaluation of “depth dose” of cryosurgical procedures. This relationship can be readily determined and understood by carrying out simple experiments using potato models and checked directly by measurements on patients.

When using specialized treatment methods such as the “cone‐spray” technique with liquid nitrogen, it is necessary to limit the technique to properly selected cases and to spray the treated surfaces evenly if the predictable ratio of depth of freeze to lateral spread of freeze is to be used.
Chemosurgery for Familial Malignant Melanomas
Authors: Mohs Frederic E. , Bloom Robert F. , Sahl William J.
Published: May 2014

Three patients with numerous melanomatous lesions of the B‐K mole syndrome are reported who were the first to be treated chemosurgically. The fixed‐tissue chemosurgical technique provided a microscopically controlled, safe, effective, and conservative means of removing the melanomas. Atypical moles suspected of malignant change were removed by biopsy‐excision.
Present Role and Future Prospects for Radiotherapy in the Management of Malignant Melanomas
Authors: Cooper Jay S. , Kopf Alfred W. , Bart Robert S.
Published: May 2014

Malignant melanomas are not very radiosensitive neoplasms. Therefore, the prime management of such lesions is surgical. However, there are certain circumstances in which radiation therapy has been used and should be considered as useful. This article provides an overview of the literature on radiotherapy of primary and metastatic malignant melanomas in man. In addition, some unconventional methods like the use of radiation sensitizers, oxygen‐independent radiation therapy, radiation combined with hyperbaric oxygen, and high‐dose‐per‐fraction irradiation are discussed. The beneficial responses to radiation that have been reported in the literature and that we have personally observed suggest that a prospective study to determine the proper role of radiation therapy in the management of all forms and stages of malignant melanomas is warranted.
Surgery by Laser for Malignant Melanoma
Authors: Goldman Leon
Published: May 2014

Lasers have been used for photocoagulation and photoexcision of malignant melanomas when conventional instruments could not be used. Lasers are useful for destruction of cutaneous metastases from malignant melanomas especially when numerous and dispersed. The color of melanomas makes for selective absorption of energy from lasers in the visible light range. Surgery by lasers is still an investigative form of surgery with current research studies on immediate placement of grafts, lymphatic migration of malignant cells after laser surgery, and relevant immunologic studies.
Uses of the O‐to‐Z‐plasty Repair in Dermatologic Surgery
Authors: Hammond Richard E.
Published: May 2014

The mechanics of repairing round and oval wounds by O to Z‐plasty and some personal modifications and uses in special circumstances and locations are described. Several schematics and photographs illustrate the technique and clinical results.
Acne Keloidalis Nuchae: Report and Treatment of a Severe Case
Authors: Vasily David B. , Breen Phillip C. , III O. Fred Miller
Published: May 2014

Acne keloidalis nuchae (folliculitis keloidalis or dermatitis papillaris capillitii) is a chronic, deep, scarring folliculitis of the nuchal area. Therapeutic measures such as oral and topical antibiotics, intralesional injections of fluorinated adrenocorticosteroids. and radiotherapy are sometimes effective in controlling this condition. A case of refractory acne keloidalis is presented to show the curative possibility of aggressive surgical therapy.
Controversies in Dermatopathology
Authors: Indianer Leo
Published: May 2014

Five controversial topics in dermatopathology are discussed. Penile lesions with atypical epidermal cells in young men, neoplasms with intraepithelial cellular nests, neoplasms with a trichilemmal outer layer, neoplasms with eddies of squamous cells, and the origin of seborrheic keratoses are analyzed to suggest a means of clinical recognition and understanding.
Wound Healing: A Review: I. The Biology of Wound Healing
Authors: Pollack Sheldon V.
Published: May 2014

The self‐repairing capability of the skin may be studied experimentally in both humans and small animals. A great deal of work has been done with animal models and the findings therefrom are important to dermatologic surgeons. In this paper some aspects of the biology of wound healing are reviewed and in subsequent papers several other aspects of the phenomenon of wound healing will be reviewed in the same way.
Squamous‐Cell Carcinoma Arising in a Basal‐Cell Epithelioma Treated with 5‐Fluorouracil
Authors: Kurtis Baylor , Rosen Theodore
Published: May 2014

