Ugly Scar Research Articles

A Comparative Study of Suture Vs Stapler in Open Abdominal Surgery

Aims and Objectives: The aim of the study were Comparative study between suture v/s stapler in open abdominal surgery Comparing factors like Surgical site infection; Post operative pain; Post-operative scarring; Wound dehiscence; Cosmetic appearance; Cost effectiveness. Materials and Method: A total of 160 cases were included in this study with prior informed consent. Study duration: The study was carried out over a time period of two years from December 2011 to September 2013. Study design: The present study was prospective, observational, and comparative. Conclusion: Several methods of skin closure are available to close the skin incisions in place of sutures like staples, clips, steristrips and glue adhesives. Wound infection is a great hazard in abdominal skin closure as it can lead to disastrous complications. Cosmesis is essential and important aspect in this day of modern surgical practice. A cosmetic scar gives satisfaction to the patient and also to the surgeon. Preventing wound infection is necessary as it may lead not only to an ugly scar but also occurrence and recurrence of hernia. In our study, comparison of abdominal skin closure with staples and vertical mattress sutures was done. We found that: 1) Incidence of post operative wound infection was less with skin staples. 2) Skin staples provided better cosmesis than the vertical mattress skin closure. Hence, we conclude that the use of skin staples in low tension incision is easy, associated with low incidence of wound complications, provides good cosmetic outcome and also takes considerably less time for skin closure and thus recommend its use more frequently especially for closure of long and multiple incisions.

Axillary Osmidrosis Treatment Using an Aggressive Suction-Curettage Technique: A Clinical Study on Paired Control.

Axillary osmidrosis results in social and psychological problems. Liposuction-assisted techniques used as treatments have been reported to have high recurrence rates. This study aims at introducing the aggressive suction-curettage technique in comparison to the open excision procedure. From February 2009 to February 2014, 130 patients were randomly divided into two groups (experimental and control groups). The experimental group was treated with aggressive suction-curettage, while the control group was treated with an open excision. Postoperative assessment (skin necrosis, hematoma, scars and malodour recurrence) and patient satisfaction were surveyed and analyzed. A lower necrosis rate was observed in patients who received aggressive suction-curettage (1.88 %, p < 0.01), higher patient satisfaction (33.85 %, p < 0.01), higher recurrence rate (11.54 %, p < 0.05), and less ugly scars (0.77 %, p < 0.01), compared to those who had the open excision procedure. The aggressive suction-curettage technique appears to be a reliable treatment option for axillary osmidrosis.

311P - Long-Term Results of the Endoscopic Video-Assisted Breast Surgery Over 10 Years Evaluated for Early Breast Cancer

ABSTRACT Aim: Breast-conserving surgery (BCS) has been proven to be a standard treatment for early breast cancer. However, conventional surgery makes many long wound scars on the breast. They often make granulated ugly scars. We devised the endoscopic breast surgery to perform partial and total mastectomy without any wound on the breast. We named ithis video-assisted breast surgery (VABS). We have performed it on 350 patients since 2001. In this study, we evaluated the long-term results of the aesthetics and curability over 10 years after surgery. Methods: VABS consists of BCS, mastectomy, sentinel node (SN) biopsy, axillary node dissection, and breast reconstructions. It uses periareolar approach and/or axillary approach. Trans-axillary retromammary approach (TARM) is a single port surgery with an axillary skin incision. Each wound length is usually 2.5cm, but 1 cm for SN biopsy. This surgery is applied for early breast cancer, stage I and II. We dissected major pectoral muscle fascia to detach retromammary tissue. We cut the mammary gland with clear surgical margin. The breast reconstruction was made by filling absorbable oxydized cellulose for BCS and by silicon implant for skin-sparing mastectomy. The postoperative aesthetic results were evaluated by ABNSW. Results: BCS was performed on 300 patients and skin-sparing mastectomy on 50 patients. The operative cost is very low compared with conventional surgery. There was no significant difference in surgical invasion between VABS and conventional surgery. There was no serious complication after surgery. Surgical margin was minimally positive in 2 patients. The original shapes of the breast were preserved well. All patients expressed great satisfaction. The follow-up is 158 months at maximum. There are 3 locoregional recurrences and 14 distant metastases. 5-year survival rate is 97.5%. With regard to TARM, The skin incision only in the axilla made for better look and shape of the breast. The postoperative aesthetic results were excellent. The sensory disturbance was minimal. All patients expressed great satisfaction. Conclusions: VABS can be considered as a good surgical procedure concerning locoregional control and aesthetics. TARM is better in patients without tumor nipple extension. Disclosure: All authors have declared no conflicts of interest.

