Effects of a water-impermeable, non-silicone-based occlusive dressing on keloids.
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Adolescent↗
Biomedical subjects
H C Bieley
Publications and source records attributed to H C Bieley.
Adjunct therapies to surgical management of keloids.
BACKGROUND: The literature describing surgical treatments, with or without supplementary nonsurgical treatments for keloids, offers a confusing picture of widely variable "success" rates, recurrence rates, patient populations, and follow-up periods. OBJECTIVE: A review of the surgical treatment of keloids with emphasis on surgery combined with nonsurgical therapies is presented. RESULTS: Surgery alone leads to recurrence rates ranging from 45 to 100%. When surgery is combined with intradermal corticosteroids the recurrence rate in the majority of studies falls below 50%. Surgery combined with button compression therapy on earlobes led to no recurrences. External radiation following excision, often combined with other therapies, has been associated with recurrence rates of less than 10%. Various lasers have been used in the treatment of keloids with great variability in the recurrence rate but in general result in similar recurrence rates as conventional surgery. As with cryodestruction, laser ablation recurrence rates often are improved when combined with other treatments. Inferon-alpha 2b injected after keloid excision demonstrated, in a small series of patients an 8% recurrence rate. CONCLUSION: Presently, it appears that a combined therapeutic approach offers the most propitious possibility for preventing keloid recurrence.
Combined Modality Therapy↗
Albert's solution versus potassium hydroxide solution in the diagnosis of tinea versicolor.
BACKGROUND: The diagnosis of tinea versicolor can usually be made by clinical examination. Either potassium hydroxide (KOH) or Wood's light fluorescence are used to corroborate the diagnosis. Albert's solution has been reported as a method of visualizing dermatophytes. We compared Albert's solution to KOH in the diagnostic evaluation of tinea versicolor. METHODS: Twenty patients with clinical tinea versicolor were examined for the presence of hyphae and/or spores utilizing Albert's solution or KOH (20%) with dimethyl sulfoxide. RESULTS: All patients were positive for hyphae and/or spores by both methods. Preparations with Alberts' stains were faster and easier to read. CONCLUSIONS: Albert's solution is an alternate method to stain for fungal elements in patients with tinea versicolor.
Acetates↗
The use of Mohs micrographic surgery for determination of residual tumor in incompletely excised basal cell carcinoma.
BACKGROUND: The presence of tumor involving surgical margins after excision of basal cell carcinoma (BCC) presents a therapeutic dilemma. Some authors advocate a conservative policy whereas others recommend immediate reexcision. OBJECTIVE: Our purpose was to evaluate residual tumor utilizing Mohs micrographic surgery (MMS) of those BCCs with margin involvement after primary excision. METHODS: We retrospectively reviewed 77 patients with 78 tumors who underwent MMS because of margin involvement after primary excision of BCC to detect the presence or absence of residual tumor. RESULTS: Residual tumor was found in 55% of the cases as defined by the need for two or more stages of MMS to achieve a tumor-free plane. CONCLUSION: We suggest reexcision of all BCCs that are found to have marginal involvement after primary excision because of the large percentage of cases found to have residual tumor.
Age Factors↗