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Cited 11 time in webofscience Cited 12 time in scopus
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Round excisions lead to shorter scars and better scar positioning than traditional elliptical excisions

Authors
Seo, Soo-HongSon, Sang-WookKim, Il-Hwan
Issue Date
Oct-2008
Publisher
KARGER
Keywords
round excision; elliptical excision; scar; dog ear
Citation
DERMATOLOGY, v.217, no.3, pp 276 - 280
Pages
5
Indexed
SCIE
SCOPUS
Journal Title
DERMATOLOGY
Volume
217
Number
3
Start Page
276
End Page
280
URI
https://scholarworks.korea.ac.kr/kumedicine/handle/2020.sw.kumedicine/17528
DOI
10.1159/000150601
ISSN
1018-8665
1421-9832
Abstract
Background: As traditional elliptical excisions for skin tumors are designed before surgery, they may waste normal tissue and result in poor outcome, both in terms of the wound length and direction. Objective: To compare the predicted results of elliptical excisions with scars resulting from round excisions with dog ear repairs. Methods: Forty-one patients with skin tumors were prospectively studied. Each lesion was examined and an optimal ellipse was designed and marked on the skin. Only the lesion and the required margin of adjacent skin were excised and closed with dog ear repairs. Precise measurements were conducted at each step. Results: Although many of the lesions required 2 dog ear repairs (59%), the overall sutured wound length was 14% shorter, and the wound direction differed from that of the predicted ellipse in 22% of cases. The shortening effect was distinctive in areas of thick skin, such as the trunk and scalp. Only 3 lesions resulted in a longer final wound length. In total, 29% of the patients required 1 dog ear repair and 12% needed no dog ear repairs. Conclusion: Round excisions with dog ear repairs should be considered prior to traditional elliptical excision as a more beneficial method of skin tumor removal. Copyright (c) 2008 S. Karger AG, Basel.
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Researcher Kim, Il Hwan or Il-Hwan photo

Kim, Il Hwan or Il-Hwan
Ansan Hospital (Department of Dermatology, Ansan Hospital)
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