21) Which of the following surgical techniques used for cleft palate repair is REPRESENTED in the drawing below? Click the picture to enlarge image.
B. Three-Flap Palatoplasty
C. Two-Flap Palatoplasty
D. Furlow’s Palatoplasty
E. Four-Flap Palatoplasty
22) Which of the following scars is MOST likely to be well camouflaged?
A. 4 cm linear scar running perpendicular to the RSTL (relaxed skin tension lines)
B. 4 cm linear scar elevated and parallel to the RSTL
C. 4 cm linear scar depressed and parallel to the RSTL
D. 4 cm linear scar parallel to the RSTL without depression or elevation
E. 4 cm linear scar perpendicular to the lower eyelid edge
23) A 10-year-old boy has a linear vertical forehead scar extending from the hairline to the left eyebrow after facial trauma which occurred 1 year ago. Which is the MOST useful scar revision technique in this case?
A. Running W-plasty
B. Single W-plasty
C. Multiple Z-plasty
D. Single excision
E. Serial excision
24) Which is the following surgical techniques is BEST for reconstruction of a full-thickness defect involving 40% of the upper lip reaching the oral commisure?
A. Abbé flap
B. Estlander flap
C. Primary closure
D. Rhomboid flap
E. Nasolabial flap
A. Minimal tissue is discarded.
B. The suture line is not well camouflaged.
C. The alar base and nasal floor are difficult to reconstruct due to poor access to the nose.
D. The procedure will not allow alterations or adjustments during the operation.
E. Contraction of the vertical scar and/or notching of the vermilion is seldom encountered.
A. Hematoma
B. Infection
C. Wound dehiscence
D. Granuloma formation
E. Keloid formation
27) The satyr's ear (devil's ear) deformity is BEST treated with:
A. V-Y plasty
B. Z-Plasty
C. Interval intralesional injection with steroids
D. Excision and primary closure
E. Transposition flap
28) A-50-year-old female underwent rhytidectomy and blepharoplasty procedures with local anesthesia and I.V. sedation. The next day postop, less than 24 hours after the surgical procedure, the patient have noted to have a right-sided paralysis of the temporal branch of the facial nerve. The BEST immediate treatment is:
A. Immediate exploration and direct anastomosis without microscope assistance
B. Immediate reexploration and direct anastomosis with microscopic assistance
C. Corticosteroids
D. Corticosteroids and antiviral medications
E. Reassurance
29) The Z-Plasty INVOLVES:
A. An advancement flap
B. A rotation flap
C. A transposition flap
D. An interpolation flap
E. An interpolation and rotation flap
30) The MOST common complication of TRANSCONJUNTIVAL lower blepharoplasty is:
A. Inadequate fat excision
B. Excessive fat excision
C. Inferior oblique muscle injury
D. Eyelid malposition
E. Bleeding
ANSWERS & REFERENCES
21) D Furlow’s Palatoplasty
Skykes J. M.: Diagnosis and Treatment of Cleft Lip and Palate Deformities, Chapter 65 in Facial Plastic and Reconstructive Surgery, Thieme Medical Publishers, second edition (Ira Papel, editor) pp. 824-828, 2002
Capone R. B., Sykes J. M.: Evaluation and Management of Cleft Lip and Palate Disorders in chapter 76, Facial Plastic and Reconstructive Surgery, Thieme Medical Publishers, Third edition (Ira Papel, editor) p. 1059-1078, 2009
Davit III A. J., Otteson, Losee J. E.: Comprehensive Cleft Care, Chapter 103 in
Bailey's Head & Neck Surgery Otolaryngology, (Johnson J.T., Rosen C. A., editors), Volume one, Fifth edition, Wolters Kluwer / Lippincott Williams & Wilkins, 2014, pp. 1556-1573
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22) D 4 cm linear scar parallel to the RSTL without depression or elevation
Wang T.: Scar Revision in Plastic Surgery Clinics of North America, Vol. 6 Number 2, pp. 137-138, May. 1998
Kokoska M. S., Thomas J.R.: Scar Revision in chapter 5, Facial Plastic and Reconstructive Surgery, Thieme Medical Publishers, Third edition (Ira Papel, editor) p. 59-65, 2009
Regan Thomas J., Mobley S. R.: Scar Revision and Camouflage, chapter 21 in Cummings Otolaryngology Head and Neck Surgery, Fifth Edition, Volume one, Mosby Elsevier, 2010, pp. 295-301
23) A Running W-plasty
Park S.: Scar Revision through W-Plasty in Plastic Surgery Clinics of North America, Vol. 6 Number 2, p. 160, May. 1998
