541-550
A. Zone I neck injury, immediate neck explorationB. Zone I neck injury, angiography prior to neck exploration
C. Zone III neck injury, immediate neck exploration
D. Zone III neck injury, angiography prior to neck exploration
E. Zone I neck injury, immediate midline sternotomy
542) Which of the following statements about a ptotic and overrotated tip is FALSE?
A. Lack of tip support will lead to a tip ptosis with an overly obtuse nasolabial angle.
B. An obtuse nasolabial angle is preferable in females, while an acute nasolabial angle is preferable in males.
C. A lateral crural steal will increase rotation and projection.
D. A full-transfixion incision will decrease rotation and projection.
E. Columellar strut will increase rotation and projection.
543) Which of the following statements about alar retraction is FALSE?
A. Alar retraction is usually a consequence of over-resection of the lateral crus of the lower lateral cartilage.
B. The vestibular mucosa should always be preserved in order to avoid scar contracture.
C. In minor cases of alar retraction, cartilage grafts can be used for the repair.
D. In severe cases of alar retraction, composite auricular grafts are used for repair.
E. The cymba concha of the ipsilateral ear provides the best contour for composite grafting.
544) Which of the following surgical maneuvers will WORSEN a retracted columella?
A. Plumping grafts inserted at the base of the columella
B. Columellar struts
C. Cartilage grafts
D. Composite grafts
E. Excision of the caudal end of the septum
545) Which of the following statements about Rhinoplasty is TRUE?
A. The internal nasal valve is bounded by the cephalic margin of the lower lateral cartilages and the septum.
B. Rocker deformity is due to lateral osteotomy done too low into the thick ascending process of the maxilla.
C. Inadequate support of the lower lateral cartilages after dorsal hump removal can result in an inverted-V deformity.
D. It is standard to resect less hump at the rhinion in order to avoid over-resection at this level.
E. Nasal over-reduction is easier to correct than nasal under-reduction.
546) Which of the following statements about the middle vault in Rhinoplasty is TRUE?
A. At the cephalic end the upper lateral cartilages are fused with the nasal bones, inserting just above the caudal ends of the bones.
B. The angle between the septum and the upper lateral cartilage is one of 30 degrees.
C. The nasal valve represents the site of least resistance to airflow through the nose.
D. The inverted-V deformity of the middle vault is a classic sign of posterior displacement of the nasal bones and upper lateral cartilages.
E. Preservation of the middle-vault mucosa will not help to minimize posterior displacement of the upper lateral cartilages after hump removal.
547) Which of the following statements is TRUE regarding rhinoplastic surgical maneuvers?
A. Lateral crural steal will decrease rotation.
B. Full-transfixion incision will increase rotation.
C. Plumping grafts will increase projection.
D. A radix graft will decrease the nasal length.
E. A deep nasofrontal angle will increase nasal length.
548) Which of the following statements is FALSE about Rhinoplasty done for a Bilateral Cleft Lip-Nasal Deformity?
A. An open approach is advisable.
B. A Columellar approach using an inverted V incision or bilateral forked flaps is advisable.
C. Septoplasty to correct any nasal obstruction and to obtain grafting material is advisable.
D. A Cartilaginous Columellar Strut Graft to enhance projection is advisable.
E. The Lower Lateral Cartilages are divided and inverted but not reconstructed or sutured to the columellar strut.
549) Which of the following is the usual dose (per side) of Botox for treatment of Crow’s Feet?
A. 5 units
B. 10 units
C. 20 units
D. 35 units
E. 40 units
550) Which following degrees represents the LEGAN Facial Convexity Angle?
A. 15º
B. 20º
C. 25º
D. 35º
E. 40º
ANSWERS & REFERENCES
541) B Zone I neck injury, angiography prior to neck exploration
Stewart M. G.: Penetrating Face and Neck Trauma, Chapter 68 Head and Neck Surgery – Otolaryngology, (Bailey), Lippincott Williams & Wilkins, Third Edition, pp. 817-820, 2001
Stewart M. G.: Penetrating Face and Neck Trauma, Chapter 72 Head and Neck Surgery – Otolaryngology, (Bailey), Lippincott Williams & Wilkins, 4th Edition, pp. 1017-1026, 2006
542) A Lack of tip support will lead to a tip ptosis with an overly obtuse nasolabial angle.Becker D. G.: Complications of Rhinoplasty, Chapter 49 Facial Plastic and Reconstructive Surgery, Thieme Medical Publishers, Third edition (Ira Papel, editor) p. 639, 2009
543) E The cymba concha of the ipsilateral ear provides the best contour for composite grafting.
