April 2020 HSC Section 4 - Plastic and Reconstructive Problems

TABLE OF CONTENTS Selected Recent Materials - Reproduced in this Study Guide

April 2020, Section 4: PLASTIC AND RECONSTRUCTIVE PROBLEMS

Additional Reference Material........................................................................................................ i - iii

I. COSMETIC A. Tissue grafting and related topics for cosmetic applications

Brooker JE, Rubin JP, Marra KG. The future of facial fat grafting. J Craniofac Surg . 2019; 30(3):644- 651. EBM level 5....................................................................................................................................1-8

Summary : The authors note current disadvantages to autologous fat grafting, notably the high long-term resorption rate in transplanted volume augmentation. The authors point to “near future” techniques for uses and preparations of fat for rejuvenation.

Sclafani AP, Azzi J. Platelet preparations for use in facial rejuvenation and wound healing: a critical review of current literature. Aesthetic Plast Surg . 2015; 39(4):495-505. EBM level 5......................9-19

Summary : A scoping-style review of publications about platelet preparations (such as platelet-rich plasma and platelet-rich fibrin matrix) summarizes findings of in vitro, animal, and human studies. The quality of studies was not assessed. There is some evidence for the beneficial use of platelet preparations for cosmetic applications. B. Cosmetic rhinoplasty Moubayed SP, Ioannidis JPA, Saltychev M, Most SP. The 10-Item Standardized Cosmesis and Health Nasal Outcomes Survey (SCHNOS) for functional and cosmetic rhinoplasty. JAMA Facial Plast Surg . 2018; 20(1):37-42. EBM level N/A....................................................................................................20-25

Summary : This is a new validated patient reported outcome measure for standardizing preoperative assessment of patients undergoing rhinoplasty.

Sclafani AP, Kim M, Kjaer K, et al. Postoperative pain and analgesic requirements after septoplasty and rhinoplasty. Laryngoscope . 2019; 129(9):2020-2025. EBM level 2..........................................26-31

Summary : Surgeons may be able to reduce the number of opioid tablets prescribed for pain control following septoplasty or rhinoplasty.

C. Laser therapy for rejuvenation Britt CJ, Marcus B. Energy-based facial rejuvenation: advances in diagnosis and treatment. JAMA Facial Plast Surg . 2017; 19(1):64-71. EBM level 3a........................................................................32-39 Summary : A review of the medical literature on the varying lasers (ablative and nonablative) currently in use and conditions treated by these lasers for facial resurfacing. The article is a bit long, but filled with a lot of good information.