Category Dermatology

Anesthesia

Key features ■ Local anesthetics are classified into two groups – amides and esters, depending upon the linkage in their intermediate chain ■ “Anesthetic allergies” vary from palpitations secondary to epinephrine and vasovagal reactions, to urticaria and anaphylaxis from preservatives…

Surgical Anatomy of the Head and Neck

Key features ■ The muscles of facial expression all arise from the second branchial arch, are concentrated in the central facial region, and receive their motor innervation from the facial nerve (cranial nerve VII) ■ The superficial musculoaponeurotic system (SMAS)…

Biology of Wound Healing

Key features ▪ Wound healing is a complex and dynamic biologic process, consisting of three consecutive phases: inflammation, tissue formation, and tissue remodeling ▪ Effective wound healing requires synchronization of cell–cell and cell–matrix interactions as well as an interplay of…

Electrosurgery

Synonym ▪ Radiosurgery Key features ▪ Electrosurgery encompasses a group of procedures by which tissue is removed or destroyed through the application of electrical energy ▪ True electrocautery uses direct current to create a red-hot tip, which can be safer…

Radiotherapy

Synonyms ▪ Radiation therapy ▪ X-ray therapy ▪ Radiation treatment Key features ▪ Radiotherapy is an important modality in the treatment of patients with skin malignancies ▪ Radiotherapy may reduce morbidity (as compared to surgery), decrease the risk of recurrent…

Cryosurgery

Synonym ■ Cryotherapy Key features ■ A minimally invasive surgical technique that utilizes subzero temperatures to destroy benign, premalignant, and malignant lesions ■ Compared to standard excisional surgery, cryosurgery requires less time to perform but healing time is often longer…

Lasers and Other Energy-Based Therapies

The advancements in laser and light therapies over the past three decades are built upon the foundation of Albert Einstein's The Quantum Theory of Light . In these prescient 1917 writings, he proposed, amongst other concepts, that light consists of…

Photodynamic Therapy

Synonym ▪ Photoradiation therapy Key features ▪ Over the past two decades, photodynamic therapy (PDT) has evolved into a practical and effective therapeutic option, especially for actinic keratoses (AKs) and superficial non-melanoma skin cancers, with an expanding range of applications…

Ultraviolet Therapy

Key features ■ Phototherapy represents the use of ultraviolet (UV) radiation for the treatment of skin diseases ■ Currently, phototherapy encompasses irradiation with broadband UVB (290–320 nm), narrowband UVB (311–313 nm), 308 nm excimer laser, UVA1 (340–400 nm), UVA (320–400 nm) plus psoralens (PUVA) or…