The Experts below are selected from a list of 312 Experts worldwide ranked by ideXlab platform
Ankur Bhatnagar - One of the best experts on this subject based on the ideXlab platform.
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Excision of Large Scalp Arteriovenous Malformations with Aesthetic Scalp Reconstruction.
World journal of plastic surgery, 2020Co-Authors: Anupama Singh, Ankur Bhatnagar, Vivek SinghAbstract:BACKGROUND Scalp arteriovenous malformations (SAVMs) are seen in young individuals and skin involvement is common in large SAVMs. They are commonly seen in younger age group too. Pre-operative embolization followed by surgical excision and hair bearing Scalp reconstruction with tissue expansion are the treatment of choice. Therefore, proper selection of tissue expander for reconstruction of hair bearing Scalp, seems essential. This study evaluated excision of large SAVMs with aesthetic Scalp reconstruction. METHODS We described management of 10 patients of large SAVMs with cutaneous involvement. All patients underwent pre-op embolization followed by surgical excision and hair bearing Scalp reconstruction with tissue expansion. RESULTS All cases of large SAVMs healed well with minor complications. CONCLUSION While complete surgical excision with extirpation of the nidus is considered as the gold standard treatment, aesthetic hair bearing Scalp restoration is also of paramount importance for the patient. This is done by using Scalp tissue expansion after proper selection of the expander.
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Definitive cranioplasty and Scalp reconstruction in recurrent dermato fibrosarcoma protuberance of Scalp
International Journal of Neural Systems, 2017Co-Authors: Ankur Bhatnagar, Arun Kumar Srivastava, Rakesh Kapoor, Neuro Surgery, Sanjay GandhiAbstract:AbsTRACT Dermatofibrosarcoma protuberans(DFSP) of the Scalp is a relatively uncommon soft‑tissue neoplasm. Calvarial involvement can lead to a quick intracranial spread making the tumor incurable. The management of DFSP Scalp, especially recurrent lesions with calvarial involvement should be a team approach with close cooperation between the neurosurgeon and the reconstructive surgeon. The failure to excise the underlying periosteum is one of the major reasons for early calvarial spread. At no stage adequate excision, i.e., 5 cm margin and removal of underlying periosteum should be compromised. In developing world where follow‑up of patients is difficult and specialized health services are at a premium we believe that a wide surgical excision, including the underlying periosteum and cranioplasty followed by local flap cover if possible will provide the best results with the shortest downtime.Key words: Cranioplasty, dermatofibrosarcoma, reconstruction, Scalp Definitive cranioplasty and Scalp reconstruction in recurrent dermato fibrosarcoma protuberance of Scalp
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Definitive cranioplasty and Scalp reconstruction in recurrent dermato fibrosarcoma protuberance of Scalp
Indian Journal of Neurosurgery, 2017Co-Authors: Arun Srivastava, Rakesh Kapoor, Ankur BhatnagarAbstract:Dermatofibrosarcoma protuberans (DFSP) of the Scalp is a relatively uncommon soft-tissue neoplasm. Calvarial involvement can lead to a quick intracranial spread making the tumor incurable. The management of DFSP Scalp, especially recurrent lesions with calvarial involvement should be a team approach with close cooperation between the neurosurgeon and the reconstructive surgeon. The failure to excise the underlying periosteum is one of the major reasons for early calvarial spread. At no stage adequate excision, i.e., 5 cm margin and removal of underlying periosteum should be compromised. In developing world where follow-up of patients is difficult and specialized health services are at a premium we believe that a wide surgical excision, including the underlying periosteum and cranioplasty followed by local flap cover if possible will provide the best results with the shortest downtime
Sanjay Gandhi - One of the best experts on this subject based on the ideXlab platform.
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Definitive cranioplasty and Scalp reconstruction in recurrent dermato fibrosarcoma protuberance of Scalp
International Journal of Neural Systems, 2017Co-Authors: Ankur Bhatnagar, Arun Kumar Srivastava, Rakesh Kapoor, Neuro Surgery, Sanjay GandhiAbstract:AbsTRACT Dermatofibrosarcoma protuberans(DFSP) of the Scalp is a relatively uncommon soft‑tissue neoplasm. Calvarial involvement can lead to a quick intracranial spread making the tumor incurable. The management of DFSP Scalp, especially recurrent lesions with calvarial involvement should be a team approach with close cooperation between the neurosurgeon and the reconstructive surgeon. The failure to excise the underlying periosteum is one of the major reasons for early calvarial spread. At no stage adequate excision, i.e., 5 cm margin and removal of underlying periosteum should be compromised. In developing world where follow‑up of patients is difficult and specialized health services are at a premium we believe that a wide surgical excision, including the underlying periosteum and cranioplasty followed by local flap cover if possible will provide the best results with the shortest downtime.Key words: Cranioplasty, dermatofibrosarcoma, reconstruction, Scalp Definitive cranioplasty and Scalp reconstruction in recurrent dermato fibrosarcoma protuberance of Scalp
Rakesh Kapoor - One of the best experts on this subject based on the ideXlab platform.
