2020
Predicting outcomes following second intent healing of periocular surgical defects
Kibbi N, Khan Y, Leffell DJ, Christensen SR, Suozzi KC. Predicting outcomes following second intent healing of periocular surgical defects. Archives Of Dermatological Research 2020, 313: 483-489. PMID: 32833078, DOI: 10.1007/s00403-020-02122-w.Peer-Reviewed Original ResearchConceptsMohs micrographic surgeryMedial canthusSingle academic surgical centerAcademic surgical centerConclusionsThis retrospective studyMedial canthal lesionAverage defect diameterMethodsRetrospective analysisTumor characteristicsPeriocular tumorsRetrospective studyPoor outcomePeriocular lesionsSurgical centersMicrographic surgeryWorse outcomesAnatomic locationAimThe purposeScar outcomeLarge lesionsUpper eyelidEyelid marginLid marginSurgical defectsLower eyelid
2019
Photodynamic therapy for cutaneous squamous cell carcinoma in situ: Impact of anatomic location, tumor diameter, and incubation time on effectiveness
Kibbi N, Zhang Y, Leffell DJ, Christensen SR. Photodynamic therapy for cutaneous squamous cell carcinoma in situ: Impact of anatomic location, tumor diameter, and incubation time on effectiveness. Journal Of The American Academy Of Dermatology 2019, 82: 1124-1130. PMID: 31712171, DOI: 10.1016/j.jaad.2019.10.079.Peer-Reviewed Original ResearchMeSH KeywordsAgedAged, 80 and overAminolevulinic AcidAnalysis of VarianceBiopsy, NeedleCarcinoma in SituCarcinoma, Squamous CellCohort StudiesDisease-Free SurvivalFemaleHumansImmunohistochemistryLogistic ModelsMaleMiddle AgedMultivariate AnalysisNeoplasm InvasivenessNeoplasm StagingPhotochemotherapyPrognosisRetrospective StudiesSkin NeoplasmsSurvival AnalysisTreatment OutcomeTumor BurdenConceptsCutaneous squamous cell carcinomaALA incubation timeSquamous cell carcinomaTumor diameterALA-PDTSubsequent recurrenceCell carcinomaAnatomic locationInitial complete response ratePhotodynamic therapyCases of SCCISMultivariate analysis factorsComplete response rateMedical record reviewEffectiveness of PDTPatient demographicsClinical responseMedian timeRetrospective reviewRecord reviewRetrospective studyTreatment detailsSingle institutionEffective treatmentResponse rate
2015
Melanoma in situ Part II. Histopathology, treatment, and clinical management
Higgins HW, Lee KC, Galan A, Leffell DJ. Melanoma in situ Part II. Histopathology, treatment, and clinical management. Journal Of The American Academy Of Dermatology 2015, 73: 193-203. PMID: 26183968, DOI: 10.1016/j.jaad.2015.03.057.Peer-Reviewed Original ResearchMeSH KeywordsAdministration, TopicalAminoquinolinesBiopsy, NeedleCarcinoma in SituFemaleHumansImiquimodImmunohistochemistryImmunotherapyInjections, IntralesionalInterferon-alphaLaser TherapyMaleMelanomaMohs SurgeryNeoplasm InvasivenessNeoplasm StagingPrognosisRandomized Controlled Trials as TopicSkin NeoplasmsTreatment OutcomeA Strategy for the Successful Management of Dermatofibrosarcoma Protuberans
Goldberg C, Hoang D, McRae M, Chung C, Leffell DJ, Narayan D. A Strategy for the Successful Management of Dermatofibrosarcoma Protuberans. Annals Of Plastic Surgery 2015, 74: 80-84. PMID: 23788146, DOI: 10.1097/sap.0b013e3182898692.Peer-Reviewed Original ResearchConceptsSurgical excisionPositive marginsDermatofibrosarcoma protuberansMohs surgeryNational Comprehensive Cancer Network guidelinesDisease recurrence/persistenceMargin sizeClear histological marginsComplications of reconstructionInitial surgical resectionRecurrence/persistenceTraditional surgical excisionSoft tissue sarcomasMethod of treatmentExcision patientsHistological marginsSurgery groupSubclinical involvementSurgical resectionMargin statusDistant metastasisNetwork guidelinesTissue sarcomasClinical variablesTumor resection
