Dermatologic Surgery: Requisites in Dermatology

261 Pages·2008·30.706 MB·English

by  Allison T Vidimos, Christie T. Ammirati, Christine Poblete-Lopez, Dirk Elston

D
R
e
q
Eu
i
s
i
Rt
e
s

i
Mn
Dermatologic
Surgery
A
Edited by
T
Allison T Vidimos,
RPh, MD, FAAD, FACMS
O
Chair, Department of Dermatology
Cleveland Clinic Foundation
Cleveland, OH, USA
L
Christie T Ammirati,
MD, FAAD, FACMS
O
Associate Professor,
Department of Dermatology
Penn State Milton S. Hershey Medical Center
Hershey, PA, USA
G
Christine Poblete-Lopez,
MD, FAAD, FACMS
Y
Associate Staff,
Department of Dermatology
Cleveland Clinic Foundation
Series editor
Cleveland, OH, USA
DIRK M
ELSTON
Edinburgh London New York Oxford Philadelphia St Louis Sydney Toronto 2009
An imprint of Elsevier Limited
© 2009, Elsevier Limited. All rights reserved.
No part of this publication may be reproduced, stored in a retrieval
system, or transmitted in any form or by any means, electronic,
mechanical, photocopying, recording or otherwise, without the
prior permission of the Publishers. Permissions may be sought
directly from Elsevier’s Health Sciences Rights Department, 1600
John F. Kennedy Boulevard, Suite 1800, Philadelphia, PA 19103-
2899, USA: phone: [phone]; fax: [phone]; or,
e-mail: [email protected]. You may also complete your
request on-line via the Elsevier homepage (http://www.elsevier.
com), by selecting ‘Support and contact’ and then ‘Copyright and
Permission’.
First published 2009
ISBN: 978-0-7020-3049-9
British Library Cataloguing in Publication Data
A catalogue record for this book is available from the British
Library
Library of Congress Cataloging in Publication Data
A catalog record for this book is available from the Library of
Congress
Notice
Neither the Publisher nor the Editors assume any responsibility for
any loss or injury and/or damage to persons or property arising out
of or related to any use of the material contained in this book. It is
the responsibility of the treating practitioner, relying on independent
expertise and knowledge of the patient, to determine the best
treatment and method of application for the patient.
The Publisher
Printed in China
Acknowledgments
We would like to thank our mentors and teachers better physicians every day. Special thanks go
who have taught us the art and science of to the the art and photography departments at
dermatologic surgery, our residents, fellows and Cleveland Clinic, especially Joe Pangrace, Bill
medical students who have given us the privilege Garriott, Beth Halasz, and our dermatology
and pleasure of teaching them, and our patients department photographer, Flora Williams.
who put their trust in us and challenge us to be
Dermatologic surgery dedications
This text is dedicated to my parents Al and This text is dedicated to my husband, Seevee,
Audrey Vidimos, my brothers Scott, David and who has given me unconditional love and the
Dan, my husband Todd Stultz, and daughters support to pursue what I truly enjoy, most evident
Katherine and Kristen for their love, support, in this endeavor; to my children, Veto, Samee,
encouragement, and inspiration. and Neo, who are the source of my strength
Allison T Vidimos and inspiration; to my parents, who taught me
the value of education; to all my mentors, from
This text is dedicated to my children Emma and whom I learned the art of surgical technique; and
Nicholas and my parents Bob and Bee Travelute, to all the residents and fellows to whom I’ve tried
who inspired me to always reach higher, and to to teach the importance of this art.
my husband Chris, who held the ladder so I could Christine Poblete-Lopez
climb.
