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Dermatol Surg. 2019 Jun;45(6):782-790. doi: 10.1097/DSS.0000000000001844.

Expertise in Head and Neck Cutaneous Reconstructive Surgery.

Author information

1
Department of Dermatology, West Virginia University School of Medicine, Morgantown, West Virginia.
2
Department of Dermatology, Brown University, Providence, Rhode Island.
3
Division of Dermatology, University of Vermont Medical Center, Burlington, Vermont.
4
Division of Dermatology, Section of Procedural Dermatology, Cooper University Health Care, Marlton, New Jersey.
5
Vujevich Dermatology Associates, Pittsburgh, Pennsylvania.
6
Ronald O. Perelman Department of Dermatology, NYU Langone Health, New York, New York.
7
SkinCare Physicians, Chestnut Hill, Massachusetts.
8
Department of Dermatology, Case Western Reserve University School of Medicine, Cleveland, Ohio.
9
Section of Dermatology, University of Chicago Medical Center, Chicago, Illinois.
10
Department of Dermatology, Mayo Clinic, Scottsdale, Arizona.
11
Connecticut Skin Institute, Stamford, Connecticut.

Abstract

BACKGROUND:

The management of skin cancers has evolved with the development of Mohs micrographic surgery and a greater emphasis on surgical training within dermatology. It is unclear whether these changes have translated into innovations and contributions to the reconstructive literature.

OBJECTIVE:

To assess contributions from each medical specialty to the cutaneous head and neck oncologic reconstructive literature.

METHODS:

The authors conducted a systematic review of the head and neck reconstructive literature from 2000 through 2015 based on a priori search terms relating to suture technique, linear closure, advancement, rotation, transposition and interpolation flaps, and identified the specialty of the senior authors.

RESULTS:

The authors identified 74,871 articles, of which 1,319 were relevant. Under suture technique articles, the senior authors were primarily dermatologists (58.2%) and plastic surgeons (20.3%). Under linear closure, the authors were dermatologists (48.1%), plastic surgeons (22.2%), and otolaryngologists (20.4%). Under advancement and rotation flaps, the senior authors were plastic surgeons (40.5%, 38.9%), dermatologists (38.1%, 34.2%), and otolaryngologists (14.4%, 21.6%). Under transposition and interpolation flaps, the senior authors were plastic surgeons (47.3%, 39.4%), dermatologists (32.3%, 27.0%), and otolaryngologists (15.3%, 23.4%).

CONCLUSION:

The primary specialties contributing to the cutaneous head and neck reconstructive literature are plastic surgery, dermatology, and otolaryngology.

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