Patellar dislocation due to iatrogenic quadriceps fibrosis: results of operative treatment in 54 cases.

ObjectiveTo evaluate the clinical and functional results of a surgical treatment of patellar dislocation whose etiology was iatrogenic quadriceps fibrosis in children.Materials and methodsA prospective study was undertaken from February 2004 to December 2009. The study included 54 pediatric patients (56 knees) that had developed dislocation of the patella after repeated intramuscular injections of antibiotic(s) into the quadriceps muscle. There were 11 males (20.4 %) and 43 females (79.6 %). The patients’ mean age at surgery was 7 years, 9 months (range 6 years, 4 months to 12 years, 6 months). A complete history of each patient was recorded. The affected knees were evaluated preoperatively and postoperatively on the basis of the symptoms, signs, and roentgenographic findings. Patellar dislocation was classified according Bensahel’s criteria. All patients had a three-part surgical procedure that combined capsulorrhaphy, quadricepsplasty, and transfer of the vastus medialis oblique to the superior border of the patella.ResultsThere has been no poor postsurgical result or recurrence so far; we have noted an ugly scar in nine knees (16.1 %), limitation of the knee flexion in five knees (8.9 %), and loss of extension of 5 °–20 ° in four knees (7.1 %). Overall, we attained excellent results in 39 knees (69.7 %), good results in 13 knees (23.2 %), and fair results in four knees (7.1 %).ConclusionIn our cases of pediatric dislocation of the patella caused by iatrogenic quadriceps fibrosis, the introduced three-part surgical procedure has shown great success in restoring the realignment mechanism of the patella. The technique is simple, safe, and effective in skeletally immature children.

Kerosene-Induced Panniculitis in Iraqi Patients

Background: Kerosene is a common household stuff that has been used as accidental oral poisoning material in children and as suicidal attempt in adults. In the last decade intradermal kerosene injection has been commonly used to induce dermatitis artefecta as a part of emotional upset. Objective: To evaluate the clinical cases of intradermal kerosene injection in Iraqi patients. Patients and Methods: This is a descriptive case study that had been conducted in Department of Dermatology Baghdad Teaching Hospital, Baghdad, Iraq during the period from Jan. 2003 to Dec. 2012. History and full clinical examination were performed including all sociodemographic aspects associated with this condition. Psychiatric evaluation was done for each patient. Results: All eleven patients had single lesion except that two had two lesions. They were distributed on accessible areas on the limbs. The exact diagnosis was not reached for at least few weeks after kerosene injection. The patients denied any kerosene injection, but after a while they all admitted that the cause of their rash, severe emotional tension was observed at the time of kerosene injection as they had sociopsychological disturbances. The initial rash was erythematous indurated tender plaque that was gradually increasing in size simulating the picture of panniculitis and then followed by rupture of lesion and associated pyoderma, forming chronic discharging ulcer. Patients were managed by topical and systemic antibiotics until complete resolution leaving a big ugly scar that was treated by topical steroids to improve its cosmetic appearance. Conclusions: Kerosene intradermal injection is an increasing problem among Iraqi adult females and it should be suspected in any patient with chronic discharging ulcer on accessible areas like limbs.

Endoscopic single port skin-sparing total mastectomy with periareolar incision: Early results.

