Scar Area and Cosmetic Outcome After Circular and Elliptical Excision of Small Skin Lesions

Ek, Lorens; Högstedt, Benkt; Herrström, Per

doi:10.1007/s10227-003-0110-4

Cited by 3 publications

(5 citation statements)

References 5 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…A prospective analysis of 41 patients undergoing elliptical and round excisions closed with dog ear repairs found that the overall wound length was 14% shorter for round excisions, most notably in the trunk, scalp, and other areas with thick skin (43). These findings are supported by additional reports of decreased scar length in punch compared to elliptical excisions (44,45).…”

Section: Wounds Outcomes and Scarringmentioning

confidence: 92%

“…Although traditional elliptical excisions allow for primary closure with minimal risk for dog-ear deformity, the overall tissue loss and final scar length are suboptimal (42). Several other techniques, including round, punch, and staged excisions, may decrease the scar length while maintaining a low risk of dog-ear deformity (42)(43)(44)(45).…”

Section: Wounds Outcomes and Scarringmentioning

confidence: 99%

See 1 more Smart Citation

Dispelling myths in dermatologic surgery

Ghias

Shamloul

Khachemoune

2019

Acta Dermatovenerologica Alpina Pannonica Et Adriatica

View full text Add to dashboard Cite

cal edema, warmth, or erythema at the procedural site (4). Risk assessments guide the appropriate use of prophylaxis based on procedural type, location, duration, initial condition, and patient health status (3). High-risk cardiac patients and individuals with prosthetic joints should receive prophylactic antibiotics for procedures that involve infected skin or breaching of the oral mucosa (5). Recent guidelines reported that the risk of infective endocarditis from bacterial exposure during daily activities is greater than the risk associated with specific procedures. The greatest change in prophylaxis guidelines redefined the high-risk population as patients with a history of infective endocarditis, prosthetic valve, cardiac transplant with persistent valvulopathy, prosthetic device repaired in the last 6 months, and congenital heart defect. These modifications eliminate 90% of patients who would receive prophylaxis based on the previous guidelines (3). Antibiotics may also be warranted for surgeries of the lower extremities or groin, wedge excisions of the lip or ear, nasal skin flaps, skin grafts, and severe inflammatory skin disease (6, 7). Numerous studies have demonstrated that antibiotic prophylaxis does not reduce the risk of SSI for uncomplicated dermatologic procedures (8-10). Due to the low risk of infection in dermatologic procedures and increasing rate of antimicrobial resistance, prophylactic antibiotics should be reserved for patient-specific circumstances and for procedures with > 5% risk of SSI.

show abstract

Section: Wounds Outcomes and Scarringmentioning

confidence: 92%

Section: Wounds Outcomes and Scarringmentioning

confidence: 99%

Dispelling myths in dermatologic surgery

Ghias

Shamloul

Khachemoune

2019

Acta Dermatovenerologica Alpina Pannonica Et Adriatica

View full text Add to dashboard Cite

show abstract

“…2 Another common dermasurgical technique is the round excision with dog ear repairs, that can obtain a similar or even better aesthetic outcome and a lower scar length, according to some researches. 4,5 Regardless the surgical procedure, the excision lines are generally marked preoperatively on the skin using a skin-marking pen, but after the cutting, the cutaneous elasticity, insisting perpendicularly to the Langer's lines,…”

mentioning

confidence: 99%

Scar diastasis index: a smart and reproducible tool to evaluate long‐standing scars

Astorino¹,

Nunno²,

Troiani³

et al. 2022

Acad Dermatol Venereol

View full text Add to dashboard Cite

“…The mean lengths of the wounds in the punch incision and elliptical excision groups were 0.73 and 2.34 cm, respectively 18 . Ek and colleagues also compared circular and elliptical excisions in 56 patients and found that circular excisions formed smaller scars and resulted in an equal cosmetic outcome 19 …”

mentioning

confidence: 99%

“…18 Ek and colleagues also compared circular and elliptical excisions in 56 patients and found that circular excisions formed smaller scars and resulted in an equal cosmetic outcome. 19 Dog ears are not always avoidable, although there are studies that indicate that they self-resolve. A 2008 report followed 43 dog ears after excisions in 26 patients and quantified dog ear regression.…”

mentioning

confidence: 99%