Dr. Charles C. Dennie taught me a technique for removing steatomas or wens from the scalp, which he has used for over 40 years. He lays no claim to originating it and states he thinks the late Arthur Hertzler first told him about it. Since it has been so useful to me and has not been described elsewhere, insofar as I know, I feel it worthy of reporting.
The scalp is cleansed with alcohol, but the hair is not shaved. Procaine hydrochloride (Novocain) is infiltrated into the scalp immediately over the prominence of the underlying wen. An incision approximately two-thirds width of the lesion is made down to the tough capsule. With pressure from both sides and the use of a blunt dissector the cyst is delivered through the skin opening with minimal bleeding. The skin edges are pulled together by grasping a strand of hair from either side and
DROWNS BV. Primitive Technique for an Old Problem. Arch Dermatol. 1960;82(4):641–642. doi:10.1001/archderm.1960.01580040159031
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