951) Which of the following surgical techniques used in Rhinoplasty is the one represented in the drawing below?
A. Flaring SutureB. Intradomal Sutures
C. Septocolumellar Suture
D. Tip Suspension Suture
E. Transdomal Sutures
952) Which of the following anatomical structures is localized between the Deep Temporal Fascia and the Temporalis Muscle?
A. Superficial Fat Pad
B. Intermediate Fat Pad
C. Deep Temporal Fat Pad
D. Temporal Fascia proper
E. Masseter Muscle
953) Which of the following is the source of Interferon?
A. Fibroplasts and Lymphocytes
B. Macrophages and Neutrophils
C. Masts Cells and Lymphocytes
D. Neutrophils and Lymphocytes
E. Platelets and Muscle cells
954) Which of the following statements about the Oriental Epicanthal Fold is TRUE?
A. 70% of Oriental Eyelids exhibit an Epicathus.
B. Effacement of the fold is based on a Bilateral Rotation Flap.
C. Effacement of the fold will create a wider nasal bridge.
D. Elongation is performed in the lateral direction.
E. A large epicanthus will require W-plasty advancement.
955) Which of the following nasal inadequacies is BEST corrected with an Umbrella Graft?
A. Saddle nose
B. Inadequate tip rotation
C. Inadequate tip projection
D. Inadequate internal nasal valve
E. Inadequate tip rotation and projection
956) Which of the following statements relating to the Infraorbital Foramen Nerve is TRUE?
A. The Infraorbital Foramen is located on a vertical line dropped from the Medial Limbus of the Iris.
B. The infraorbital foramen is located approximately 20 mm below the Orbital Rim.
C. The Transcutaneous Nasolabial Approach is the best for blocking the Infraorbital Nerve.
D. The areas numbed by blocking the Infraorbital Nerve are the nose and the upper lip.
E. The direct injection of anesthesia into the Infraorbital Foramen is contraindicated.
957) Your must close an 8 cm. x 8 cm. circular defect on the malar surface of the face of a 47-year-old man, using the “Round Block” “Purse-String” Suture. Multiple large numbers of concentric redundant skin folds are formed with such closure, associated with a considerable distortion of nearby structures. Which of the following managements is the best to use in this particular situation?
A. Full thickness skin graft to decrease skin tension
B. Conservative management for 1 month
C. Chemical Peeling after healing is completed
D. Botulinum Toxin injection during the healing process
E. Botulinum Toxin injection in the postoperative process
958) A 47-year-old woman is complaining of the gradual onset of bilateral facial masses, left greater than right, over several years. No other complaints are reported. The physical examination revealed bilateral, well-demarcated, walnut-sized masses located in the lower cheek area above the jowl. The most common successful management of this condition is:
A. Deep Plane Face Lift
B. Excesion of the enlarged Nasolabial Folds
C. Intraoral Buccal Lipectomy
D. Midface Lift
E. SMAS Face Lift
959) Which of the following statements is FALSE regarding use of the Endonasal Spreader Graft for management of Internal Nasal Valve Insufficiency?
A. Autogenous materials are used for grafting.
B. The Upper Lateral Cartilage should be divided from the Septum.
C. Grafts are placed between the Nasal Septum and the Upper Lateral Cartilage.
D. Grafts are placed subperichondrally.
E. Grafts can be secured in a tight-fitting tunnel.
960) Which of the following, with reference to Temporalis Muscle Transfer for management of Facial Paralysis will improve the abnormal bulge of the muscle?
A. Transfer the middle third of the muscle
B. Transfer the lateral third of the muscle
C. Transfer the medial third of the muscle
D. Transfer the entire muscle with a wider tunnel
E. Transfer the entire muscle below the zygomatic arch
ANSWERS & REFERENCES
951) A Flaring Suture
Park SS.: The flaring suture to augment the repair of the dysfunctional nasal valve, Plast Reconstr Surg. 1998 Apr;101(4):1120-1122
http://emedicine.medscape.com/article/841574-overview
Quatela V. C., Graham III D., Sabini P.: Rejuvenation of the Brow and Midface, Chapter 16 in Facial Plastic and Reconstructive Surgery, (Papel I. D. , editor), Second Edition, 2002, pp.171-184
Graham III H. D., Quatela V. C., Sabini P.: Endoscopic Approach to the Brow and Midface, Chapter 20 in Facial Plastic and Reconstructive Surgery, (Papel I. D. , editor), Third Edition, 2009, pp.227-241
953) A Fibroplasts and Lymphocytes
Fisher E. , Frodel Jr, J. L.: Wound Healing in Chapter 2 in Facial Plastic and Reconstructive Surgery (Papel I. D., editor), Second Edition, 2002, pp. 15-25
Fisher E. , Frodel Jr, J. L.: Wound Healing in Chapter 2 in Facial Plastic and Reconstructive Surgery (Papel I. D., editor), Third Edition, 2009, pp. 15-25
954) E A large epicanthus will require W-plasty advancement.
McCurdy Jr. J. A.: Management of the Epicanthal Fold, Surgery in the Asian Patient, Facial Plastic Surgery Clinics of North America, Feb. 1996, Vol. 4, No. 1, pp. 25-33
McCurdy, Jr. J. A.: Cosmetic Surgery of the Asian Face, Chapter 28 in Facial Plastic and Reconstructive Surgery, (Papel I.D. , editor), 2002, pp.322-343
Peck Jr., G. C., Michelson L., Segal J., Peck Sr. G.C.: An 18-year Experience with the Umbrella Graft in Rhinoplasty, Plastic and Reconstructive Surgery, Vol. 102, No. 6, Nov. 1998, pp. 2158-2165
Zide B. M., Swift R.: How to Block and Tackle the Face, Plastic and Reconstructive Surgery, March 1998, Vol. 101, No. 3, pp.840-851
Tremolada C., Blandini D., Beretta M., Mascetti M.: The "Round Block Purse-String Suture: A Simple Method to Close Skin Defects with Minimal Scarring, Plastic and Reconstructive Surgery, July 1997, Vol.100, No. 1, pp. 126-131
958) C Intraoral Buccal Lipectomy
Matarasso A.: Pseudoherniation of the Buccal Fat Pad: New Clinical Syndrome, Facial Plastic and Reconstructive, Sept. 1997, Vol.100, No.3, pp. 723-730
959) B The Upper Lateral Cartilage should be divided from the Septum.
André R. F., Paun S. H., Vuyk H.D.: Endonasal Spreader Graft Placement as Treatment for Internal Nasal Valve Insufficiency, No Need to Divide the Upper Lateral Cartilages from the Septum, Arch. Facial Plastic Surg., Jan-Feb. 2004, Vol. 6, pp. 36-40
960) C Transfer the medial third of the muscle
Sherris D. A..: Refinament in Reanimation of the Lower Face, Arch. Facial Plastic Surg., Jan-Feb. 2004, Vol. 6, pp. 49-53
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Updated: July 25, 2017
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