77 Background: Early-stage breast cancer, such as DCIS, may force to complete removal of the mammary gland because of its wide spread in the breast. For such cases, skin-sparing mastectomy (SSM) should be recommended. However, the conventional oncoplastic surgery leaves some ugly scars on the breast due to large skin incisions. By applying the endoscopic video-assisted breast surgery (VABS), we can provide more aesthetic surgery with single periareolar port approach, leaving only a small and inconspicuous scar on the breast. Methods: VABS of SSM consists of periareolar skin incision, dissection of whole mammary gland, sentinel node (SN) biopsy, and axillary node (AN) dissection. After SSM, the breast reconstruction was performed by the delayed or simultaneous method. We use the implant for simultaneous reconstruction. SN biopsy was performed endoscopically with only 1 cm incision in the axilla which was marked with 3D-CT lymphography prior to surgery. For SSM, we made a skin incision of 2.5 - 3.5 cm incision at the foot-side edge of the areola, to preserve blood flow around the areola. We cut across the gland near the nipple and quickly checked the transected stump by fast frozen section. Subcutaneous detachment was applied to the entire gland. Back of the gland was peeled just above the pectoralis major muscle fascia. The liberated gland was removed through the port with a plastic bag. Results: We performed VABS on 300 patients since 2001, and SSM on 30 patients. Tumor size is 1.6 cm on average. Age is 57.2 years. 23 nipples were preserved. 17 cases were DCIS. 4 were invasive lobular carcinoma. 9 were invasive ductal carcinoma. 2 cases had SN metastasis. One case had AN metastasis. Between VABS and the conventional surgery, there was no difference in the amount of blood loss and operation time. Postoperative aesthetics was particularly good after simultaneous reconstruction. They had less sensory disturbance and high satisfaction. After 38 months, there have been no distant metastases, no postoperative deaths, and one local recurrence). Conclusions: VABS SSM with periareolar skin incision approach makes better aesthetic results.

A study on behavior and management of suicidal cut throat patients

Background: Suicide is one of the 10 leading causes of death in the world and cut throat injuries (CTI) are fairly common due to suicide. Aims and Objective: The aim of the present study is to evaluate the pattern of injury, its management and associated psychiatric illness in suicidal CTI. Materials and Methods: A prospective study from August 2011 to April 2013 was carried out in the Department of Ear, Nose, and Throat (ENT) in collaboration with the Department of Psychiatry at Gauhati Medical College and Hospital. A total of 17 cases of suicidal CTI were included in the study irrespective of age and sex, who were admitted in the department of ENT. Results: Majority of the patients were young adults, 82.35% in the age group of 20-40 years. According to anatomical zone, 77% had injury in Zone 2 and 23% had Zone 1 injury. Hesitation injury involving skin and soft-tissues were seen in the neck in 71% of cases, and common morbidity following CTI is secondary wound infection (23.52%), persistent dysphagia (23.54%) and ugly scar (17.64%). Majority of patients (47.05%) were of acute and transient psychosis. Conclusion: Suicidal CTI is an important cause of cut neck injury in ENT practice. Proper surgical and psychiatric management of suicidal CTI plays an important role in the prevention of complications and resultant death due to CTI.

Comparison of percutaneous ultrasound guided needed aspiration and open surgical drainage in management of puerperal breast abscess

Background: The treatment of puerperal breast abscess is a clinical dilemma which ranges from conservative treatment to surgical intervention. A recently highlighted approach is drainage of pus by needle aspiration with ultrasound guidance under antibiotic cover. This approach had advantage of complete resolution without incision scar, less morbidity and will allow the patient to carry on breast feeding. Aims & Objective: The aim of this study is to compare the management of puerperal breast abscess by percutaneous ultrasound guided needle aspiration versus open surgical drainage with special attention to resolution and complications. Material and Methods: In this interventional study, 70 puerperal breast abscess cases were randomly divided and undergone either percutaneous ultrasound guided niddle aspiration (Group A) or open surgical drainage (Group B) and results were compared. Results: Failure rate for aspiration therapy was17.14% with 06 patients requiring conversion to open surgical drainage after aspiration and were excluded from study. The resolution time was less in aspiration group. Painful and cumbersome daily changes of dressing, mammry fistula in 3 patients with ugly scar were the main drawback of open surgical drainage as compared to aspiration. However, there was high failure rate of aspiration therapy in abscesses presenting later than 5 days (45.83%) and those with >5 cm size (55.55%) on ultrasonography. Conclusion: Percutaneous ultrasound guided needle aspiration has acceptable failure rate and is an effective alternative to open surgical drainage of puerperal breast abscess especially for those present early and of small size.

