Department of Dermatology, West Virginia University School of Medicine, Morgantown, West Virginia.
Department of Dermatology, Brown University, Providence, Rhode Island.
Dermatol Surg. 2019 Jun;45(6):782-790. doi: 10.1097/DSS.0000000000001844.
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.
To assess contributions from each medical specialty to the cutaneous head and neck oncologic reconstructive literature.
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.
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%).
The primary specialties contributing to the cutaneous head and neck reconstructive literature are plastic surgery, dermatology, and otolaryngology.
随着 Mohs 显微外科手术的发展以及皮肤科内对手术培训的重视，皮肤癌的治疗方法已经发生了变化。目前尚不清楚这些变化是否已经转化为创新，并为重建文献做出了贡献。
评估每个医学专业对皮肤头颈部肿瘤重建文献的贡献。
作者根据与缝线技术、线性闭合、推进、旋转、转位和插入皮瓣相关的预先设定的检索词，对 2000 年至 2015 年的头颈部重建文献进行了系统评价，并确定了资深作者的专业。
作者共识别出 74871 篇文章，其中 1319 篇是相关的。在缝线技术文章中，资深作者主要是皮肤科医生（58.2%）和整形外科医生（20.3%）。在线性闭合方面，作者是皮肤科医生（48.1%）、整形外科医生（22.2%）和耳鼻喉科医生（20.4%）。在推进和旋转皮瓣方面，资深作者是整形外科医生（40.5%、38.9%）、皮肤科医生（38.1%、34.2%）和耳鼻喉科医生（14.4%、21.6%）。在转位和插入皮瓣方面，资深作者是整形外科医生（47.3%、39.4%）、皮肤科医生（32.3%、27.0%）和耳鼻喉科医生（15.3%、23.4%）。
对皮肤头颈部重建文献贡献最大的主要专业是整形外科、皮肤科和耳鼻喉科。