Christie T Ammirati
Contributors
Erin J. Allen, md Theresa Dressler Conologue, do
Providence Dermatologic Surgery Director, Cosmetic Dermatology Service
Portland, OR Geisinger Medical Center
Danville, PA
Christie T. Ammirati, md
Associate Professor of Dermatology Daihung Vu Do, md
Department of Dermatology Instructor in Dermatology
Penn State Milton S. Hershey Medical Center Associate Director of Dermatologic Surgery
Hershey, PA Department of Dermatology
Beth Israel Deaconess Medical Center
Philip L. Bailin, md Boston, MA
Program Director, Dermatologic Surgery
and Cutaneous Oncology John Ebner, do
Department of Dermatology Department of Dermatology
Cleveland Clinic Foundation Cleveland Clinic Foundation
Cleveland, OH Cleveland, OH
Ashish C. Bhatia, md Gregory J. Fulchiero Jr, md, MSBioEng
Department of Dermatology and Dermatologic Surgery and Cutaneous
Dermatologic Surgery Oncology
DuPage Medical Group, Department of Dermatology
Naperville, IL UT Southwestern Medical Center
Assistant Professor of Clinical Dermatology Dallas, TX
Department of Dermatology
Northwestern University – Feinberg School Christopher Charles Gasbarre, DO
of Medicine Department of Dermatology
Chicago, IL Cleveland Clinic Foundation
Cleveland, OH
Elizabeth Magill Billingsley, md
Associate Professor of Dermatology Lisa M. Grandinetti, md
Department of Dermatology Department of Dermatology
Penn State Milton S. Hershey Medical Center Cleveland Clinic Foundation
Hershey, PA Cleveland, OH
Lisa B. Campbell, md Joseph F. Greco, md
Chief of Dermatology and Dermatologic Clinical Instructor
Surgery UCLA Division of Dermatology
Geisinger Health System Western Region Department of Medicine
Geisinger Medical Group David Geffen School of Medicine at UCLA
State College, PA Los Angeles, CA
T. Minsue Chen, md
Fellow, Mohs Research in Advanced
Dermatologic Surgery Education
Mohs and Dermasurgery Unit
Department of Dermatology
University of Texas, M. D. Anderson Cancer
Center
Houston, TX
viii Contributors
Christine M. Hayes, md Christine Poblete-Lopez, md
Associate Professor of Dermatology Associate Program Director
Department of Dermatology Department of Dermatology
Boston University School of Medicine Cleveland Clinic Foundation
Boston, MA Cleveland, OH
Christopher Riddell Jones, md Matthew R. Ricks, md
Department of Dermatology LtCol, USAF, MC, SFS
Penn State Milton S. Hershey Medical Center Chief of Mohs Surgery
Hershey, PA Wilford Hall Medical Center
Lackland AFB, TX
Ken K. Lee, md
Director of Dermatologic and Laser Surgery Christopher B. Skvarka, md
Associate Professor of Dermatology, Surgery, Department of Dermatology
Otolarynogology – Head and Neck Surgery Hahnemann Hospital
Oregon Health and Science University Drexel University College of Medicine
Portland, OR Philadelphia, PA
Victor J. Marks, md Aashish Taneja, md
Department of Dermatology Department of Dermatology
Geisinger Medical Center Wayne State University
Danville, PA Dearborn, MI
Edward V. Maytin, md, PhD Leonid Benjamin Trost, md
Staff, Dermatology Department of Dermatology
Cleveland Clinic Foundation Cleveland Clinic Foundation
Assistant Professor of Molecular Medicine Cleveland, OH
Cleveland Clinic Lerner College of Medicine
of Case Western Reserve University Allison T. Vidimos, RPh, md
Cleveland, OH Chair, Dermatology
Cleveland Clinic Foundation
Susan Teri McGillis, md Cleveland, OH
Director, Dermasurgery Center
Lancaster, PA Paula S. Vogel, md
Col (Ret), USA, MC
Jon G. Meine, md Mohs Surgeon
Staff, Department of Dermatology, Section Dermatology Associates
of Dermatologic Surgery and Cutaneous San Antonio, TX
Oncology
Cleveland Clinic Foundation Rungsima Wanitphakdeedecha, md
Cleveland, OH Department of Dermatology
Faculty of Medicine Siriraj Hospital
Allison Jo Moosally, md Mahidol University
Clinical Associate Staff Bangkok, Thailand
Department of Dermatology
Cleveland Clinic Foundation Andrea Willey, md
Cleveland, OH Assistant Clinical Professor
Department of Dermatology
Tri H. Nguyen, md University of California, Davis
Director of Mohs/Dermatologic Surgery Davis, CA
Associate Professor
Mohs and Dermasurgery Unit Brittany Wilson, md
Department of Dermatology Department of Dermatology
University of Texas, M. D. Anderson Cancer Oregon Health and Science University
Center Portland, OR
Houston, TX
Contributors ix
Oliver J. Wisco, do Summer R. Youker, md
Maj, USAF, MC, FS Assistant Professor of Dermatology
Department of Dermatology Saint Louis University
Wilford Hall Medical Center St Louis, MO
Lackland AFB, TX
Justin G. Woodhouse, md
University Dermatologists, Inc.