Kokoska M. S., Thomas J.R.: Scar Revision in chapter 5, Facial Plastic and Reconstructive Surgery, Thieme Medical Publishers, Third edition (Ira Papel, editor) p. 59-65, 2009
Regan Thomas J., Mobley S. R.: Scar Revision and Camouflage, chapter 21 in Cummings Otolaryngology Head and Neck Surgery, Fifth Edition, Volume one, Mosby Elsevier, 2010, pp. 295-301
Regan Thomas J., Mobley S. R.: Scar Revision and Camouflage, chapter 21 in Cummings Otolaryngology Head and Neck Surgery, Fifth Edition, Volume one, Mosby Elsevier, 2010, pp. 295-301
24) B Estlander flap
Hooffmann J.F., Cook T.A.: Reconstruction of Facial Defects, Chapter 26 in Otolaryngology-Head and Neck Surgery (Cummings, Fredrickson, Harker, Krause, Schuller, editors), Second Edition, Mosby, Vol. 1, p. 445, 1993
Baker S. R.: Reconstruction of Facial Defects, chapter 24 in Cummings Otolaryngology Head and Neck Surgery, Fifth Edition, Volume one, Mosby Elsevier, 2010, pp. 342-363
Sykes J. M.: Diagnosis and Treatment of Cleft Lip and Palate Deformities in chapter 65, Facial Plastic and Reconstructive Surgery, Thieme Medical Publishers, second edition (Ira Papel, editor) pp. 813-829, 2002
Bardach J., Salyer K.E.: Surgical Techniques in Cleft Lip and Palate, Mosby Second Edition, p. 9, 1991
Capone R. B., Sykes J. M.: Evaluation and Management of Cleft Lip and Palate Disorders in chapter 76, Facial Plastic and Reconstructive Surgery, Thieme Medical Publishers, Third edition (Ira Papel, editor) p. 1059-1078, 2009
Nachlas N. E.:Otoplasty in chapter 27, Facial Plastic and Reconstructive Surgery, Thieme Medical Publishers, second edition (Ira Papel, editor) pp. 309-321, 2002
Nachlas N.E: Otoplasty in chapter 34, Facial Plastic and Reconstructive Surgery, Thieme Medical Publishers, Third edition (Ira Papel, editor) p. 421-433, 2009
Cheney M.L., Rounds M: Otoplasty in Facial Plastic Surgery Clinics of North America, Vol. 5 Number 4, p. 323 Nov. 1997
27) A V-Y plasty
Perkins S., Dayan S.: Rhytidectomy in chapter 15 Facial Plastic and Reconstructive Surgery, second edition (Ira Papel, editor), Thieme Medical Publishers p. 169, 2002
Perkins S., Naderi S.: Rhytidectomy in chapter 19, Facial Plastic and Reconstructive Surgery, Thieme Medical Publishers, Third edition (Ira Papel, editor) p. 207-225, 2009
Baker S. R.: Rhytidectomy, chapter 28 in Cummings Otolaryngology Head and Neck Surgery, Fifth Edition, Volume one, Mosby Elsevier, 2010, pp. 404-427
Perkins S., Dayan S.: Rhytidectomy in chapter 15 Facial Plastic and Reconstructive Surgery, second edition (Ira Papel, editor), Thieme Medical Publishers, pp. 168-169, 2002
Perkins S., Naderi S.: Rhytidectomy in chapter 19, Facial Plastic and Reconstructive Surgery, Thieme Medical Publishers, Third edition (Ira Papel, editor) p. 207-225, 2009
Baker S. R.: Rhytidectomy, chapter 28 in Cummings Otolaryngology Head and Neck Surgery, Fifth Edition, Volume one, Mosby Elsevier, 2010, pp. 404-427
29) C A transposition flap
Kokoska M.S., Thomas J. Regan: Scar Revision in chapter 5 Facial Plastic and Reconstructive Surgery, second edition (Ira Papel, editor), Thieme Medical Publishers, p. 57, 2002
Kokoska M. S., Thomas J.R.: Scar Revision in chapter 5, Facial Plastic and Reconstructive Surgery, Thieme Medical Publishers, Third edition (Ira Papel, editor) p. 59-65, 2009
Regan Thomas J., Mobley S. R.: Scar Revision and Camouflage, chapter 21 in Cummings Otolaryngology Head and Neck Surgery, Fifth Edition, Volume one, Mosby Elsevier, 2010, pp. 295-301
30) A Inadequate fat excision
Weinberg D.A., Baylis H. I.: Transconjuntival lower blepharoplasty in chapter 31 in Facial Plastic Surgery (Millet M.J., editor), Appleton & Lange, p. 306, 1997
Palmer FR 3rd, Rice DH, Churukian MM.: Transconjunctival blepharoplasty. Complications and their avoidance: a retrospective analysis and review of the literature, Arch Otolaryngol Head Neck Surg. 1993 Sep;119(9):993-9.
Korchia D, Braccini F., Paris J, Thomassin JM: Transconjunctival approach in lower eyelid blepharoplasty, Can J Plast Surg. 2003 Autumn; 11(3): 166–170.
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Updated: April 26, 2017
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