Intralesional injection of 5‐fltiorouracil has recently been reported as a possible method of treatment for an assortment of benign and malignant cutaneous neoplasms. We report the development of squamous‐cell carcinoma within a basal‐cell epithelioma that was treated with intralesional injections of 5‐FU.
Epilation by Electrocoagulation: Factors that Result in Regrowth of Hair
Authors: Mckinstry Chieko T. , Inaba Masumi , Anthony Joseph N.
Published: May 2014

From our experience, the most important requirement for permanent epilation by electrocoagulation is not only to destroy hair bulbs, but also to destroy the isthmal regions of hair follicles and the sebaceous glands.
Dermatologic Quiz
Authors: Ramsay David L.
Published: May 2014

This is a new section that will appear regularly in the Journal. It is designed to serve as a means of selftesting of what has been gleaned from articles that have appeared in the Journal. Authors whose articles have been accepted by the Journal are requested to frame several questions on them. The quiz is based upon these questions and consists of ten, singleresponse, multiple‐choice questions. Answers and references are to be found on page 420.
Fibrous Hamartoma of Infancy
Authors: King Don Friday , Barr Ronald J. , Hirose Frank M.
Published: May 2014

Fibrous hamartoma of infancy is a type of juvenile fibromatosis which is either present at birth or develops before two years of age. If one is not familiar with this histological pattern, it could be mistaken for a malignant mesenchymal neoplasm. We describe the characteristic clinical and microscopic features.
Reconstruction of a Sideburn by a Rotated Flap
Authors: Sebben Jack E. , Ceilley Roger I.
Published: May 2014

A method for reconstruction of a sideburn is described in detail. Rotated flaps provide coverage with hair at once in a single surgical procedure.
Pyogenic Granuloma Recurrent with Satellite Lesions
Authors: Allen Roger K. , Rodman O. G.
Published: May 2014

Pyogenic granuloma recurrent with satellite lesions is an uncommon clinical entity. The condition occurs most often on the back of young individuals and runs a benign course. A case is presented and the literature is reviewed.
Dermatologic Quiz
Authors: Ramsay David L.
Published: May 2014

This is a new section that will appear regularly in the Journal. It is designed to serve as a means of self‐testing of what has been gleaned from articles that have appeared in the Journal. Authors whose articles have been accepted by the Journal are requested to frame several questions on them. The quiz is based upon these questions and consists of ten, single‐response, multiple‐choice questions. Answers and references are to be found on page 505.
Etidocaine, a New Local Anesthetic
Authors: Bennett Richard G. , Robins Perry
Published: May 2014

Different local anesthetics have different physicochemical properties that result in different biological effects. Etidocaine (Duranest®) is said to be a long‐acting anesthetic with a rapid onset of action, properties that are particularly useful in busy office practices in which lengthy operative procedures are performed. Clinical testing confirmed that this anesthetic does, indeed, work in this manner, which makes it a good addition to the varieties of local anesthetics available.
Management of Painful Toes from Distorted Toenails
Authors: Mcglamry E. Dalton
Published: May 2014

Conservative and operative management of painful toes from ingrowth of nails as practiced by the author is described.
Review of Relevant Literature
Authors: Bennett Richard G.
Published: May 2014

Predicting the Course of a Congenital Hemangioma. Hal G. Bingham, M.D. Plast. Reconstr. Surg. 63:161–166, 1979.

The Cyrano Nose: A Clinical Review of Hemangiomas of the Nasal Tip. Hugh G. Thomson, M.D., and Michael Lanigan, M.D. Plast. Reconstr. Surg. 63:155–160, 1979.

Percutaneous Anaesthesia for Dermabrasion. Lars‐Ola Pettersson and Jan Olof Strömbeck. Scand. J. Plast. Reconstr. Surg. 12:287–290, 1978.
Aggressive Biologic Behavior of Basal‐ and Squamous‐Cell Cancers in Patients with Chronic Lymphocytic Leukemia or Chronic Lymphocytic Lymphoma
Authors: Weimar Virginia M. , Ceilley Roger I. , Goeken James A.
Published: May 2014

