Intro Title Page Copyright Page Contents List of Contributors Chapter 1 The Embryogenesis of the Skin 1.1 Introduction 1.2 Stages of Skin Development 1.2.1 Embryonic Stage (Specification) 1.2.2 Embryonic-Fetal Transition (Morphogenesis) 1.2.3 Fetal Stage (Differentiation) 1.3 Special Features of Developing Human Skin 1.3.1 Periderm 1.4 Conclusion References Chapter 2 Basic Structure and Function of the Neonatal, Infantile, and Childhood Skin 2.1 Introduction 2.2 Neonatal Skin 2.2.1 Development 2.2.2 Adaptation at Birth 2.2.3 Structure and Composition 2.2.4 Function 2.3 Infantile Skin2.3.1 Infant Skin Structure 2.3.2 Infant Skin Composition 2.4 Infant Skin Function 2.4.1 Skin Barrier Function 2.4.2 Water-Handling Properties 2.4.3 Skin pH 2.4.4 Immune Regulation 2.4.5 Cell Proliferation 2.5 Childhood and Adolescent Skin 2.5.1 Structure and Composition 2.5.2 Function 2.6 Conclusion References Chapter 3 Approach to the Child as a Patient 3.1 Introduction 3.2 Initial Consultation 3.3 Establishing a Correct Diagnosis 3.3.1 Neonatal Period 3.3.2 Infancy Period 3.3.3 Childhood Period 3.3.4 Adolescence Period 3.4 Parent Education About the Nature of Skin Lesion3.5 Discussing Any Necessary Further Evaluations 3.6 Discussion of Different Treatment Modalities 3.7 Timing of Surgical Procedures 3.8 Pediatric Procedures: Developmental Approach to Anxiety 3.8.1 Infants and Toddlers 3.8.2 Preschool and School-Age Children 3.8.3 Adolescents 3.9 Assessment and Management of Parental Anxiety 3.10 Conclusion References Chapter 4 Preoperative and Postoperative Care of Children Undergoing Pediatric Dermatology Procedures 4.1 Introduction 4.2 Preoperative Care 4.2.1 Approach to the Patient 4.2.2 Medical Evaluation4.2.3 Developmental Evaluation 4.2.4 Communicating the Plan with the Patient and Family 4.2.5 Preparation Before the Procedure 4.2.6 Explanation of Anesthesia 4.2.7 Explanation of the Procedure 4.2.8 What to Do After the Surgery 4.3 Postoperative Care 4.4 Conclusion Chapter 5 The Pediatric Surgical Tray 5.1 Introduction 5.2 The Biopsy Tray 5.3 The Local Excision Tray 5.4 The Suture Removal Tray 5.5 The Nail Tray 5.6 Conclusion References Chapter 6 Anesthesia for Children 6.1 Indications for Local Anesthesia 6.2 Topical Anesthetics 6.3 EMLA Cream 6.4 Topical Lidocaine6.5 Tetracaine Formulations 6.6 Iontophoresis 6.7 Topical Anesthesia for Mucosal Surface 6.8 Limitations of Topical Anesthetics 6.9 Types of Injectable Local Anesthetics 6.10 Lidocaine 6.11 Bupivacaine 6.12 Side Effects of Local Anesthetics 6.13 Techniques to Decrease Injection Pain 6.14 Limitations of Injectable Local Anesthesia 6.15 Nerve Blocks 6.16 Indications for General Anesthesia 6.17 Types of Anesthesia Used in Pediatric Patients 6.18 Safety 6.19 Conclusion References Chapter 7 Skin Biopsy Techniques 7.1 Introduction
A complete guide to the surgical techniques used to treat childhood skin conditions
Recent advances have expanded the role of pediatric dermatologic surgery in both specialist and primary care settings. However, such surgeries can pose unique challenges to trainees and experienced practitioners alike. Procedures are carried out under local anesthesia and can be a source of distress and concern among young patients. Moreover, child's skin poses its own set of complicating factors, making the business of performing these procedures especially delicate and precise.
This bookprovides a step-by-step primer on invasive and non-invasive treatments of childhood skin disorders, offering concise and clearly illustrated guidance on current methods and best practices. Addressing conditions' effects, the impact of recent developments in their treatment, the ethics of operative procedures on children, and multiple treatment options for childhood dermatologic disease, Pediatric Dermatologic Surgery is an indispensable resource for trainee dermatologists and pediatricians, as well as practicing specialists.
A complete guide to the surgical techniques used to treat childhood skin conditions Recent advances have expanded the role of pediatric dermatologic surgery in both specialist and primary care settings. However, such surgeries can pose unique challenges to trainees and experienced practitioners alike. Procedures are carried out under local anesthesia and can be a source of distress and concern among young patients. Moreover, child's skin poses its own set of complicating factors, making the business of performing these procedures especially delicate and precise. This book provides a step-by-step primer on invasive and non-invasive treatments of childhood skin disorders, offering concise and clearly illustrated guidance on current methods and best practices. Addressing conditions' effects, the impact of recent developments in their treatment, the ethics of operative procedures on children, and multiple treatment options for childhood dermatologic disease, Pediatric Dermatologic Surgery is an indispensable resource for trainee dermatologists and pediatricians, as well as practicing specialists.
