April 2020 HSC Section 4 - Plastic and Reconstructive Problems

Schultz KP, Dong E, Truong TA, Maricevich RS. Parry Romberg syndrome. Clin Plast Surg . 2019; 46(2):231-237. EBM level 5...........................................................................................................200-206

Summary : This article summarizes the clinical features and treatment options of Parry Romberg syndrome. Treatment options depend upon risk, severity, and potential course of the disease.

B. Vascular malformations Morgan P, Keller R, Patel K. Evidence-based management of vascular malformations. Facial Plast Surg . 2016; 32(2):162-176. EBM level 3a.....................................................................................207-221 Summary : A review of the literature presenting the current evidence-based practices of the treatment of various vascular malformations. While this is a longer article, it is filled with excellent information and is a quick read.

Waner M, O TM. Multidisciplinary approach to the management of lymphatic malformations of the head and neck. Otolaryngol Clin North Am . 2018; 51(1):159-172. EBM level 5........................222-235

Summary : There is a paucity of new information on lymphatic malformations within the last 2 years, and this high-quality review has a lot of great information.

C. Cleft rhinoplasty Allori AC, Mulliken JB. Evidence-based medicine: secondary correction of cleft lip nasal deformity. Plast Reconstr Surg . 2017; 140(1):166e-176e. EBM level 5.........................................................236-246 Summary : The authors nicely delineate the composite structural abnormalities that lead to primary and secondary nasal deformities. Though the article is indeed experiential, it classifies acceptable intermediate interventions while acknowledging that “less is more” in these patients prior to definitive repair. Zhang RS, Lin LO, Hoppe IC, et al. Nasal obstruction in children with cleft lip and palate: results of a cross-sectional study utilizing the NOSE scale. Cleft Palate Craniofac J . 2019; 56(2):177-186. EBM level 3b.............................................................................................................................................247-256 Summary : This is a retrospective cross-sectional study looking at the incidence of nasal obstruction in the cleft population, stratifying based on surgical and presurgical interventions, such as NAM, and postsurgical management, such as nasal stents. The functional findings demonstrate a nice review of the stigmatic cleft deformity and predict that those with the worse scores, Veau 3 and CL+A, can degenerate further after speech surgery.