Three basal‐ and four squamous‐cell carcinomas in seven patients with chronic lymphocytic leukemia or chronic lymphocytic lymphoma recurred repeatedly after conventional treatment, and grew to large sizes. The squamous‐cell carcinomas metastasized in all four of the patients so afflicted. Absolute numbers of circulating T lymphocytes were normal in the seven patients, but they had cutaneous anergy to intradermal tests with common antigens and to dinitrochlorobenzene. The following recommendations for management of cutaneous carcinomas in patients with malignant lymphomatoses are made: 1) closer surveillance than for patients with cutaneous cancers but without malignant lymphomatoses, 2) early treatment of actinic keratoses to prevent possible transformation to malignancy, and 3) microscopically controlled excision of basalor squamous‐cell carcinomas larger than 1 cm in diameter.
Treatment of Basal‐Cell Carcinomas with a Carbon‐Dioxide Laser
Authors: Adams Elliott L. , Price Norman M.
Published: May 2014

Treatment of basal‐cell carcinomas with a carbondioxide laser was studied in 24 lesions for adequacy of treatment, the healing process, and the eventual cosmetic result after twelve months. There was a recurrence rate of 50% at the end of one year; healing occurred with mild degrees of hypopigmentation, erythema, and depression; and the cosmetic result was rated good or better than good in 10 of 11 lesions available for judgment. The high recurrence rate was due, we think, to our cautious use of the laser, which, we think nevertheless, warrants further trial with more aggressive application.
Debrisan as a Postoperative Dressing After Dermabrasion
Authors: Schultz Bryan C. , Roenigk Henry H.
Published: May 2014

Beads of the material that is commercially purveyed as Debrisan® were used as a postoperative dressing after dermabrasion in 24 patients. Fifteen of seventeen patients so dressed on only half of the dermabraded area expressed preference for it. The beads absorbed drainage and were protective of the dermabraded half. Five of the seventeen patients developed milia one month after dermabrasion and three of the five had them only on the side treated with the beads of Debrisan.
Stellate Excision of Malignancies on the Auricles
Authors: Bumsted Robert M. , Ceilley Roger I.
Published: May 2014

Primary excision of malignancies on the auricles with the standard “wedge technique” may produce lateral protrusion of the helix. A stellate‐type excision eliminates the possibility of this undesirable effect and allows the surgeon to close large defects in the helix. The technique is described in detail.
Multiple Granular‐Cell Tumors
Authors: White Stephen W. , Gallager Richard L. , Rodman Orlando G.
Published: May 2014

Granular‐cell tumors are uncommon dermal tumors. Recent studies favor a neural, Schwann‐cell derivation. Approximately 10% of cases have multiple lesions and a like percentage have tender lesions. We report a case of multiple (9) small, dermal tumors in which tenderness was associated with perineural infiltration. The need for therapy is discussed.
Dermabrasion under Regional Anesthesia without Refrigeration of the Skin
Authors: Abadir Dale M. , Abadir Adel R.
Published: May 2014

A method by which dermabrasion of the face is performed under a combination of nerve blocks and local infiltration of anesthetics and without refrigeration is described.
Closure of the Donor Site in Hair Transplantation by a Cluster Technique
Authors: Hill Thomas G.
Published: May 2014

A new method of management of donor sites in punch‐graft hair‐transplant surgery is described and illustrated. Other forms of management are discussed and the advantages and disadvantages of each method are presented. Cluster closure is a useful technique applicable in many cases of hair transplantation.
The Use of a Bipedicled Flap for Defects on the Bridge of the Nose
Authors: Field Lawrence M.
Published: May 2014

Use of a bipedicled flap with advancement of glabellar skin is an excellent method to close defects on the bridge of the nose. The technique is illustrated by photographs selected from several cases.
The Subcutaneously Bipedicled Island Flap*
Authors: Field Lawrence M.
Published: May 2014

A new type of flap, the subcutaneously bipedicled island flap, is described. It has several advantages over the common, single‐pedicled sliding flap, and allows better reconstruction of contour by adjacent tissue in various anatomic areas. Preferred sites are discussed and the serial methodology of construction of this type of flap is illustrated.
Book Reviews
Authors: Pollack Sheldon V.
Published: May 2014

FUNDAMENTALS OF WOUND MANAGEMENT. Thomas K. Hunt, and J. Englebert Dunphy, eds. New York, Appleton‐Century‐Crofts, 1979, 612 pages, $28.50.
Management of Squamous‐Cell Carcinoma of the Lip
Authors: Picoto António Da Silva , Oliveira António Da Silva , Verde S. Fidalgo , Martins Orlando
Published: May 2014

