931-940 MCQ in Facial Plastic and Reconstructive Surgery

931-940

931) Which of the following measurements related to surgical repair of the cleft lip below depicted below is CORRECT?


A. Millard (3 to 5 + X = 8 to 9)
B. Millard (2 to 6= 8 to 9)
C. Millard (3 to 5 = 8 to 9)
D. Tennison-Randall (3 to 5 + X = 8 to 9)
E. Tennison-Randall (2 to 6= 8 to 9)

932) Which of the following criteria allows THE BEST POSSIBLE results in a Closed Suction Lipectomy?

A. Generalized facial accumulations (non-obese patient)
B. Ptosis and excess skin folds
C. Good laxity of the skin
D. Good bony contour
E. Male gender

933) Which of the following reconstructive flaps is THE BEST CHOICE after wound breakdown with exposed major neck vessels post radical neck dissection and radiation therapy?

A. Deltopectoral flap
B. Lateral trapezius flap
C. Lower trapezius flap
D. Superior trapezius flap
E. Temporalis muscle flap

934) Which of the following statements about Jejunum Free Flap is FALSE?

A. It is an adequate option for hypopharyngeal reconstruction.
B. The second loop of the jejunum is usually used for reconstruction.
C. The harvesting of the jejunal flap is performed with a two-team approach.
D. The flap should be oriented in an isoperistaltic fashion.
E. Externalizing a small segment of jejunum outside the neck is not necessary.

935) Which of the following flaps is the MOST USEFUL for reconstruction after Total Glossectomy?

A. Lateral Trapezius Island Myocutaneous Flap
B. Latissimus Dorsi Free Flap
C. Pectoralis Major Musculocutaneous Flap
D. Radial Forearm Free Flap
E. Superficial Temporal Parietal Fascia flap

936) Which of the following percentage about the overall Jejunal  Free Flap success rate is TRUE?

A. 90%
B. 80%
C. 70%
D. 60%
E. 50%

937) Which of the following statements about Residual Alveolar Ridge Cleft is TRUE?

A. The most common indication for grafting is inadequate oral feeding.
B. The most common bone graft used for closure is cranial bone.
C. The use of cancellous bone fragments is the ideal choice.
D. The best timing for primary repair is at the time of closure of the Cleft Lip.
E. Normal chewing with the front teeth can begin two weeks postop after Alveolar Bone Grafting.

938) In a Periocular Surgical Zone II Full-thickness Eyelid Excision, what is the maximal eyelid defect that can be closed primarily with the assistance of canthotomy and cantholysis ?

A. Defect less than 20% of eyelid width
B. Defect less than 30% of eyelid width
C. Defect less than 40% of eyelid width
D. Defect less than 50% of eyelid width
E. Defect less than 60% of eyelid width

939) Which of the following eyelid or periorbital areas is MOST commonly involved by Basal Cell Carcinoma of the skin?

A. Lateral Canthal area
B. Lower Lid
C. Medial Canthus
D. Periorbital area
E. Upper Lid

940) In which of the following areas is the surgical option for hemangioma is favored rather than observation for purpose of Involution?

A. Cheek area
B. Forehead
C. Lower side of the face and neck
D. Nasal tip
E. Scalp


ANSWERS & REFERENCES


931) A     Millard (3 to 5 + X = 8 to 9)

Sykes J. M.: Diagnosis and Treatment of Cleft Lip and Palate Deformities, Chapter 65 in Facial Plastic and Reconstructive Surgery, (Papel I.D., editor), Second Edition, 2002, pp. 813-829

Capone R. B., Sykes J. M.: Evaluation and Management of Cleft Lip and Palate Deformities, Chapter 76 in Facial Plastic and Reconstructive Surgery, (Papel I.D., editor), Third Edition, 2009, pp. 1059-1078

Ness J. A., Sykes J.M.: Basics of Millard Rotation-Advancement Technique for Repair of the Unilateral Cleft Lip Deformity, Facial Plastic Surgery, July 1993, Vol. 9, No. 3, pp. 167-176

932) C     Good laxity of the skin

Kridel R. W. H., Konior R. J.: Suction Lipectomy, Chapter 21, in Facial Plastic and Reconstructive Surgery, (Papel and Nachlas, editors), 1992, pp.184-192

Kridel R. W. H., Kelly P. E., Castellano R. D.: Suction Liposuction of the Face and Neck: The Art of Facial Sculpture, Chapter 24, in Facial Plastic and Reconstructive Surgery, (Papel. I. D. , editor), 2009, pp.286-300

933) D     Superior trapezius flap

Aviv J. E., Urken M. L., Lawson W., Biller H. F.: The Superior Trapezius Myocutaneous Flap in Head and Neck Reconstruction, Arch. Otolaryngology-Head and Neck Surgery, July 1992, Vo. 118, pp. 702-706

Annino Jr. D. J., Shu R. S.: Musculocutaneous Flaps in Chapter 46 in Facial Plastic and Reconstructive Surgery, Second Edition, (Papel I. D. ,editor), 2002, pp. 560-566

Annino Jr. D. J., Shu R. S., Gold D. R.: Musculocutaneous Flaps in Chapter 56 in Facial Plastic and Reconstructive Surgery, Second Edition, (Papel I. D. ,editor), 2009, pp. 757-764

934) E     Externalizing a small segment of jejunum outside the neck is not necessary.

Burkey B. B., Coleman Jr. J. R.: Microvascular Flaps, Chapter 47 in Facial Plastic and Reconstructive Surgery, (Papel I. D., editor), 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), 2009, pp. 765-793

935) B     Latissimus Dorsi Free Flap

Haughey B. H.: Tongue Reconstruction: Concepts and Practice, Laryngoscope 103, Oct. 1993, pp. 1132-1141

Burkey B. B., Coleman Jr. J. R.: Microvascular Flaps, Chapter 47 in Facial Plastic and Reconstructive Surgery, (Papel I. D., editor), 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), 2009, pp. 765-793

936) A     90%

http://emedicine.medscape.com/article/881905-treatment#a17

937) A     The most common indication for grafting is inadequate oral feeding.

Davis P. T., Hochman M. , Funcik T.: Alveolar Cleft Bone Grafts, Facial Plastic Surgery, July 1993, Vo. 9, No. 3, pp. 232-238

938) D     Defect less than 50% of eyelid width

Spinelli H. M., Jelks G. W.: Periocular Reconstruction: A Systematic Approach, Plastic and Reconstructve Surgery, Maqy 1993, Vol. 91, No. 6, pp. 1017-1024

939) B     Lower Lid

Funk G. F., Hoffman H. T., Carter K. D.: Special Considerations in the Management of Malignant Skin Lesions about the Eye, Facial Skin Malignancy II, Otolaryngologic Clinics of North America, April 1993, Vol. 26, No. 2, pp. 215-230

940) D     Nasal tip

Jackson I. T. Carreño R., Potparic Z., Hussain K.: Hemangiomas, Vascular Malformations, and Lymphovenous Malformations: Classification and Methods of Treatment, Plastic and Reconstructive Surgery, June 1993, Vol. 91, No. 7, pp. 1216-1229

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Updated: July 25, 2017