Evolving thoracic surgery: from open surgery to single port thoracoscopic surgery and future robotic.

Thoracic Surgery is a continuous evolving specialty. In the past, thoracic surgeons had to make large incisions in order to operate any pathology inside the chest. This often meant big, painful and ugly scars and long recovery times after surgery. But he history of thoracic surgery changed since the begining of video-assisted thoracoscopic surgery (VATS).

Endonasal dacryocystorhinostomy with mucosal flaps: our experience.

The endoscopic dacryocystorhinostomy (DCR) has distinct advantage over external DCR. There is no ugly scar on the face, less intraoperative bleeding, it is a daycare procedure and patient is discharged on the same day evening. Endoscopic DCR is considered to be a superior alternative technique to the conventional external DCR. Patients diagnosed with nasolacrimal duct obstruction between Jan 2009 and Jan 2011 were included in the study. One hundred and twenty endo DCR were performed with conventional 'cold steel' instruments. The technique involved complete exposure and marsupialization of the lacrimal sac. The surgical technique involved the creation of nasal mucosal and large posterior lacrimal flaps at the medial lacrimal sac wall and the two flaps were placed in close apposition. Success was defined as complete resolution of epiphora and a patent lacrimal system, evaluated by lacrimal irrigation and endoscopy, 1year postoperatively.

Removal of Accessory Breasts: A Novel Tumescent Liposuction Approach

Accessory breasts, usually with a protuberant appearance, are composed of both the central accessory breast tissue and adjacent fat tissue. They are a palpable convexity and cosmetically unsightly. Consequently,patients often desire cosmetic improvement. The traditional general surgical treatment for accessory breasts is removal of the accessory breast tissue, fat tissue, and covering skin as a whole unit. A rather long ugly scar often is left after this operation. A minimally invasive method frequently used by the plastic surgeon is to "dig out" the accessory breast tissue. A central depression appearance often is left due to the adjacent fat tissue remnant. From the cosmetic point of view, neither a long scar nor a bulge is acceptable. A minimal incision is made, and the tumescent liposuction technique is used to aspirate out both the central accessory breast tissue and adjacent fat tissue. If there is an areola or nipple in the accessory breast, either the areola or nipple is excised after liposuction during the same operation. For patients who have too much extra skin in the accessory breast area, a small fusiform incision is made to remove the extra skin after the accessory breast tissue and fat tissue have been aspirated out. From August 2003 to January 2008, 51 patients underwent surgery using the described technique. All were satisfied with their appearance after their initial surgery except for two patients with minimal associated morbidity. This report describes a new approach for treating accessory breasts that results in minimal scarring and a better appearance than can be achieved with traditional methods.

