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- Presentation
S054. Pearls: Diagnostic and Therapeutic
Description
The talk presents various pearls of knowledge related to procedural dermatology and therapeutic approaches. The speaker introduces efficient dressing techniques for the hair-bearing scalp using a 'ponytail dressing' method to secure wounds comfortably. They also discuss managing excess materials from surgical operations, utilizing leftover materials creatively for various applications during procedures. The talk emphasizes effective wound closure techniques, particularly on the ear and nasal areas, and suggests methods to improve patient comfort during procedures involving keloids, including intralesional steroid injections. Additional insights are shared on managing hidradenitis suppurativa through techniques like de roofing and debridement, stressing the importance of personalized patient care and flexibility in treatment approaches. The speaker underscores alternatives for patients reluctant to undergo extensive surgery, showcasing intralesional five-fluorouracil as an innovative option for treating skin cancers, citing successful outcomes in older patients. Finally, considerations for diagnosing and treating calciphylaxis are outlined, promoting the use of imaging to avoid invasive biopsy, and suggesting topical sodium thiosulfate as a viable treatment option. Overall, the talk encourages dermatologists to adapt surgical practices and treatment plans to align more closely with patient needs and circumstances.
View moreConclusions
- Conventional scalp dressings often do not meet the needs for comfort, aesthetics, and pressure control.
- The 'ponytail dressing' offers a practical and patient-friendly solution for wounds on the hair-bearing scalp.
- Utilizing leftover suture packaging materials can enhance efficiency and safety during surgical procedures.
- Skin hooks improve visualization of ear lesions, aiding in biopies and surgeries, yet must be used with anesthetic.
- Cotton tip applicators enhance visibility and hemostasis during nasal surgeries, but their placement should be communicated to patients.
- Intralesional corticosteroid injections for keloids should be approached with caution regarding injection depth and technique.
- Deroofing and debridement are effective, well-tolerated surgical methods for managing hidradenitis suppurativa and can replace chronic draining areas with quiescent scars.
- Tailored treatment plans respecting patient preferences can improve satisfaction, especially for those with severe comorbidities and skin cancers.
- Sodium thiosulfate shows promise as a topical treatment for calciphylaxis, providing a less invasive option compared to standard intravenous methods.
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