2017-18 HSC Section 4 Green Book

Verhiel S, Piatkowski de Grzymala A, van der Hulst R. Mechanism of action, efficacy, and adverse events of calcium antagonists in hypertrophic scars and keloids: a systematic review. Dermatol Surg . 2015; 41(12):1343-1350. EBM level 4..........................................................................................................197-204 Summary : The authors performed a broad literature review in an attempt to deduce if calcium antagonists should be considered as an additional therapeutic measure for the treatment of keloids and hypertrophic scars. The authors describe the lack of controlled studies in the literature using injectable verapamil versus standard therapies. Although further studies are warranted, they suggest that injectable verapamil may have a lower side effect profile than injectable triamcinolone with similar efficacy. C. Flaps and grafts Ezzat WH, Liu SW. Comparative study of functional nasal reconstruction using structural reinforcement. JAMA Facial Plast Surg . 2017; 19(4):318-322. EBM level 3..........................................................................................................205-209 Summary : This paper presents the first comparative study within the literature comparing functional nasal reconstruction with and without the use of structural support. This represents the highest level of evidence available in the literature for structural reinforcement of the nasal valves. Patel SA, Liu JJ, Murakami CS, et al. Complication rates in delayed reconstruction of the head and neck after Mohs micrographic surgery. JAMA Facial Plast Surg . 2016; 18(5):340-346. EBM level 3.............................210-216 Summary : The authors describe a retrospective study investigating the association of the rate of complication after delayed Mohs reconstructive surgery. They found that reconstruction after 2 days or more was associated with increased complication rates. D. Facial paralysis Albathi M, Oyer S, Ishii LE, et al. Early nerve grafting for facial paralysis after cerebellopontine angle tumor resection with preserved facial nerve continuity. JAMA Facial Plast Surg . 2016; 18(1):54-60. EBM level 3......................217-223 Summary : This manuscript looks into the potential value of performing facial nerve reinnervation procedures within 6 months after paresis induced by vestibular schwannoma surgery. The authors found it acceptable to proceed with nerve grafting within 6 months if electromyelogram and stimulation suggest no reinnervation.