Fulton J E
J Dermatol Surg Oncol. 1987 Jun;13(6):655-9. doi: 10.1111/j.1524-4725.1987.tb00532.x.
Three patients with chronic osteoma cutis secondary to acne vulgaris were treated with the dermabrasion-Loo-punch-excision technique. Under regional nerve block with lidocaine-bipuvacaine (50:50) a uniform dermabrasion was performed across the entire face, including the hairline and 1 cm below the jawline. This exposed the foci of osteoma cutis. Then the appropriate sized Loo punch (usually the 2.0- or the 2.5-mm punch) was used to excise the bluish-gray miliary lesions. The majority of the foci were removed in one operation. Following excision, the lesions were closed with 7-0 prolene suture. To prevent crust formation postoperatively, Aloe-vera-soaked polyethylene oxide gel dressings (Vigilon) were changed twice daily following an ice water compress. Sutures were removed rapidly in 5 to 7 days to prevent the appearance of suture lines. Although one patient required an additional procedure, the cosmetic results were excellent. Only a few small residual blue "dot" lesions remained in these three cases.
三名寻常痤疮继发慢性皮肤骨瘤患者采用皮肤磨削-鲁氏打孔-切除术进行治疗。在利多卡因-布比卡因（50:50）区域神经阻滞下，对整个面部进行均匀的皮肤磨削，包括发际线和下颌线下1厘米处。这暴露了皮肤骨瘤病灶。然后使用合适尺寸的鲁氏打孔器（通常为2.0毫米或2.5毫米的打孔器）切除蓝灰色粟粒状病变。大多数病灶在一次手术中被切除。切除后，用7-0聚丙烯缝线缝合伤口。为防止术后结痂，在冰敷后，每天更换两次用芦荟浸泡的聚环氧乙烷凝胶敷料（Vigilon）。5至7天内迅速拆除缝线以防止缝线痕迹出现。尽管有一名患者需要额外的手术，但美容效果极佳。这三例患者仅残留少量小的蓝色“点状”病变。