Primary Prevention in Psychiatry

Byline: M. Reddy As on today, any discussion on primary prevention in psychiatry sounds adventurous and unrealistically grandiose. The 20[sup] th century facilitated a fast-forward from tertiary prevention to secondary prevention of various psychiatric disorders. It is but natural to have hope kindled in our hearts that the 21[sup] st century leads us one step forward with some light on primary prevention in psychiatry. The saddest part of psychiatric morbidity is that almost all the major psychiatric disorders affect the patient at his or her prime age - the second and third decades - and in the most crucial phase of his or her development and maturity (educational, occupational, marital, and social identity); and in most cases, they leave a significant disability and an ugly scar on the personality. The only way this can be stopped is primary prevention. Though this sounds an impossible goal to achieve at present, there seems to be some hope with more and more evidence coming in favor of epigenetics and neuroplasticity. Definitions of primary prevention are vague, and the evidence is not very convincing for the implementation of primary prevention programs in psychiatry. As we all know, the goal in primary prevention is preventing the occurrence of a particular illness and reducing its prevalence in the community - the kind of eradication achieved in the case of smallpox and being planned for poliomyelitis. The best results in terms of primary prevention will be in the case of infectious diseases, where the etiological factors are well defined and identified. Also, in those with noninfectious etiology, serious attempts are being made to achieve primary prevention; stopping smoking to prevent lung cancer and providing dietary supplement of iodine to prevent goiter and thyroid disease are two examples. The same is true in the case of public awareness camps on obesity and exercise , with the goal of reducing the incidence of diabetes, an area of major concern for WHO in the 21[sup] st century. Lack of objectivity, questionable diagnostic validity, and absence of laboratory confirmatory tools are a few significant drawbacks in the classificatory system of psychiatric disorders. Reasonable diagnostic purity is essential before we conceptualize any kind of prevention. Any plan for primary prevention should be clear about what we are planning to prevent. Among psychiatric disorders, the efforts at primary prevention should focus first, perhaps, on illnesses like bipolar disorder, schizophrenia, OCD, dementia, etc., where the boundaries are not very diffuse and biological etiology is more in acceptance. …

Ninety-Degree Transposed Free Jejunal Patch Transfer for Hypopharyngeal Reconstruction following Partial Hypopharyngectomy

Sir: Noncircumferential hypopharyngeal defects following partial hypopharyngectomy with preservation of the larynx have been reconstructed with free jejunal patch grafts or forearm flaps.1–3 Conventionally, the free jejunal patch graft was transferred in an isoperistaltic fashion (Fig. 1), but pooling of food was occasionally seen because of the peristaltic constriction and circular folds of the jejunum. To overcome this disadvantage, we transferred the jejunal patch in a 90-degree transposed fashion, positioning the oral side of the jejunum in correspondence with the anterior side of the defect (Figs. 1 and 2).Fig. 1.: Illustrations of the conventional method (below) and our new procedure (above).Fig. 2.: Intraoperative view of a 64-year-old man with a hypopharyngeal cancer arising on the right pyriform sinus. When the jejunal patch was sutured to the posterior, oral, and anal sides of the hypopharyngeal defect, the mucosal folds extended from the oral to anal sides vertically as the jejunal patch was set in the 90-degree transposed fashion.Between August of 2004 and January of 2006, six patients underwent free jejunal patch transfer using our new procedure at the University of Tokyo Hospital. This was the study group and consisted of six men aged 57 to 64 years (average, 60 years). Before this term, seven patients underwent the operation with the conventional method. This was the control group and consisted of one woman and six men aged 50 to 75 years (average, 63 years). During cancer ablation, the superior laryngeal nerve was cut, although the recurrent nerve was preserved. The validity of our new procedure was assessed compared with our conventional method based on the time required for initiation of oral intake and swallow function (presence of pooling and misswallowing) at the time when the edema of the jejunal flap resolved. On the first videofluorographic study performed on postoperative day 10, pooling of contrast medium was noted in no patients in the study group and in five of seven patients in the control group. The patients in the study group achieved oral intake 6 days earlier on average than patients in the control group. As a result, all six patients in the study group achieved adequate oral intake, with rare dysphagia or regurgitation (Fig. 3), whereas in the control group, five of seven patients had dysphagia or regurgitation to some extent.Fig. 3.: Videofluorographic study performed 3 months postoperatively shows smooth passage without misswallowing or pooling of contrast medium (same patient as shown in Fig. 2).Reconstruction with the radial forearm flap has the advantage of not requiring celiotomy; however, it leaves an ugly scar on the forearm. Furthermore, patients who have undergone reconstruction with the forearm flap often complain of swallowing difficulties and often need the aid of liquids to swallow foods smoothly.1 The jejunal patch graft, in contrast, has the advantages of having a wet mucosal surface with early wound healing and less scar contracture, allowing the remaining pharynx to move physiologically during swallowing. Although our new procedure is merely a directional alteration of the graft, a disadvantage of the conventional jejunal patch graft can be overcome. In the study group, misswallowing was noted in two patients on the first videofluorographic study and was probably caused by swelling of the jejunal graft (confirmed by the endoscopic study). However, in our experience, misswallowing can be overcome when the flap edema has resolved, although pooling of food persists. Regarding early-stage hypopharyngeal cancer, radiotherapy is effective for preservation of speech and swallowing function.4 However, partial hypopharyngectomy with preservation of the larynx is one of the options for localized cancer.1–3,5 We believe that our procedure is one of the suitable options for reconstruction of noncircumferential hypopharyngeal defects following the partial pharyngectomy, provided the patient’s general condition permits celiotomy. Mutsumi Okazaki, M.D. Department of Plastic and Reconstructive Surgery Kyorin University Tokyo, Japan Hirotaka Asato, M.D. Department of Plastic and Reconstructive Surgery Dokkyo University School of Medicine Tochigi, Japan Shunji Sarukawa, M.D. Division of Plastic and Reconstructive Surgery Jichi Medical School Tochigi, Japan Masayuki Okochi, M.D. Hirotaka Suga, M.D. Department of Plastic and Reconstructive Surgery Graduate School of Medicine University of Tokyo Tokyo, Japan

