Evelyn F. Fagan’s research while affiliated with University of Nebraska at Omaha and other places

Dermatopathology (DP) is integral to dermatology residency training, aiding in accurate diagnoses and clinical interpretations. This study evaluates the current state of DP education and faculty backgrounds in dermatology residency programs, using information available on 142 ACGME-accredited dermatology residency programs. The focus was on DP training, including dedicated rotations, training years, and duration as well as DP faculty and fellowship opportunities. Of the programs analyzed, 53.52% offered distinct DP rotations. Residents in these programs spent an average of 11.37 weeks in DP training, with 70.83% providing DP exposure in the first year. The average number of board-certified dermatopathologists per program was 2.91 (SD = 2.11); however, 23.19% of programs lacked dermatology-trained dermatopathologists. DP fellowships were available in 36.62% of programs and among fellowship directors, 63.46% were board-certified in anatomic pathology and 51.98% in dermatology. While DP training is widely offered, the extent and structure of this training vary across residency programs with many lacking dedicated rotations or first-year exposure. Both dermatology-trained and pathology-trained dermatopathologists contribute to academic settings, although fellowship directors are more commonly trained in pathology. This highlights the need for greater consistency and clarity in DP training across residency programs to ensure comprehensive exposure in this essential field.

Epidermolysis bullosa (EB) is a group of inherited skin disorders characterized by extreme skin fragility, leading to recurrent blistering and significant impacts on patients' quality of life. A bibliometric analysis of the 50 most‐cited EB articles from the past six decades reveals that the majority of research focuses on understanding EB pathogenesis, with a growing emphasis on therapeutic interventions, particularly gene and cell‐based therapies. This study highlights a shift toward clinical trials in recent years, but there is still a need for more global collaboration to address regional variations in EB and improve treatment outcomes for patients worldwide.

BACKGROUND Single-stage flap reconstruction of surgical defects of the anterior mid and lower ear can prove challenging due to a relative paucity of local and adjacent tissues. While staged flap options for such defects are well described, similar single-stage options are lacking. OBJECTIVE The authors describe surgical techniques for the design and execution of single-stage local flaps to repair soft tissue defects on the concha cavum, incisura, antitragus, antihelix, and lobule after skin cancer extirpation. MATERIALS AND METHODS A retrospective review was conducted on single-stage transposition flaps used to repair soft tissue defects of the lower half of the anterior auricle following Mohs surgery. This study included cases performed by two surgeons (D.K. and S.K.) at a single institution from 2018 to 2024. RESULTS Twenty-four cases utilizing single-stage transposition flaps for reconstruction of the mid to lower anterior auricular surface were performed. Intraoperative steps, modifications, and postoperative outcomes are discussed. No major complications were observed. CONCLUSION Single-stage transposition flaps are useful options for repairing defects of the mid to lower anterior ear, which are not amenable to primary closure, second intent healing, grafting, or in patients who are not candidates for multistage repairs. This technique offers reliable cosmetic outcomes without flap necrosis or other complications.