2002
Clinical Efficacy of Devices for Nonablative Photorejuvenation
Leffell DJ. Clinical Efficacy of Devices for Nonablative Photorejuvenation. JAMA Dermatology 2002, 138: 1503-1508. PMID: 12437458, DOI: 10.1001/archderm.138.11.1503.Peer-Reviewed Original Research
2000
Electrosurgical Facial Resurfacing: A Prospective Multicenter Study of Efficacy and Safety
Grekin R, Tope W, Yarborough J, Olhoffer I, Lee P, Leffell D, Zachary C. Electrosurgical Facial Resurfacing: A Prospective Multicenter Study of Efficacy and Safety. JAMA Dermatology 2000, 136: 1309-1316. PMID: 11074690, DOI: 10.1001/archderm.136.11.1309.Peer-Reviewed Original ResearchMeSH KeywordsElectrosurgeryFacial DermatosesFemaleHumansLongitudinal StudiesMaleMiddle AgedProspective StudiesSkin AgingTreatment OutcomeUnited StatesConceptsDermatologic surgery clinicProspective multicenter studySevere postoperative morbidityLower radiofrequency energyTransient postinflammatory hyperpigmentationPostoperative morbidityNoncomparative studySurgery clinicMulticenter studyUntoward effectsAnatomic sitesEffective modalityMean improvementPerioral sitesCosmetic improvementWrinkle improvementHypertrophic scarsPostinflammatory hyperpigmentationPatientsStudy settingClass IFacial skinSevere wrinklesFacial wrinklesIncreased number
1999
Use of a Lyophilized Bovine Collagen Matrix in Postoperative Wound Healing
Kolenik S, McGovern T, Leffell D. Use of a Lyophilized Bovine Collagen Matrix in Postoperative Wound Healing. Dermatologic Surgery 1999, 25: 303-307. PMID: 10417587, DOI: 10.1046/j.1524-4725.1999.08230.x.Peer-Reviewed Original ResearchConceptsMohs micrographic surgeryBovine collagen matrixMicrographic surgeryWound careControl groupWound healingMinority of patientsPostoperative wound healingSecond intention healingCollagen matrixManagement of defectsWound infectionDressing changesAdverse reactionsImmediate reconstructionAllergic reactionsComplete healingAnatomic sitesRapid wound healingSurgical defectsStudy woundsLarger studySecond intentionBiological dressingSurgery
1995
The Use of Cryopreserved Human Skin Allografts in Wound Healing following Mohs Surgery
KOLENIK S, LEFFELL D. The Use of Cryopreserved Human Skin Allografts in Wound Healing following Mohs Surgery. Dermatologic Surgery 1995, 21: 615-620. PMID: 7606373, DOI: 10.1111/j.1524-4725.1995.tb00517.x.Peer-Reviewed Original ResearchMeSH KeywordsAdultAgedAged, 80 and overCarcinoma, Basal CellCarcinoma, Squamous CellCryopreservationDermatologic Surgical ProceduresFemaleFollow-Up StudiesGraft RejectionGraft SurvivalGranulation TissueHumansMaleMiddle AgedMohs SurgerySkinSkin CareSkin NeoplasmsSkin TransplantationSurgical Wound InfectionTransplantation, HomologousTreatment OutcomeWound HealingConceptsHuman skin allograftsWound careSkin allograftsImmediate reconstructionMohs surgeryFull-thickness skin graftingMinority of patientsEvidence of infectionExcision of tumorSkin cancer patientsFull‐thickness cutaneous defectGranulation tissue productionFull-thickness skinCancer patientsSkin graftingReconstructive proceduresWound coverageSafe alternativeBiological dressingCutaneous defectsPatientsRapid healingWound healingHealingCare