Les photoallergies graves

Photosensitivity reactions group together reactions to sunlight, in which the pathophysiology involves the subject's immune system. Concerning exogenous photosensitivity reactions, the photosensitizing molecules responsible for their development have been definitively identified and the reactions are known to be a form of classical delayed hypersensitivity. Nevertheless, while the photosensitizing molecules in idiopathic light eruptions (e.g., polymorphic light eruptions and chronic actinic dermatitis) have not been identified, here, the mechanism is now most often considered to be a delayed hypersensitivity; they can also be IgE-dependent (e.g., solar urticaria). The diagnosis of photosensitivity reactions rests on the patient's history, the appearance of the lesions, their histology and the results of a photo-testing examination. During an exogenous photosensitivity reaction, its severity will depend on the intensity of the reaction, on its evolution to chronic actinic dermatitis or even more on the severity of the specific condition (e.g., polymorphous erythema and hypersensitivity syndrome). Solar urticaria is a serious condition because of its disabling character, the difficulty of treating it and, occasionally, by the existence of general signs or its association with systemic diseases. Hydroa vacciniform (vacciniform cold sores) and pruriginous lesions can lead to the development of particularly ugly scars. More disturbing, vacciniform cold sores can be associated with latent EBV infection and may be complicated by lymphoproliferative disorders involving natural killer cells or by haemolytic syndromes. Chronic actinic dermatitis is surely the most severe photosensitivity reaction because of the severity of the photosensitivity and the risk of its evolution to a lymphoproliferative disorder.

Subcutaneous tenotomy of the sternocleidomastoid muscle as therapy in muscular torticollis

This study reviews the cases of 49 patients with congenital muscular torticollis after an average follow-up of seven years, who were treated with subcutaneous sternomastoid tenotomy. An excellent result was found in 18 patients (37%), a good result in another 18 patients (37%), while the result of 13 patients (26%) must be regarded as unsatisfactory. There were no severe complications to be seen. These results are compared with other operative technics of treatment of muscular torticollis and the poor results are analyzed. We believe that subcutaneous sternomastoid tenotomy is a good method for treatment of muscular torticollis, with the advantage of avoiding any ugly scar.

