Pediatric Dermatologic Surgery

A complete guide to the surgical techniques used to treat childhood skin conditions

Recent advances have expanded the role of pediatric dermatologic surgery in both specialist and primary care settings. However, such surgeries can pose unique challenges to trainees and experienced practitioners alike. Procedures are carried out under local anesthesia and can be a source of distress and concern among young patients. Moreover, child’s skin poses its own set of complicating factors, making the business of performing these procedures especially delicate and precise.

This book provides a step-by-step primer on invasive and non-invasive treatments of childhood skin disorders, offering concise and clearly illustrated guidance on current methods and best practices. Addressing conditions’ effects, the impact of recent developments in their treatment, the ethics of operative procedures on children, and multiple treatment options for childhood dermatologic disease, Pediatric Dermatologic Surgery is an indispensable resource for trainee dermatologists and pediatricians, as well as practicing specialists.

Keyvan Nouri, MD, Professor of Dermatology, Ophthalmology, Otolaryngology & Surgery, Louis C. Skinner, Jr., M.D. Endowed Chair in Dermatology, Richard Helfman Professor of Dermatologic Surgery, Vice-Chairman of the University of Miami Medical Group, Director of Mohs, Dermatologic, & Laser Surgery, Director of Surgical Training, University of Miami Miller School of Medicine, Miami, FL, USA.

Latanya Benjamin, MD, FAAD, FAAP, Associate Professor of Pediatric Dermatology, Florida Atlantic University, Boca Raton, FL, USA.

Jasem Alshaiji, MD, Consultant Dermatologist, Head of Pediatric Dermatology Unit, Department of Dermatology, Amiri Hospital, Kuwait City, Kuwait.

Jan Izakovic, MD, Volunteer Associate Professor, Department of Dermatology & Cutaneous Surgery, Division of Pediatric Dermatology, University of Miami Leonard M. Miller School of Medicine, Miami, FL, USA.

List of Contributors vii

1 The Embryogenesis of the Skin 1
Jasem Alshaiji

2 Basic Structure and Function of the Neonatal, Infantile, and Childhood Skin 13
Nawaf Almutairi

3 Approach to the Child as a Patient 23
Nawaf Almutairi

4 Preoperative and Postoperative Care of Children Undergoing Pediatric Dermatology Procedures 31
Alanna F. Bree

5 The Pediatric Surgical Tray 37
V.M. Carlberg and J.L. Fewkes

6 Anesthesia for Children 49
Marcia Hogeling

7 Skin Biopsy Techniques 63
Grace Sun

8 Common Pediatric Dermatologic Surgery Procedures 73
Meagan Barrett, Nicole Harter, and Ashley Wysong

9 Suturing Techniques 93
Israel D. Andrews, Jennifer J. Schoch, and Kathryn Ann Potter

10 Wound Closure Technique 105
Daniel Belkin and Ashley Wysong

11 Wound Closure Material 115
V.M. Carlberg and J.L. Fewkes

12 Dressings 125
Grace Sun

13 Nail Surgery 131
Jane Sanders Bellet

14 Complications of Surgery and Invasive Procedures 143
Yoon Cohen and Harper N. Price

15 Improving Scars 161
Harper N. Price and Maria Princesa P. Curtis

16 Special Dermatologic Surgery 171
Ramin Fathi, James William Behan, and Meena Julapalli

17 Lasers for Vascular Lesions 189
Nawaf Almutairi and Jasem Alshaiji

18 Lasers for Scars and Striae 197
Sebastian Verne, Robert Magno, Ariel Eber, Marina Perper, Ibrahim Alomair, Abdulkareem Alfuraih, Mana Alharbi, and Keyvan Nouri

19 Lasers for Acne 207
Mohammad‐Ali Yazdani Abyaneh, Robert D. Griffith, Leyre Falto‐Aizpurua, Harleen Arora, and Keyvan Nouri

20 Laser for Verrucae 223
Ariel Eber, Marina Perper, Sebastian Verne, Robert Magno, Mana Alharbi, Ibrahim Alomair, Abdulkareem Alfuraih, Ali Rajabi‐Estarabadi, and Keyvan Nouri

21 Lasers and Lights for Onychomycosis 229
Elizabeth Yim, Leyre A. Falto‐Aizpurua, Jennifer Ledon, and Keyvan Nouri

22 Lasers for Pigmented Lesions 241
Harleen Arora, Leyre Falto‐Aizpurua, Ali Rajabi‐Estarabadi, and Keyvan Nouri

23 Lasers for Tattoos 257
Stephanie Mlacker, Leyre Falto‐Aizpurua, Colin McNamara, and Keyvan Nouri

24 Lasers for Hair Removal 273
Fleta Netter Bray, Leyre Falto‐Aizpurua, Robert D. Griffith, Brian Simmons, Ali Rajabi‐Estarabadi, and Keyvan Nouri

25 Lasers for Other Specific Dermatologic Disorders 289
Leyre Falto‐Aizpurua, Mohammad‐Ali Yazdani Abyaneh, Harleen Arora, Robert D. Griffith, Ali Rajabi‐Estarabadi, and Keyvan Nouri

26 Medical Ethics and Bioethics in Pediatric Dermatology 303
Katlein França, Tulsie Narendra Patel, Shailee Bipin Patel, and Keyvan Nouri

Index 315

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