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Expertise in Head and Neck Cutaneous Reconstructive Surgery

Deng, Min, MD*; Higgins, H. William II, MD; Lesiak, Kendra, MD; Decker, Ashley B., MD§; Regula, Christie G., MD; Stevenson, Mary L., MD; Raphael, Brian, MD**; Depry, Jennifer, DO††; Scott, Jeffrey F., MD††; Bangash, Haider, MD‡‡; Ochoa, Shari A., MD§§; Ibrahimi, Omar A., MD║║; Shafai, Aria, BSc§; Bordeaux, Jeremy S., MD††; Carucci, John A., MD, PhD; Cook, Jonathan L., MD¶¶; Goldman, Glenn D., MD; Rohrer, Thomas E., MD**; Lawrence, Naomi, MD§

doi: 10.1097/DSS.0000000000001844
Original Article

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.

*Department of Dermatology, West Virginia University School of Medicine, Morgantown, West Virginia;

Department of Dermatology, Brown University, Providence, Rhode Island;

Division of Dermatology, University of Vermont Medical Center, Burlington, Vermont;

§Division of Dermatology, Section of Procedural Dermatology, Cooper University Health Care, Marlton, New Jersey;

Vujevich Dermatology Associates, Pittsburgh, Pennsylvania;

Ronald O. Perelman Department of Dermatology, NYU Langone Health, New York, New York;

**SkinCare Physicians, Chestnut Hill, Massachusetts;

††Department of Dermatology, Case Western Reserve University School of Medicine, Cleveland, Ohio;

‡‡Section of Dermatology, University of Chicago Medical Center, Chicago, Illinois;

§§Department of Dermatology, Mayo Clinic, Scottsdale, Arizona;

║║Connecticut Skin Institute, Stamford, Connecticut;

¶¶Department of Dermatology, Duke University Medical Center, Durham, North Carolina

Address correspondence and reprint requests to: Min Deng, MD, Department of Dermatology, West Virginia University School of Medicine, 1 Medical Center Drive, PO Box 8110, Morgantown, WV 26505, or e-mail:

The authors have indicated no significant interest with commercial supporters.

© 2019 by the American Society for Dermatologic Surgery, Inc. Published by Wolters Kluwer Health, Inc. All rights reserved.
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