Practical Pearls

Practical Pearls

Use of the Retroauricular Pull-Through Sandwich Flap for Repair of an Extensive Conchal Bowl Defect With Complete Cartilage Loss

Author:

Karissa Libson, BA

Vamsi Varra, MD

Kathryn T. Shahwan, MD

David R. Carr, MD, MPH

Reconstruction of an extensive conchal bowl defect with notable cartilage loss is challenging due to the unique shape of the concha, the need for...

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Practical Pearls

Glitter Effects of Nail Art on Optical Coherence Tomography

Author:

Madiha Khan, BA, OMS-IV

Moshe Y. Bressler, DO

Orit Markowitz, MD

Optical coherence tomography (OCT) is a noninvasive imaging technology that can visualize nail morphology in diseases such as psoriatic arthritis...

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Practical Pearls

Polyurethane Tubing to Minimize Pain During Nail Injections

Author:

Debra K. Lee, BSA

Julianne M. Falotico, BA

Shari R. Lipner, MD, PhD

Clenching a length of polyurethane tubing with the teeth during nail injections is a safe and cost-effective strategy that may decrease anxiety...

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Practical Pearls

A “Solution” for Patients Unable to Swallow a Pill: Crushed Terbinafine Mixed With Syrup

Author:

Rhiannon C. Miller, BA

Fludiona Naka, MD, MPH

Shari R. Lipner, MD, PhD

Because oral terbinafine is now formulated only as a tablet, there is a barrier to treatment of superficial fungal infections in patients who are...

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Practical Pearls

Bone Wax as a Physical Hemostatic Agent

Author:

Madelaine Fritsche, BS

Paul Wirth, MD

Charlene Lam, MD, MPH

We offer the use of bone wax as a practical hemostatic agent that can be (1) molded to provide ideal occlusion and pressure without adhering to...

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Practical Pearls

How to Optimize Wound Closure in Thin Skin

Author:

Josiah Alexander Williams, MD

Steven Kimmel, MD

James Todd Williams, MD

Cutaneous surgery often is performed in areas of extremely thin skin. Traditionally, wound closure in thin skin is complicated because the skin...

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Practical Pearls

The Universal Dermatology Bandage Kit: A Succinct Collection of Supplies

Author:

Elizabeth L. Hall, MD

Cecilia Espino Ardila, BS, LVN

Remi K. Hamel, MD

Leonard H. Goldberg, MD

We present a universal bandage kit as a resource for physicians in search of a concise guide for purchasing materials and educating nursing staff...

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Practical Pearls

Simplify Postoperative Self-removal of Bandages for Isolated Patients With Limited Range of Motion Using Pull Tabs

Author:

Lily Parker, BS

Jake Myhre, BS

Andy Asher, BS

Taylor Mulkey, MD

We describe how we designed, constructed, and applied 2 prototypes of easy self-removal pull tab bandage construction and report on the use of...

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Practical Pearls

Reverse-Grip Technique of Scissors in Dermatologic Surgery: Tips to Improve Undermining Efficiency

Author:

Tian Hao Zhu, MD

Darren Guffey, MD

Undermining in difficult-to-reach positions often requires a shift in body position or stretching over the surgical field to obtain adequate reach...

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Practical Pearls

Surgical Deroofing for Hidradenitis Suppurativa

Author:

Devin Allison, MD

Jessica Sterner, MD

James Parker, MD

Kari Martin, MD

Hidradenitis suppurativa can present in varying degrees of severity; management often poses a challenge for primary care physicians and...

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Practical Pearls

How to Address Scar Pincushioning and Webbing of the Nasal Dorsum Using Surgical Defatting and Z-plasty

Author:

Christopher N. Nguyen, MD

Emily M. Powell, MD

Monica M. Li, MD

MD'

We report a case that demonstrates successful use of surgical defatting and Z-plasty techniques to revise a scar of the nasal dorsum that...

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