The authors present their experiences in the treatment of squamous‐cell carcinoma of the lip by scalpel surgery. A variation of the V‐shaped excision to a UV shape was employed for the lower lip with good functional and cosmetic results.
Book Reviews
Authors: Leider Morris
Published: May 2014

DISEASES OF THE ORAL MUCOSA. Philip L. McCarthy, A.B., M.D., and Gerald Shklar, B.Sc., D.D.S., M.S. 2nd ed., Lea & Febiger, Philadelphia, 579 pages, 1980, $47.50.
Split‐Skin Grafting for Ulcers on Legs
Authors: Vesterager Lene
Published: May 2014

In the Department of Dermatology of the Finsen Institute in Copenhagen, 34 patients with ulcers on legs refractory to conservative treatment underwent split‐skin grafting during a two‐year period. Twenty of the 34 patients enjoyed complete healing of their lesions without subsequent recurrences. In five patients the grafts failed completely and in six partially, but in the latter healing proceeded subsequently and satisfactorily from the edges of the ulcers. In three of the 34 patients the ulcers healed spontaneously after sloughing of the grafts and before re‐grafting had to be considered. Regardless of the ultimate results all patients were free of pain so long as their ulcers were covered with grafts.
Surgical Management of Basal‐Cell Carcinoma of the Lower Lip
Authors: White Stephen W. , Davis Robert A. , Rodman Orlando G.
Published: May 2014

Basal‐cell carcinoma is unusual on mucous membranes. Two such cases are described and their differential diagnoses and surgical management are discussed.
How a Lone Surgeon May Secure Satisfactory Traction on the Skin During Incision
Authors: Au Yue‐Fan
Published: May 2014

A technique is described and illustrated of how a surgeon working by himself may use the fingers of his free hand to provide what an assistant ordinarily does by way of supplying traction in all necessary directions in order to make sharp and clean incisions.
Are Concurrent or Subsequent Malignant Melanomas in the Skin and Eye Related or Coincidental?
Authors: Rodríguez‐Sains René S.
Published: May 2014

Malignant melanomas sometimes occur simultaneously or subsequently in the skin and in the eye, multicentrically, not metastatically. The phenomenon is understandable in the B‐K mole syndrome, in which multiple malignant melanomas are the rule. Otherwise simultaneous or subsequent malignant melanomas in one organ alone or in two disparate organs are rare and by change.
The Use of Small Punches in Hair‐Transplant Surgery
Authors: Pouteaux Pierre
Published: May 2014

Standard‐sized punches used in hair transplantation are between 3.5 and 4.5 mm in diameter. Much smaller punches of 1.5, 2.0, and 2.5 mm in diameter are more useful to fill in small gaps in frontal rows on the scalp. A patient is described and illustrated in whom a poorly fashioned hairline was corrected by the use of the smaller punches to obtain and transplant tiny grafts containing three or four hairs each.
Comparison of Treatment Modalities for Epidermal Nevus: A Case Report and Review
Authors: Fox Barbara J. , Lapins Nikolajs A.
Published: May 2014

For the past 2 years, we have been treating a teenage girl for a disfiguring, extensive, inflammatory linear verrucous epidermal nevus (ILVEN). In this one patient, we examined the efficacy of numerous treatment modalities and compared our results with those reported in the literature. In our experience, cryotherapy using liquid nitrogen proved to be the most successful therapy, and we have subsequently used it to treat almost all of this patient's lesions. Although cryotherapy does not provide an easy or dramatic cure, we believe it does produce reasonably good cosmetic results.
Amelanotic Melanoma Presenting as Bowen's Disease
Authors: Goldberg David J.
Published: May 2014

Amelanotic melanoma is an uncommon clinical variant of malignant melanoma. Clinical diagnosis of such neoplasms is often difficult and requires a high index of suspicion. Although primary amelanotic melanoma usually presents as a vascular or ulcerated nodule, other unusual presentations have been noted. Described herein is a case of amelanotic melanoma presenting as Bowen's disease.
Cryo‐Curettage of Cherry Angiomas
Authors: Aversa Anthony J. , Miller O. Fred
Published: May 2014