Becker D. G.: Complications of Rhinoplasty, Chapter 39 Facial Plastic and Reconstructive Surgery, Thieme Medical Publishers, second edition (Ira Papel, editor) p. 454, 2002
Becker D. G.: Complications of Rhinoplasty, Chapter 49 Facial Plastic and Reconstructive Surgery, Thieme Medical Publishers, Third edition (Ira Papel, editor) p. 640, 2009
Becker D. G.: Complications of Rhinoplasty, Chapter 39 Facial Plastic and Reconstructive Surgery, Thieme Medical Publishers, second edition (Ira Papel, editor) p. 454, 2002
Becker D. G.: Complications of Rhinoplasty, Chapter 49 Facial Plastic and Reconstructive Surgery, Thieme Medical Publishers, Third edition (Ira Papel, editor) p. 641, 2009
545) D It is standard to resect less hump at the rhinion in order to avoid over-resection at this level.
Becker D. G.: Complications of Rhinoplasty, Chapter 39 Facial Plastic and Reconstructive Surgery, Thieme Medical Publishers, Second edition (Ira Papel, editor) pp. 457-459, 2002
Becker D. G.: Complications of Rhinoplasty, Chapter 49 Facial Plastic and Reconstructive Surgery, Thieme Medical Publishers, Third edition (Ira Papel, editor) pp. 639-648, 2009
546) D The inverted-V deformity of the middle vault is a classic sign of posterior displacement of the nasal bones and upper lateral cartilages.
Papel I. D.: Surgery of the Middle Vault, Chapter 43 Facial Plastic and Reconstructive Surgery, Thieme Medical Publishers, Third edition (Ira Papel, editor) pp. 555-561, 2009
547) C Plumping grafts will increase projection.
Becker D. G.: Complications of Rhinoplasty, Chapter 39 Facial Plastic and Reconstructive Surgery, Thieme Medical Publishers, second edition (Ira Papel, editor) p. 453, 2002
Becker D. G.: Complications of Rhinoplasty, Chapter 49 Facial Plastic and Reconstructive Surgery, Thieme Medical Publishers, Third edition (Ira Papel, editor) pp. 639-648, 2009
Coleman Jr. J. R., Sykes J. M.: Cleft Lip Rhinoplasty, Chapter 66 Facial Plastic and Reconstructive Surgery, Thieme Medical Publishers, second edition (Ira Papel, editor) pp. 840-841, 2002
Coleman Jr. J. R., Sykes J. M.: Cleft Lip Rhinoplasty, Chapter 77 Facial Plastic and Reconstructive Surgery, Thieme Medical Publishers, Third edition (Ira Papel, editor) pp. 1079-1093, 2009
549) B 10 units
Blitzer A., Binder W. J., Brin M. F.: Botulinum Exotoxin A (Botox) for Facial Wrinkles, Chapter 23 Facial Plastic and Reconstructive Surgery, Thieme Medical Publishers, second edition (Ira Papel, editor) p. 265, 2002
Meyer T. K., Blitzer A.: Botulinum Toxin for Facial Wrinkles, Chapter 30 Facial Plastic and Reconstructive Surgery, Thieme Medical Publishers, Third edition (Ira Papel, editor) pp. 373, 2009
550) A 15º
Papel I. D.: Computer Imaging for Facial Plastic Surgery, Chapter 10 Facial Plastic and Reconstructive Surgery, Thieme Medical Publishers, second edition (Ira Papel, editor) pp. 111-115, 2002
Papel I. D.: Computer Imaging for Facial Plastic Surgery, Chapter 12 Facial Plastic and Reconstructive Surgery, Thieme Medical Publishers, Third edition (Ira Papel, editor) pp. 135-141, 2009
Updated: June 1, 2017
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