Round excisions lead to shorter scars and better scar positioning than traditional elliptical excisions

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

Background: As traditional elliptical excisions for skin tumors are designed before surgery, they may waste normal tissue and result in poor outcome, both in terms of the wound length and direction. Objective: To compare the predicted results of elliptical excisions with scars resulting from round excisions with dog ear repairs. Methods: Forty-one patients with skin tumors were prospectively studied. Each lesion was examined and an optimal ellipse was designed and marked on the skin. Only the lesion and the required margin of adjacent skin were excised and closed with dog ear repairs. Precise measurements were conducted at each step. Results: Although many of the lesions required 2 dog ear repairs (59%), the overall sutured wound length was 14% shorter, and the wound direction differed from that of the predicted ellipse in 22% of cases. The shortening effect was distinctive in areas of thick skin, such as the trunk and scalp. Only 3 lesions resulted in a longer final wound length. In total, 29% of the patients required 1 dog ear repair and 12% needed no dog ear repairs. Conclusion: Round excisions with dog ear repairs should be considered prior to traditional elliptical excision as a more beneficial method of skin tumor removal.

Original languageEnglish
Pages (from-to)276-280
Number of pages5
JournalDermatology
Volume217
Issue number3
DOIs
Publication statusPublished - 2008 Oct 1

Fingerprint

Cicatrix
Ear
Dogs
Skin
Wounds and Injuries
Neoplasms
Scalp
Direction compound

Keywords

  • Dog ear
  • Elliptical excision
  • Round excision
  • Scar

ASJC Scopus subject areas

  • Dermatology

Cite this

@article{b38764996cb143fdaf5921e215a974ce,
title = "Round excisions lead to shorter scars and better scar positioning than traditional elliptical excisions",
abstract = "Background: As traditional elliptical excisions for skin tumors are designed before surgery, they may waste normal tissue and result in poor outcome, both in terms of the wound length and direction. Objective: To compare the predicted results of elliptical excisions with scars resulting from round excisions with dog ear repairs. Methods: Forty-one patients with skin tumors were prospectively studied. Each lesion was examined and an optimal ellipse was designed and marked on the skin. Only the lesion and the required margin of adjacent skin were excised and closed with dog ear repairs. Precise measurements were conducted at each step. Results: Although many of the lesions required 2 dog ear repairs (59{\%}), the overall sutured wound length was 14{\%} shorter, and the wound direction differed from that of the predicted ellipse in 22{\%} of cases. The shortening effect was distinctive in areas of thick skin, such as the trunk and scalp. Only 3 lesions resulted in a longer final wound length. In total, 29{\%} of the patients required 1 dog ear repair and 12{\%} needed no dog ear repairs. Conclusion: Round excisions with dog ear repairs should be considered prior to traditional elliptical excision as a more beneficial method of skin tumor removal.",
keywords = "Dog ear, Elliptical excision, Round excision, Scar",
author = "Soo-Hong Seo and Son, {Sang Wook} and Il-Hwan Kim",
year = "2008",
month = "10",
day = "1",
doi = "10.1159/000150601",
language = "English",
volume = "217",
pages = "276--280",
journal = "Dermatology",
issn = "1018-8665",
publisher = "S. Karger AG",
number = "3",

}

TY - JOUR

T1 - Round excisions lead to shorter scars and better scar positioning than traditional elliptical excisions

AU - Seo, Soo-Hong

AU - Son, Sang Wook

AU - Kim, Il-Hwan

PY - 2008/10/1

Y1 - 2008/10/1

N2 - Background: As traditional elliptical excisions for skin tumors are designed before surgery, they may waste normal tissue and result in poor outcome, both in terms of the wound length and direction. Objective: To compare the predicted results of elliptical excisions with scars resulting from round excisions with dog ear repairs. Methods: Forty-one patients with skin tumors were prospectively studied. Each lesion was examined and an optimal ellipse was designed and marked on the skin. Only the lesion and the required margin of adjacent skin were excised and closed with dog ear repairs. Precise measurements were conducted at each step. Results: Although many of the lesions required 2 dog ear repairs (59%), the overall sutured wound length was 14% shorter, and the wound direction differed from that of the predicted ellipse in 22% of cases. The shortening effect was distinctive in areas of thick skin, such as the trunk and scalp. Only 3 lesions resulted in a longer final wound length. In total, 29% of the patients required 1 dog ear repair and 12% needed no dog ear repairs. Conclusion: Round excisions with dog ear repairs should be considered prior to traditional elliptical excision as a more beneficial method of skin tumor removal.

AB - Background: As traditional elliptical excisions for skin tumors are designed before surgery, they may waste normal tissue and result in poor outcome, both in terms of the wound length and direction. Objective: To compare the predicted results of elliptical excisions with scars resulting from round excisions with dog ear repairs. Methods: Forty-one patients with skin tumors were prospectively studied. Each lesion was examined and an optimal ellipse was designed and marked on the skin. Only the lesion and the required margin of adjacent skin were excised and closed with dog ear repairs. Precise measurements were conducted at each step. Results: Although many of the lesions required 2 dog ear repairs (59%), the overall sutured wound length was 14% shorter, and the wound direction differed from that of the predicted ellipse in 22% of cases. The shortening effect was distinctive in areas of thick skin, such as the trunk and scalp. Only 3 lesions resulted in a longer final wound length. In total, 29% of the patients required 1 dog ear repair and 12% needed no dog ear repairs. Conclusion: Round excisions with dog ear repairs should be considered prior to traditional elliptical excision as a more beneficial method of skin tumor removal.

KW - Dog ear

KW - Elliptical excision

KW - Round excision

KW - Scar

UR - http://www.scopus.com/inward/record.url?scp=48649110315&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=48649110315&partnerID=8YFLogxK

U2 - 10.1159/000150601

DO - 10.1159/000150601

M3 - Article

C2 - 18688169

AN - SCOPUS:48649110315

VL - 217

SP - 276

EP - 280

JO - Dermatology

JF - Dermatology

SN - 1018-8665

IS - 3

ER -