Modified shave surgery combined with nail window technique for the treatment of longitudinal melanonychia: Evaluation of the method on a series of 67 cases
Nail matrix histopathologic examination is still the criterion standard to diagnose longitudinal melanonychia (LM). To introduce modified shave surgery combined with the nail window technique for managing LM and evaluate the postoperative outcome of the procedure. We retrospectively reviewed the med...
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| Veröffentlicht in: | Journal of the American Academy of Dermatology 2019-09, Vol.81 (3), p.717-722 |
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| container_title | Journal of the American Academy of Dermatology |
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| creator | Zhou, Yuan Chen, Wei Liu, Zhen-ru Liu, Juan Huang, Fei-ran Wang, Da-guang |
| description | Nail matrix histopathologic examination is still the criterion standard to diagnose longitudinal melanonychia (LM).
To introduce modified shave surgery combined with the nail window technique for managing LM and evaluate the postoperative outcome of the procedure.
We retrospectively reviewed the medical records of 67 patients with LM who underwent shave surgery combined with the longitudinal-strip nail window technique at our institution from March 2015 to June 2018.
Pathologic diagnosis was accessible in all cases, and 60 cases were assessable for the postoperative outcomes. A total of 45 cases (75.0%) had no postoperative nail dystrophy, and recurrence of nail pigmentation was found in only 8 cases (13.3%).
This was a retrospective study.
Modified shave surgery combined with the nail window technique is the preferable management for LM cases, with limited postoperative nail dystrophy and recurrence of pigmentation. |
| doi_str_mv | 10.1016/j.jaad.2019.03.065 |
| format | Article |
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To introduce modified shave surgery combined with the nail window technique for managing LM and evaluate the postoperative outcome of the procedure.
We retrospectively reviewed the medical records of 67 patients with LM who underwent shave surgery combined with the longitudinal-strip nail window technique at our institution from March 2015 to June 2018.
Pathologic diagnosis was accessible in all cases, and 60 cases were assessable for the postoperative outcomes. A total of 45 cases (75.0%) had no postoperative nail dystrophy, and recurrence of nail pigmentation was found in only 8 cases (13.3%).
This was a retrospective study.
Modified shave surgery combined with the nail window technique is the preferable management for LM cases, with limited postoperative nail dystrophy and recurrence of pigmentation.</description><identifier>ISSN: 0190-9622</identifier><identifier>EISSN: 1097-6787</identifier><identifier>DOI: 10.1016/j.jaad.2019.03.065</identifier><identifier>PMID: 30930088</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Adolescent ; Adult ; Aged ; Biopsy ; Child ; Child, Preschool ; Dermatologic Surgical Procedures - adverse effects ; Dermatologic Surgical Procedures - instrumentation ; Dermatologic Surgical Procedures - methods ; Diagnosis, Differential ; Female ; Humans ; Lasers, Gas - therapeutic use ; longitudinal melanonychia ; Male ; Melanoma - diagnosis ; Melanoma - pathology ; Middle Aged ; nail dermoscopy ; Nail Diseases - diagnosis ; Nail Diseases - pathology ; Nail Diseases - surgery ; nail melanoma ; nail surgery ; nail window technique ; Nails - pathology ; Nails - surgery ; onychoscopy ; Pigmentation Disorders - diagnosis ; Pigmentation Disorders - pathology ; Pigmentation Disorders - surgery ; Postoperative Complications - epidemiology ; Postoperative Complications - etiology ; Postoperative Complications - pathology ; Recurrence ; Retrospective Studies ; shave surgery ; Skin Neoplasms - diagnosis ; Skin Neoplasms - pathology ; tangential excision ; treatment ; Young Adult</subject><ispartof>Journal of the American Academy of Dermatology, 2019-09, Vol.81 (3), p.717-722</ispartof><rights>2019 American Academy of Dermatology, Inc.</rights><rights>Copyright © 2019 American Academy of Dermatology, Inc. Published by Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c400t-a6a98093976e9b71b67a04d8f1240ba536b411dd694d819c0048f7f59bf8bf683</citedby><cites>FETCH-LOGICAL-c400t-a6a98093976e9b71b67a04d8f1240ba536b411dd694d819c0048f7f59bf8bf683</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.jaad.2019.03.065$$EHTML$$P50$$Gelsevier$$Hfree_for_read</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30930088$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Zhou, Yuan</creatorcontrib><creatorcontrib>Chen, Wei</creatorcontrib><creatorcontrib>Liu, Zhen-ru</creatorcontrib><creatorcontrib>Liu, Juan</creatorcontrib><creatorcontrib>Huang, Fei-ran</creatorcontrib><creatorcontrib>Wang, Da-guang</creatorcontrib><title>Modified shave surgery combined with nail window technique for the treatment of longitudinal melanonychia: Evaluation of the method on a series of 67 cases</title><title>Journal of the American Academy of Dermatology</title><addtitle>J Am Acad Dermatol</addtitle><description>Nail matrix histopathologic examination is still the criterion standard to diagnose longitudinal melanonychia (LM).
