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Dermatol Surg ; 45(6): 782-790, 2019 06.
Artículo en Inglés | MEDLINE | ID: mdl-30829776

RESUMEN

BACKGROUND: The management of skin cancers has evolved with the development of Mohs micrographic surgery and a greater emphasis on surgical training within dermatology. It is unclear whether these changes have translated into innovations and contributions to the reconstructive literature. OBJECTIVE: To assess contributions from each medical specialty to the cutaneous head and neck oncologic reconstructive literature. METHODS: The authors conducted a systematic review of the head and neck reconstructive literature from 2000 through 2015 based on a priori search terms relating to suture technique, linear closure, advancement, rotation, transposition and interpolation flaps, and identified the specialty of the senior authors. RESULTS: The authors identified 74,871 articles, of which 1,319 were relevant. Under suture technique articles, the senior authors were primarily dermatologists (58.2%) and plastic surgeons (20.3%). Under linear closure, the authors were dermatologists (48.1%), plastic surgeons (22.2%), and otolaryngologists (20.4%). Under advancement and rotation flaps, the senior authors were plastic surgeons (40.5%, 38.9%), dermatologists (38.1%, 34.2%), and otolaryngologists (14.4%, 21.6%). Under transposition and interpolation flaps, the senior authors were plastic surgeons (47.3%, 39.4%), dermatologists (32.3%, 27.0%), and otolaryngologists (15.3%, 23.4%). CONCLUSION: The primary specialties contributing to the cutaneous head and neck reconstructive literature are plastic surgery, dermatology, and otolaryngology.


Asunto(s)
Cirugía de Mohs/normas , Procedimientos de Cirugía Plástica/normas , Neoplasias Cutáneas/cirugía , Colgajos Quirúrgicos/normas , Competencia Clínica , Dermatología/normas , Dermatología/estadística & datos numéricos , Humanos , Cirugía de Mohs/métodos , Cirugía de Mohs/estadística & datos numéricos , Otolaringología/normas , Otolaringología/estadística & datos numéricos , Procedimientos de Cirugía Plástica/métodos , Procedimientos de Cirugía Plástica/estadística & datos numéricos , Cirugía Plástica/normas , Cirugía Plástica/estadística & datos numéricos , Colgajos Quirúrgicos/estadística & datos numéricos , Técnicas de Sutura/normas , Técnicas de Sutura/estadística & datos numéricos , Estados Unidos/epidemiología , Técnicas de Cierre de Heridas/normas , Técnicas de Cierre de Heridas/estadística & datos numéricos
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