ArticlePlastic and reconstructive surgery. Global open2019
Innovative Surgical Approaches and Selection Criteria of Large Acne Keloidalis Nuchae Lesions.
Article in Plastic and reconstructive surgery. Global open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed.
- Papular acne keloidalis nuchae treatment success using follicular unit excision.JAAD case reports · 2023Article
- Immune cells and associated molecular markers in dermal fibrosis with focus on raised cutaneous scars.Experimental dermatology · 2023Review
- Refractory Folliculitis Decalvans Treatment Success with a Novel Surgical Excision Approach Using Guarded High-Tension Sutures.Clinical, cosmetic and investigational dermatology · 2023Article
- Acne Keloidalis Nuchae is Associated with Cutis Verticis Gyrata.Clinical, cosmetic and investigational dermatology · 2022Article
- Acne keloidalis nuchae: A role for low-dose radiotherapy.JAAD case reports · 2021Article
- A Retrospective Cohort Study and Clinical Classification System of Acne Keloidalis Nuchae.The Journal of clinical and aesthetic dermatology · 2021Article
- Selection criteria and techniques for improved cosmesis and predictable outcomes in laser hair removal treatment of acne keloidalis nuchae.JAAD case reports · 2019Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAcne keloidalis nuchae is a debilitating condition mainly affecting the occipital region or nape of the neck. Surgical approaches are limited in aesthetic outcomes. Three innovative surgical approaches based on selection criteria are presented for enhanced and more predictable wound healing and posterior hairline cosmesis.
methods"Bat excision" and secondary intention healing are shown for 2 of 37 representative patients and confined to the area between the occipital protuberance superiorly and posterior hairline inferiorly. Lesions with ≤3 cm vertical width were required to be in the lower one-half portion of this zone. The same procedure was aided by the use of tension sutures for lesions with >3 cm vertical width area within the defined zone. It was also suitable for breaches of the 2 horizontal lines defined above but generally located in the nuchal area. Debridement of premature epithelizing granulation tissue is shown in 2 additional patients.
resultsUse of these procedures with debridement in selected patients allowed fine control over the hairline shape and resulted in narrower scars. The mean maximum sagittal width of excised lesions was 5.4 cm. Excised lesion width ≥6.5 cm was highly predictive of >2.5 cm wide scar (
conclusionInnovative procedures based on selection criteria can extend the approach of acne keloidalis nuchae excision with secondary intention healing to better control the final hairline shape and minimize scarring.
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Registered trials
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