South Euclid, OH
Also in the series
Requisites in
Dermatology
Series Editor: Dirk M Elston
Dermatopathology
Dirk M Elston and Tammie Ferringer
Cosmetic Dermatology
Murad Alam, Hayes B Gladstone,
and Rebecca C Tung
Pediatric Dermatology
Howard B Pride, Albert C Yan,
and Andrea L Zaenglein
Dermatologic Surgery
Allison T Vidimos, Christie T Ammirati,
and Christine Poblete-Lopez
general Dermatology
Kathryn Schwarzenberger, Andrew E Werchniak,
and Christine J Ko
Series foreword
The Requisites in Dermatology series of textbooks have contributed their time and energy to create
is designed around the principle that learning the sort of texts we wish we had had during our
and retention are best accomplished when own training and each of the texts in the series
the forest is clearly delineated from the trees. is accompanied by an innovative on-line module.
Topics are presented with an emphasis on the Each on-line module is designed to complement
key points essential for residents and practicing the text, providing lecture material not possible
clinicians. Each text is designed to stand alone as in print format, including video and lectures with
a reference or to be used as part of an integrated voice-over. These books have been a labor of love
teaching curriculum. Many gifted physicians for all involved. We hope you enjoy them.
Series dedication
This series of textbooks is dedicated to my wife
Kathy and my children, Carly and Nate. Thank
you for your love, support and inspiration. It is
also dedicated to the residents and fellows it has
been my privilege to teach and to the patients
who have taught me so much.
Dirk M Elston
Volume preface
This text is designed to cover the essentials of lecture. In this manner, the text acts as an over-
dermatologic surgery in a style that is straight view for students learning the surgical aspects
forward and easily understood. Each topic is of dermatology, a focused study guide for
presented as a concise, yet thorough, review, dermatology residents, and a ready reference for
and each chapter is paired with an on-line those in practice.
Acknowledgments
We would like to thank our mentors and teachers better physicians every day. Special thanks go
who have taught us the art and science of to the the art and photography departments at
dermatologic surgery, our residents, fellows and Cleveland Clinic, especially Joe Pangrace, Bill
medical students who have given us the privilege Garriott, Beth Halasz, and our dermatology
and pleasure of teaching them, and our patients department photographer, Flora Williams.
who put their trust in us and challenge us to be
Dermatologic surgery dedications
This text is dedicated to my parents Al and This text is dedicated to my husband, Seevee,
Audrey Vidimos, my brothers Scott, David and who has given me unconditional love and the
Dan, my husband Todd Stultz, and daughters support to pursue what I truly enjoy, most evident
Katherine and Kristen for their love, support, in this endeavor; to my children, Veto, Samee,
encouragement, and inspiration. and Neo, who are the source of my strength
Allison T Vidimos and inspiration; to my parents, who taught me
the value of education; to all my mentors, from
This text is dedicated to my children Emma and whom I learned the art of surgical technique; and
Nicholas and my parents Bob and Bee Travelute, to all the residents and fellows to whom I’ve tried
who inspired me to always reach higher, and to to teach the importance of this art.
my husband Chris, who held the ladder so I could Christine Poblete-Lopez
climb.
Christie T Ammirati