To introduce modified shave surgery combined with the nail window technique for managing LM and evaluate the postoperative outcome of the procedure.
We retrospectively reviewed the medical records of 67 patients with LM who underwent shave surgery combined with the longitudinal-strip nail window technique at our institution from March 2015 to June 2018.
Pathologic diagnosis was accessible in all cases, and 60 cases were assessable for the postoperative outcomes. A total of 45 cases (75.0%) had no postoperative nail dystrophy, and recurrence of nail pigmentation was found in only 8 cases (13.3%).
This was a retrospective study.
Modified shave surgery combined with the nail window technique is the preferable management for LM cases, with limited postoperative nail dystrophy and recurrence of pigmentation.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Biopsy</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Dermatologic Surgical Procedures - adverse effects</subject><subject>Dermatologic Surgical Procedures - instrumentation</subject><subject>Dermatologic Surgical Procedures - methods</subject><subject>Diagnosis, Differential</subject><subject>Female</subject><subject>Humans</subject><subject>Lasers, Gas - therapeutic use</subject><subject>longitudinal melanonychia</subject><subject>Male</subject><subject>Melanoma - diagnosis</subject><subject>Melanoma - pathology</subject><subject>Middle Aged</subject><subject>nail dermoscopy</subject><subject>Nail Diseases - diagnosis</subject><subject>Nail Diseases - pathology</subject><subject>Nail Diseases - surgery</subject><subject>nail melanoma</subject><subject>nail surgery</subject><subject>nail window technique</subject><subject>Nails - pathology</subject><subject>Nails - surgery</subject><subject>onychoscopy</subject><subject>Pigmentation Disorders - diagnosis</subject><subject>Pigmentation Disorders - pathology</subject><subject>Pigmentation Disorders - surgery</subject><subject>Postoperative Complications - epidemiology</subject><subject>Postoperative Complications - etiology</subject><subject>Postoperative Complications - pathology</subject><subject>Recurrence</subject><subject>Retrospective Studies</subject><subject>shave surgery</subject><subject>Skin Neoplasms - diagnosis</subject><subject>Skin Neoplasms - pathology</subject><subject>tangential excision</subject><subject>treatment</subject><subject>Young Adult</subject><issn>0190-9622</issn><issn>1097-6787</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9UcFu1DAUjBCILoUf4IB85JLwnGTtGHFBVaGVirjA2XLs58arxC62s9V-Cz-Loy0cOb2neTMjj6eq3lJoKFD24dAclDJNC1Q00DXA9s-qHQXBa8YH_rzalQPUgrXtRfUqpQMAiL7jL6uLDkQHMAy76ve3YJx1aEia1BFJWuM9xhPRYRmdL_CjyxPxys1l8yY8kox68u7XisSGSPKEJEdUeUGfSbBkDv7e5dU4r2ay4Kx88Cc9OfWRXB_VvKrsgt-Im3LBPAVDCqBIwugwbRfGiVYJ0-vqhVVzwjdP87L6-eX6x9VNfff96-3V57ta9wC5VkyJoQQSnKEYOR0ZV9CbwdK2h1HtOzb2lBrDRAGp0AD9YLndi9EOo2VDd1m9P_s-xFBypSwXlzTO5e0Y1iTb8sOcsj30hdqeqTqGlCJa-RDdouJJUpBbKfIgt1LkVoqETpZSiujdk_86Lmj-Sf62UAifzgQsKY8Oo0zaoddoXESdpQnuf_5_AHpEn6A</recordid><startdate>201909</startdate><enddate>201909</enddate><creator>Zhou, Yuan</creator><creator>Chen, Wei</creator><creator>Liu, Zhen-ru</creator><creator>Liu, Juan</creator><creator>Huang, Fei-ran</creator><creator>Wang, Da-guang</creator><general>Elsevier Inc</general><scope>6I.</scope><scope>AAFTH</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201909</creationdate><title>Modified shave surgery combined with nail window technique for the treatment of longitudinal melanonychia: Evaluation of the method on a series of 67 cases</title><author>Zhou, Yuan ; Chen, Wei ; Liu, Zhen-ru ; Liu, Juan ; Huang, Fei-ran ; Wang, Da-guang</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c400t-a6a98093976e9b71b67a04d8f1240ba536b411dd694d819c0048f7f59bf8bf683</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Biopsy</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Dermatologic Surgical Procedures - adverse effects</topic><topic>Dermatologic Surgical Procedures - instrumentation</topic><topic>Dermatologic Surgical Procedures - methods</topic><topic>Diagnosis, Differential</topic><topic>Female</topic><topic>Humans</topic><topic>Lasers, Gas - therapeutic use</topic><topic>longitudinal melanonychia</topic><topic>Male</topic><topic>Melanoma - diagnosis</topic><topic>Melanoma - pathology</topic><topic>Middle Aged</topic><topic>nail dermoscopy</topic><topic>Nail Diseases - diagnosis</topic><topic>Nail Diseases - pathology</topic><topic>Nail Diseases - surgery</topic><topic>nail melanoma</topic><topic>nail surgery</topic><topic>nail window technique</topic><topic>Nails - pathology</topic><topic>Nails - surgery</topic><topic>onychoscopy</topic><topic>Pigmentation Disorders - diagnosis</topic><topic>Pigmentation Disorders - pathology</topic><topic>Pigmentation Disorders - surgery</topic><topic>Postoperative Complications - epidemiology</topic><topic>Postoperative Complications - etiology</topic><topic>Postoperative Complications - pathology</topic><topic>Recurrence</topic><topic>Retrospective Studies</topic><topic>shave surgery</topic><topic>Skin Neoplasms - diagnosis</topic><topic>Skin Neoplasms - pathology</topic><topic>tangential excision</topic><topic>treatment</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Zhou, Yuan</creatorcontrib><creatorcontrib>Chen, Wei</creatorcontrib><creatorcontrib>Liu, Zhen-ru</creatorcontrib><creatorcontrib>Liu, Juan</creatorcontrib><creatorcontrib>Huang, Fei-ran</creatorcontrib><creatorcontrib>Wang, Da-guang</creatorcontrib><collection>ScienceDirect Open Access Titles</collection><collection>Elsevier:ScienceDirect:Open Access</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of the American Academy of Dermatology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Zhou, Yuan</au><au>Chen, Wei</au><au>Liu, Zhen-ru</au><au>Liu, Juan</au><au>Huang, Fei-ran</au><au>Wang, Da-guang</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Modified shave surgery combined with nail window technique for the treatment of longitudinal melanonychia: Evaluation of the method on a series of 67 cases</atitle><jtitle>Journal of the American Academy of Dermatology</jtitle><addtitle>J Am Acad Dermatol</addtitle><date>2019-09</date><risdate>2019</risdate><volume>81</volume><issue>3</issue><spage>717</spage><epage>722</epage><pages>717-722</pages><issn>0190-9622</issn><eissn>1097-6787</eissn><abstract>Nail matrix histopathologic examination is still the criterion standard to diagnose longitudinal melanonychia (LM).
To introduce modified shave surgery combined with the nail window technique for managing LM and evaluate the postoperative outcome of the procedure.
We retrospectively reviewed the medical records of 67 patients with LM who underwent shave surgery combined with the longitudinal-strip nail window technique at our institution from March 2015 to June 2018.
Pathologic diagnosis was accessible in all cases, and 60 cases were assessable for the postoperative outcomes. A total of 45 cases (75.0%) had no postoperative nail dystrophy, and recurrence of nail pigmentation was found in only 8 cases (13.3%).
This was a retrospective study.
Modified shave surgery combined with the nail window technique is the preferable management for LM cases, with limited postoperative nail dystrophy and recurrence of pigmentation.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>30930088</pmid><doi>10.1016/j.jaad.2019.03.065</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Adolescent Adult Aged Biopsy Child Child, Preschool Dermatologic Surgical Procedures - adverse effects Dermatologic Surgical Procedures - instrumentation Dermatologic Surgical Procedures - methods Diagnosis, Differential Female Humans Lasers, Gas - therapeutic use longitudinal melanonychia Male Melanoma - diagnosis Melanoma - pathology Middle Aged nail dermoscopy Nail Diseases - diagnosis Nail Diseases - pathology Nail Diseases - surgery nail melanoma nail surgery nail window technique Nails - pathology Nails - surgery onychoscopy Pigmentation Disorders - diagnosis Pigmentation Disorders - pathology Pigmentation Disorders - surgery Postoperative Complications - epidemiology Postoperative Complications - etiology Postoperative Complications - pathology Recurrence Retrospective Studies shave surgery Skin Neoplasms - diagnosis Skin Neoplasms - pathology tangential excision treatment Young Adult |
| title | Modified shave surgery combined with nail window technique for the treatment of longitudinal melanonychia: Evaluation of the method on a series of 67 cases |
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