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Definitive cranioplasty and Scalp reconstruction in recurrent dermato fibrosarcoma protuberance of Scalp
International Journal of Neural Systems, 2017Co-Authors: Ankur Bhatnagar, Arun Kumar Srivastava, Rakesh Kapoor, Neuro Surgery, Sanjay GandhiAbstract:AbsTRACT Dermatofibrosarcoma protuberans(DFSP) of the Scalp is a relatively uncommon soft‑tissue neoplasm. Calvarial involvement can lead to a quick intracranial spread making the tumor incurable. The management of DFSP Scalp, especially recurrent lesions with calvarial involvement should be a team approach with close cooperation between the neurosurgeon and the reconstructive surgeon. The failure to excise the underlying periosteum is one of the major reasons for early calvarial spread. At no stage adequate excision, i.e., 5 cm margin and removal of underlying periosteum should be compromised. In developing world where follow‑up of patients is difficult and specialized health services are at a premium we believe that a wide surgical excision, including the underlying periosteum and cranioplasty followed by local flap cover if possible will provide the best results with the shortest downtime.Key words: Cranioplasty, dermatofibrosarcoma, reconstruction, Scalp Definitive cranioplasty and Scalp reconstruction in recurrent dermato fibrosarcoma protuberance of Scalp
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Definitive cranioplasty and Scalp reconstruction in recurrent dermato fibrosarcoma protuberance of Scalp
Indian Journal of Neurosurgery, 2017Co-Authors: Arun Srivastava, Rakesh Kapoor, Ankur BhatnagarAbstract:Dermatofibrosarcoma protuberans (DFSP) of the Scalp is a relatively uncommon soft-tissue neoplasm. Calvarial involvement can lead to a quick intracranial spread making the tumor incurable. The management of DFSP Scalp, especially recurrent lesions with calvarial involvement should be a team approach with close cooperation between the neurosurgeon and the reconstructive surgeon. The failure to excise the underlying periosteum is one of the major reasons for early calvarial spread. At no stage adequate excision, i.e., 5 cm margin and removal of underlying periosteum should be compromised. In developing world where follow-up of patients is difficult and specialized health services are at a premium we believe that a wide surgical excision, including the underlying periosteum and cranioplasty followed by local flap cover if possible will provide the best results with the shortest downtime
Christopher E. M. Griffiths - One of the best experts on this subject based on the ideXlab platform.
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Topical Treatments for Scalp Psoriasis
Drugs, 2008Co-Authors: Richard B. Warren, Benjamin C. Brown, Christopher E. M. GriffithsAbstract:Psoriasis is a common, chronic inflammatory skin disease that affects the Scalp more commonly than any other site. Scalp psoriasis causes significant psychosocial disability as it is highly visible and can, on occasion, extend onto the face. Furthermore, current treatment regimens are messy, time consuming and, in some instances, ineffective, leading to a high level of non-compliance. The majority of current evidence for topical treatments for this condition comes from open-label, uncontrolled studies. From such studies, there are data to support the use of topical corticosteroids in a number of different formulations and topical vitamin D analogues. However, these studies have not addressed issues such as the need for keratolytics, which may be required to remove adherent scale before a topical corticosteroid or vitamin D analogue may prove efficacious. There is an urgent need for well designed, controlled trials to assess the efficacy of existing and new treatment regimens for Scalp psoriasis. The aim of this review is to critically assess the relative effectiveness and tolerability of available topical therapies for this problematic condition and provide recommendations for selection of treatment.
Maryanne M Senna - One of the best experts on this subject based on the ideXlab platform.
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the effect of Scalp cooling on cia related quality of life in breast cancer patients a systematic review
Breast Cancer Research and Treatment, 2019Co-Authors: Dustin H Marks, Jeanphillip Okhovat, Dina Hagigeorges, Athena Manatislornell, Steven J Isakoff, Mario E Lacouture, Maryanne M SennaAbstract:PURPOSE Chemotherapy-induced alopecia (CIA) remains a distressing adverse event of cancer treatment but may be prevented by Scalp cooling. The effectiveness of Scalp cooling, however, is dependent on the chemotherapy regimen with successful hair preservation (i.e., < 50% hair loss) in 41-59% of women on taxane-based therapies in comparison to 16-36% on anthracycline-based therapies. Despite the potential utility, use of Scalp cooling has shown a more equivocal impact on quality of life (QoL). In this review, we aim to evaluate the use of Scalp cooling for CIA and quantitative QoL measures. METHODS A systematic review of PubMed, Embase, Web of Science, and Cochrane databases for clinical studies on Scalp cooling to prevent CIA published before October 29, 2018 was performed. Clinical studies with 5 or more patients that reported on a quantitative QoL measure were included and graded according to a modified five-point scale from the Oxford Centre for Evidence-Based Medicine. RESULTS Studies meeting inclusion criteria included 4 randomized clinical trials (RCT), 8 cohort studies, and 1 cross-sectional study with 1282 unique patients. The European Organization for Research and Treatment of Cancer Quality of Life Questionnaire Core 30 (QLQ-C30: 46%) and Breast Cancer Module (QLQ-BR23: 46%) represented the most commonly used QoL assessments. Overall, 4 (31%) of the 13 studies concluded that Scalp cooling was associated with significant improvements in QoL measures; 8 (62%) determined that there was either non-significant or no improvements; and 1 (7.7%) provided a mixed conclusion. Although 2 (50%) RCT demonstrated that Scalp cooling can effectively prevent CIA depending on the chemotherapy regimen, these studies did not show that successful hair preservation was associated with improved QoL measures. CONCLUSIONS This review demonstrates that Scalp cooling is not consistently associated with significant QoL improvements as assessed by EORTC QLQ-C30 and -BR23. Representing a critical limitation, more than one-third of the studies did not subcategorize QoL outcomes for successfully or unsuccessfully Scalp-cooled patients but rather reported on QoL measures for all Scalp-cooled patients in general. Failure to prevent hair loss in patients undergoing an expensive and potentially uncomfortable treatment likely contributes to decreased well-being, impacting the overall distribution of QoL measures in Scalp cooling patients compared to controls. Future studies should incorporate validated QoL instruments specific to hair disease and classify QoL outcomes for Scalp-cooled patients based on the degree of hair preservation.
