Christie T. Ammirati

THE MAJOR INHERITED DISORDERS OF CORNIFICATION: New Advances in Pathogenesis

This article provides a synopsis of the major (most common) inherited disorders of cornification. It also reviews the recent advances that have been made for each disorder and their practical applications.

An overview of Mohs micrographic surgery for the treatment of basal cell carcinoma.

This article reviews Mohs micrographic surgery for basal cell carcinoma. Its evolution to the present day technique, indications, and limitations are discussed, along with future expectations for the procedure.

Local Infiltration Anesthesia

VERIFICATION OF CPR COURSE AND SUCCESSFUL COMPLETION OF A LOCAL INFILTRATION ANESTHESIA COURSE MUST BE ATTACHED: 1. Verification of CPR certification current within the past three (3) years 2. Verification of successful completion of a local infiltration anesthesia course within the past three (3) years (copy of certificate) ALSO ATTACH: 3. Copy of social security card 4. Copy of current driver’s license or picture ID

Cotton Dental Rolls for Effective and Cost-Efficient Hemostasis

Continuous visualization of the surgical field is a key component of good surgical technique. Removing blood from the field ensures that the surgical dissection remains in the appropriate plane and decreases the risk for inadvertent injury to vital structures. Maintaining a clear surgical field also allows for identification of individual bleeding vessels so that they may be cauterized precisely or ligated. This decreases the need for excessive thermal damage. Standard 6’’ cotton-tipped swabs may be used to more precisely absorb blood from the surgical field, but in all but the most limited of procedures, these small swabs quickly become saturated and ineffective. Two alternatives for precise hemostasis include cotton dental rolls and large cotton rectal swabs (Figure 1). The dental roll can be used by clamping it with a hemostat or placing it at the end of a cotton swab and can even be used to retract tissues within the surgical field (Figures 2 and 3).

Malignant tumors of the keratinocytes and adnexae

Christie T. Ammirati, MD*, Michael D. Ioffreda, MD, George J. Hruza, MD Department of Dermatology, Pennsylvania State University, Milton S. Hershey Medical Center, 500 University Drive, PO Box 850, Hershey, PA 17033, USA Department of Dermatology and Otolaryngology, St. Louis University School of Medicine, 1402 South Grand Boulevard, St. Louis, MO 63104, USA Laser and Dermatologic Surgery Center, 14377 Woodlake Drive, Suite 111, St. Louis, MO 63017, USA