821) What is the LEAST amount of bone required to be left in place when harvesting the Osteocutaneous Free Flap represented in the drawing below?
A. 4 cmB. 8 cm
C. 12 cm
D. 14 cm
E. 18 cm
822) Which of the following ear structures give sensory innervation the auriculotemporal nerve (V)?
A. Lobule
B. Conchal Bowl
C. Inferior aspect of the Auricle
D. Anterior aspect of the Helix and Tragus
E. Posteromedial surface of the Auricle
823) Which of the following reconstruction methods is the LEAST useful for a medium (not possible to use primary closure) midcheek defect ?
A. Secondary Intention
B. Rhombic Flap
C. Bilobed Flap
D. Cheek Advancement Flap
E. Cervicofacial Rotation Flap
824) Which of the following statements about Merkel Cell Carcinoma is TRUE?
A. Merkel Cell Carcinoma is a malignant tumor derived from neuroendocrine cells of Neural Crest origin.
B. Most of the lesions are localized on the trunk.
C. They are most commonly seen in childhood age.
D. Local recurrence rate is below 5%.
E. Wide local excision is the only effective treatment.
825) Which of the following suture materials has the MOST tensile strength?
A. Polypropylene (Prolene)
B. Silk
C. Polyglactin (Vicryl)
D. Polyester (Mersilene)
E. Nylon
A. A gentle pressure head dressing is used for 48 hours.
B. Head elevation and no bending for 48 hours is mandatory.
C. Shampoo and shower are allowed at 48 hours.
D. Saline spray and aloe gel are applied to the grafts at night.
E. Initial postoperative follow up is at 2 weeks.
827) Which of the following statements about hairline design is FALSE?
A. The design should be high.
B. The design should be symmetrical.
C. The design should include a temporal recesion.
D. The most anterior point of hairline is placed at 7.0 cm from the midglabella point.
E. The temporal points linking frontal hair with temporal hair should be located at the intersection of a line drawn from the Lateral Canthus to the Temporal Fringe.
828) When is it USUALLY recommended to remove the auricle dressing after otoplastic surgery?
A. 1 day
B. 2 days
C. 3 days
D. 4 days
E. 5 days
829) Which of the following statements about nasal reconstruction is TRUE?
A. The skin of the nasal dorsum and sidewall is thick , non-pliable and fixed to underlying tissues.
B. The Paramedian Forehead Flap is a random flap.
C. The Paramedian Forehead Flap will improve results if delay is used.
D. The Nasolabial Flap is a "workhorse" for lower nasal defects.
E. The Nasolabial Flap is an Axial Flap with the main blood supply from the Labial Artery.
830) Which of the following statements about Alloderm is FALSE?
A. Alloderm is fabricated from cadaveric skin.
B. Alloderm has an acelular dermis matrix.
C. Alloderm does not contain epidermis.
D. Alloderm carries the complication of migration.
E. Alloderm is used as a soft tissue filler and camouflage of grafts.
ANSWERS & REFERENCES
821) B 8 cm
Burkey B. B., Coleman, Jr., J. R.: Microvascular Flaps, chapter 47 in Facial Plastic and Reconstructive Surgery, (Papel I. D., editor), Facial Plastic and Reconstructive Surgery, Second Edition, 2002, pp.567-590
Burkey B. B., Schmalbach C. E., Coleman, Jr., J. R.: Microvascular Flaps, chapter 57 in Facial Plastic and Reconstructive Surgery, (Papel I. D., editor), Facial Plastic and Reconstructive Surgery, Third Edition, 2009, pp. 765-793
Chepeha D. B., Teknos T. N.: Microvascular Free Flaps in Head and Neck Reconstrucion, chapter 162 in Head and Neck - Otolaryngology, (Bailey, B. J., editor), 4th edition, 2006, pp. 2369-2391
822) D Anterior aspect of the Helix and Tragus
Calhoun K. H., Chase S.P.: Reconstruction of the Auricle, Local Cutaneous Flaps (Park, S.S.,editor), Facial Plastic Surgery Clinics of North America, May 2005, Vol. 13, No. 2, pp. 231-241
Nachlas N. E.: Otoplasty, chapter 27 in Facial Plastic and Reconstructive Surgery, (Papel I. D., editor), Facial Plastic and Reconstructive Surgery, Second Edition, 2002, pp. 309-321
823) A Secondary Intention
Pletcher S. D., Kim D. W.: Current Concepts in Cheek Reconstruction, (Park, S.S.,editor), Facial Plastic Surgery Clinics of North America, May 2005, Vol. 13, No. 2, pp. 267-281
824) A Merkel Cell Carcinoma is a malignant tumor derived from neuroendocrine cells of Neural Crest origin.
Padgett J. K.: Cutanenous Lesions: Benign and Malignant in Local Cutaneous Flaps ( Park S. S., editor) , Facial Plastic Surgery Clinics of North America, May 2005, Vol.13, No.2, pp.195-202
825) D Polyester (Mersilene)
Frideman J., Mosser S. W.: Closure Material, chapter 4 in Operative Plastic Surgery, (Evans G. R.D., editor), McGraw-Hill, 2000, pp.26-32
826) A A gentle pressure head dressing is used for 48 hours.
Vogel J. E.: Hair Restoration, Chapter 21 in Operative Plastic Surgery (Evans G. R.D., editor), 2000, pp.208-224
827) D The most anterior point of hairline is placed at 7.0 cm from the midglabella point.
Vogel J. E.: Hair Restoration, Chapter 21 in Operative Plastic Surgery (Evans G. R.D., editor), 2000, pp.208-224
Stough III D. B., Stough IV D. B.:Hair Replacement Techniques, Hair Replacement Techniques, chapter 25 in Facial Plastic and Reconstructive Surgery, (Papel I.D., & Nachlas N.E., editor, editors), Mosby Year Book, 1992, pp. 169-178
Furnas D. W.: Otoplasty for Protruding Ears, Cryptotia, or Stahl’s Ear, Chapter 40 in Operative Plastic Surgery (Evans G. R.D., editor), 2000, pp.417-448
Nachlas N. E.: Otoplasty, Chapter 27 in Facial Plastic and Reconstructive Surgery, (Papel, I. D., editor), Second Edition, 2002, pp.309-321
829) D The Nasolabial Flap is a "workhorse" for lower nasal defects.
Menick F. J.: Forehead Flap for Nasal Reconstruction, Chapter 24 in Operative Plastic Surgery (Evans G. R.D., editor), 2000, pp.255-268
Mayer M. H.: Nasolabial Flap, Chapter 25 in Operative Plastic Surgery (Evans G. R.D., editor), 2000, pp. 269-277
Romo III T., Kwak E. S.: Nasal Grafts and Implants in Revision Rhinoplasty, Facial Plastic Surgery Clinics of North America, (Kridel R. W.H., editor), Nov. 2006, Vol. 14, No. 4, pp.373-387
Stucker F. J.. Shaw G., Ephrat M.: Biologic Tissue Implants, Chapter 7 in Facial Plastic and Reconstructive Surgery, (Papel I.D., editor), Second Edition, Thieme, 2002, pp.73-78
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Updated: June 25, 2017
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