2017-18 HSC Section 4 Green Book

Wee JH, Mun SJ, Na WS, et al. Autologous vs irradiated homologous costal cartilage as graft material in rhinoplasty. JAMA Facial Plast Surg . 2017; 19(3):183-188. EBM level 3.......................................................................171-176 Summary : This paper is a retrospective, single-institution study comparing the aesthetic and histological qualities of autologous costal cartilage versus irradiated homologous cartilage. The study shows improved outcomes with the use of autologous cartilage. Yeung A, Hassouneh B, Kim DW. Outcome of nasal valve obstruction after functional and aesthetic-functional rhinoplasty. JAMA Facial Plast Surg . 2016; 18(2):128-134. EBM level 4.......................................................................177-183 Summary : This paper presents a multi-institutional study of functional and aesthetic rhinoplasty patients who were diagnosed with nasal valve insufficiency and underwent corrective surgery. Patients were excluded if the septum or turbinates substantially contributed to nasal obstruction. Outcomes using the NOSE score showed good improvement up to 12 months postoperatively. B. Treatment of hypertrophic scars and keloids Guy WM, Pattisapu P, Ongkasuwan J, Brissett AE. Creation of a head and neck keloid quality of life questionnaire. Laryngoscope. 2015; 125(12):2672-2676. EBM level 4.................................................................................................184-188 Summary : This study focuses on the development of a reliable quality-of-life (QOL) questionnaire for patients with keloids of the head and neck. Previous QOL questionnaires were inclusive of all keloids locations. In contrast to keloids of the body, the authors emphasize the importance of understanding both the physical and psychological impacts of the highly visible keloids of the head and neck. van Leeuwen MC, Stokmans SC, Bulstra AE, et al. High-dose-rate brachytherapy for the treatment of recalcitrant keloids: a unique, effective treatment protocol. Plast Reconstr Surg. 2014; 134(3):527-534. EBM level 4..........................................................................................................189-196 Summary : This study demonstrates a possible therapeutic advantage using high- dose brachytherapy with surgical excision in the treatment of keloids. The authors give a detailed description of the method for treatment using this technique, citing patient convenience and ease in comparison to external-beam radiation and low-dose brachytherapy. The authors also demonstrate a low recurrence rate of 3.1% following the treatment regimen.