Use of Botulinum Toxin Type A to Prevent Widening of Facial Scars

Wounds of the face, especially those lying perpendicular to the lines of Langer, are known to heal poorly with conspicuous scarring. Different methods have been tried to tackle this problem, including corticosteroid injections, irradiation, ultrasound, silicone applications, and many others. However, as expected, their effects were far from satisfactory, because they do nothing to alleviate the underlying pathologic process, which is the distracting effect of muscle pull on immature collagen. In 40 patients with ugly scars of the face, botulinum toxin was used to induce temporary paralysis of the muscles during revision surgery, thus minimizing tension on healing wound edges until the collagen could mature. Using both objective and subjective assessment scales, 90 percent of patients ended up with an improved outcome. This new technique has been proven effective in primates and in this study was shown to be as effective in humans, yielding results superior to those of any other treatment modality. In view of the results of this study, it is considered worthwhile to offer patients with ugly scars of the face botulinum toxin injections simultaneous with revision surgery.

A new surgical technique for treatment of preauricular sinus

The objectives of this paper are to describe the shortcomings of current techniques for treatment of preauricular sinus (PAS) and to introduce a new surgical technique. PAS is a common congenital abnormality. Usually these lesions are asymptomatic. However, some patients complain of discharge and/or (recurrent) infections, and require excision. Surgical treatment of PAS is characterized by high recurrence rates. This paper describes a single institution's experience with the operative management of PAS and introduces a new technique. Data on PAS procedures were collected from a retrospective review of patients' charts and interviews by questionnaire of all patients treated operatively for PAS in the Leiden University Medical Centre from 1984 to 2003. Thirty-nine patients (21 male, 18 female) with PAS underwent 40 procedures for PAS. These procedures included 17 classic operations (in 16 patients) and the "inside-out technique" in 23 patients. In the patient group treated "classically," 2 patients developed a recurrence; one underwent successful reoperation; the other patient has been lost to follow-up. Another patient developed wound breakdown postoperatively, resulting in an ugly scar. Two patients had postoperative infections requiring treatment. Neither recurrences nor complications requiring treatment occurred in the group who underwent the inside-out technique. The inside-out technique provides an easy solution for patients with PAS. However, further study on a larger patient group is necessary.

Nevus Sebaceous: Response to Erbium YAG laser ablation

ABSTRACTThe potential of nevus sebaceous to undergo malignant change has prompted many physicians to undertake surgical excision of these lesions. Debulking surgery would leave an ugly scar, cosmetically not acceptable. Our aim was to find the therapeutic outcome and the final cosmetic appearance with Erbium YAG Laser ablation. A 19 year old boy with histologically proven Nevus Sebaceous over the forehead was taken up for ablation using Erbium YAG Laser. We also analyzed the post-operative results in another 6 patients who underwent Laser ablation of Nevus Sebaceous. All 7 patients did well, with no signs of recurrence. Also, all of them had a scar over the ablated area, which was cosmetically acceptable to them. Surgical excision with or without flap rotation, electro fulguration and Cryotherapy are other modalities to treat these lesions. However, they are either too expensive or leave a telltale scar. Erbium YAG Laser ablation is safe, effective and cosmetically acceptable in the treatment of Nevus Sebaceous.

Nevus Sebaceous: Response to Erbium YAG laser ablation

The potential of nevus sebaceous to undergo malignant change has prompted many physicians to undertake surgical excision of these lesions. Debulking surgery would leave an ugly scar, cosmetically not acceptable. Our aim was to find the therapeutic outcome and the final cosmetic appearance with Erbium YAG Laser ablation. A 19 year old boy with histologically proven Nevus Sebaceous over the forehead was taken up for ablation using Erbium YAG Laser. We also analyzed the post-operative results in another 6 patients who underwent Laser ablation of Nevus Sebaceous. All 7 patients did well, with no signs of recurrence. Also, all of them had a scar over the ablated area, which was cosmetically acceptable to them. Surgical excision with or without flap rotation, electro fulguration and Cryotherapy are other modalities to treat these lesions. However, they are either too expensive or leave a telltale scar. Erbium YAG Laser ablation is safe, effective and cosmetically acceptable in the treatment of Nevus Sebaceous.

Myth-Busters: Telling the True Story of Breast Cancer Survivorship

Myth-Busters: Telling the True Story of Breast Cancer Survivorship