Evaluation of Esthetic Results after Mass Removal with Elliptical Skin Excision Using Ultrasonography to Measure Skin Thickness
<b>Background:</b> The growth of benign cutaneous masses causes the overlaying skin to expand and become thinner, especially at the central, most projected point. In this retrospective study, a surgical technique comprising an elliptical skin excision was employed to account for these sk...
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MDPI AG
2024-03-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/13/5/1467 |
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| author | Sang Seok Woo Hongki Gwak Ki Hyun Kim Jun Won Lee Jai Koo Choi Insuck Suh Seong Hwan Kim |
| author_facet | Sang Seok Woo Hongki Gwak Ki Hyun Kim Jun Won Lee Jai Koo Choi Insuck Suh Seong Hwan Kim |
| author_sort | Sang Seok Woo |
| collection | DOAJ |
| description | <b>Background:</b> The growth of benign cutaneous masses causes the overlaying skin to expand and become thinner, especially at the central, most projected point. In this retrospective study, a surgical technique comprising an elliptical skin excision was employed to account for these skin changes. <b>Methods:</b> This retrospective study enrolled 980 patients with benign masses. Preoperatively, all patients underwent ultrasonography to evaluate the mass depth and thickness of the attached skin, and mass excision was performed using the elliptical skin-excision method. The operative time was recorded, and complications and esthetic outcomes were assessed using the Cutometer<sup>®</sup> and the modified Vancouver Scar Scale (mVSS) during 1- and 3-month follow-up visits. <b>Results:</b> The mean operative time (17.48 ± 3.46 min) was significantly shorter than that of conventional methods (<i>p</i> < 0.05). Cutometer parameters showed no significant differences from those of intact skin. The average mVSS scores were 5.21 ± 1.42 and 3.50 ± 1.79 at 1- and 3-month follow-ups, respectively. <b>Conclusions:</b> Mass excision with an elliptical skin attachment resulted in improved esthetic results and easy removal. The attached skin enabled convenient handling without damaging the capsule or other adjacent structures, leaving a thick dermis on both wound edges. Thus, this technique resulted in minimal scarring. |
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| language | English |
| last_indexed | 2024-04-25T00:26:51Z |
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| series | Journal of Clinical Medicine |
| spelling | doaj.art-a1d788ae249546458c1c3b4c425214e22024-03-12T16:48:34ZengMDPI AGJournal of Clinical Medicine2077-03832024-03-01135146710.3390/jcm13051467Evaluation of Esthetic Results after Mass Removal with Elliptical Skin Excision Using Ultrasonography to Measure Skin ThicknessSang Seok Woo0Hongki Gwak1Ki Hyun Kim2Jun Won Lee3Jai Koo Choi4Insuck Suh5Seong Hwan Kim6Department of Plastic and Reconstructive Surgery, Kangnam Sacred Heart Hospital, Hallym University College of Medicine, Seoul 07441, Republic of KoreaDivision of Breast and Thyroid Surgical Oncology, Department of Surgery, Hwahong Hospital, Suwon 16630, Republic of KoreaDepartment of Plastic and Reconstructive Surgery, Kangnam Sacred Heart Hospital, Hallym University College of Medicine, Seoul 07441, Republic of KoreaDepartment of Plastic and Reconstructive Surgery, Kangnam Sacred Heart Hospital, Hallym University College of Medicine, Seoul 07441, Republic of KoreaDepartment of Plastic and Reconstructive Surgery, Kangnam Sacred Heart Hospital, Hallym University College of Medicine, Seoul 07441, Republic of KoreaDepartment of Plastic and Reconstructive Surgery, Kangnam Sacred Heart Hospital, Hallym University College of Medicine, Seoul 07441, Republic of KoreaDepartment of Plastic and Reconstructive Surgery, Kangnam Sacred Heart Hospital, Hallym University College of Medicine, Seoul 07441, Republic of Korea<b>Background:</b> The growth of benign cutaneous masses causes the overlaying skin to expand and become thinner, especially at the central, most projected point. In this retrospective study, a surgical technique comprising an elliptical skin excision was employed to account for these skin changes. <b>Methods:</b> This retrospective study enrolled 980 patients with benign masses. Preoperatively, all patients underwent ultrasonography to evaluate the mass depth and thickness of the attached skin, and mass excision was performed using the elliptical skin-excision method. The operative time was recorded, and complications and esthetic outcomes were assessed using the Cutometer<sup>®</sup> and the modified Vancouver Scar Scale (mVSS) during 1- and 3-month follow-up visits. <b>Results:</b> The mean operative time (17.48 ± 3.46 min) was significantly shorter than that of conventional methods (<i>p</i> < 0.05). Cutometer parameters showed no significant differences from those of intact skin. The average mVSS scores were 5.21 ± 1.42 and 3.50 ± 1.79 at 1- and 3-month follow-ups, respectively. <b>Conclusions:</b> Mass excision with an elliptical skin attachment resulted in improved esthetic results and easy removal. The attached skin enabled convenient handling without damaging the capsule or other adjacent structures, leaving a thick dermis on both wound edges. Thus, this technique resulted in minimal scarring.https://www.mdpi.com/2077-0383/13/5/1467benign cutaneous massescellular origintumor expansionelliptical skin excisionmass removalpostoperative esthetics |
| spellingShingle | Sang Seok Woo Hongki Gwak Ki Hyun Kim Jun Won Lee Jai Koo Choi Insuck Suh Seong Hwan Kim Evaluation of Esthetic Results after Mass Removal with Elliptical Skin Excision Using Ultrasonography to Measure Skin Thickness Journal of Clinical Medicine benign cutaneous masses cellular origin tumor expansion elliptical skin excision mass removal postoperative esthetics |
| title | Evaluation of Esthetic Results after Mass Removal with Elliptical Skin Excision Using Ultrasonography to Measure Skin Thickness |
| title_full | Evaluation of Esthetic Results after Mass Removal with Elliptical Skin Excision Using Ultrasonography to Measure Skin Thickness |
| title_fullStr | Evaluation of Esthetic Results after Mass Removal with Elliptical Skin Excision Using Ultrasonography to Measure Skin Thickness |
| title_full_unstemmed | Evaluation of Esthetic Results after Mass Removal with Elliptical Skin Excision Using Ultrasonography to Measure Skin Thickness |
| title_short | Evaluation of Esthetic Results after Mass Removal with Elliptical Skin Excision Using Ultrasonography to Measure Skin Thickness |
| title_sort | evaluation of esthetic results after mass removal with elliptical skin excision using ultrasonography to measure skin thickness |
| topic | benign cutaneous masses cellular origin tumor expansion elliptical skin excision mass removal postoperative esthetics |
| url | https://www.mdpi.com/2077-0383/13/5/1467 |
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