Cherry angiomas pose a cosmetic problem in some patients. The most commonly recommended treatment modalities in the past have been electrodesiccation and cryotherapy with liquid nitrogen. This report describes a simple and quick technique for removal of cherry angiomas with excellent cosmetic results using a topical anesthetic refrigerant spray and a sharp curet. Patients experience minimal discomfort.
LASER CORNER: Laser Therapy of Bowenoid Papulosis and Bowen's Disease
Authors: Landthaler Michael , Haina Dieter , Brunner Reinhold , Waidelich Wilhelm , Braun‐Falco Otto
Published: May 2014

Six patients with bowenoid papulosis and two patients with Bowen's disease of the genital area were treated by means of an argon, Nd:YAG, and CO2 laser. In all of the patients, complete resolution of the lesions was achieved. Due to a superficial coagulating effect, application of the argon laser should be restricted to macular and papular pigmented lesions. In contrast, Nd:YAG and CO2 lasers could be used even for treatment of extensive leukoplakia‐like and verrucous lesions. Advantages and disadvantages of these two lasers are discussed.
Medium‐Depth Chemical Peeling of the Skin: A Variation of Superficial Chemosurgery
Authors: Brody Harold J. , Hailey Chenault W.
Published: May 2014

Medium‐depth chemical peeling of the skin is an intermediate procedure between superficial trichloroacetic acid application and deep phenolic cauterant application. Combining solid carbon dioxide with trichloroacetic acid promotes both epidermal and dermal regeneration. The technique for treatment of actinic degeneration, acne scarring, rhytids, and pigmentary aberrations is presented.
In UV‐B Irradiated Rice High Levels of Mn Limits Chloroplasts Injury Triggered by Oxidative Stress
Authors: Lidon F. C. , Ramalho J. C.
Published: May 2014

The molecular mechanism to control the oxidative burst exerted by Mn accumulation in rice (Oryza sativa L.) plants, grown in hydroponics containing 0.5, 2 and 8 mg l–1 Mn and irradiated with a total biological effective UV‐B irradiation of 20.825 kJ m−2, was investigated in the chloroplasts at the 15th and 21st days after germination. In both experimental periods, Mn accumulation kinetics in the leaves and in the chloroplast lamellae displayed overall increases. Coupled to higher membrane selectivity, superoxide production and acyl lipids peroxidation in the thylakoids decreased, prompting upper rates of the Hill and Mehler reactions. Connected to UV‐B irradiation, higher accumulated Mn in thylakoids was found to be chelated in a 36.5 kDa protein, with Mn/protein ratio of about 1 and high content of Gln, Asp, Glu, Leu and Gly, being its EPR spectrum characteristic of high‐spin Mn(II), in a S = 5/2 ground state. As this protein exhibited enzymatic catalysis of superoxide dismutation, it was concluded that, under UV‐B irradiation, the high internal tolerance of Oryza sativa L. to Mn during the vegetative growth also triggers the synthesis of a manganese protein that mimics superoxide dismutase functioning, therefore furnishing an additional intimate protection against oxidative stress.
Fostering supportive community connections through mothers' groups and playgroups
Authors: Strange Cecily , Fisher Colleen , Howat Peter , Wood Lisa
Published: May 2014

Aim

The aim of this study was to explore the ways that mothers' groups and playgroups support families with children aged 0–5 years and foster community connectedness in newer residential communities in Perth, Western Australia.

Background

The transition to parenthood is a time of increased support need. Changing community demography has resulted in a loss of traditional support structures and an increased need for local community initiatives to support families with young children.

Design

A qualitative descriptive design was used for this initial phase of a mixed methods sequential exploratory study.

Method

Data were collected between December 2011–August 2012. Interviews and focus groups conducted with 39 mothers provided insights from 16 mothers' groups and 13 playgroups. In addition, interviews were undertaken with three child health nurses and four local government early childhood staff.

Findings

For the participants in this study, mothers' groups and playgroups provided opportunities to learn about parenting, to build a supportive network, to forge friendships and a connectedness to the local community. The families who relocated often experienced isolation until new groups and social networks were found. In general, where participation in mothers' groups and playgroups facilitated relationships with others from the local community, connectedness to that community was reported by participants to be enhanced.

Conclusion

Mothers' groups and playgroups provide important community development opportunities and appear to help reduce potential isolation for mothers with young children. The findings are of interest to nurses and other health professionals working with families with young children.