611) Which TECHNIQUE to close a surgical defect of the lower lip is demonstrated in the drawing below?
A. Gillies
B. Unilateral Karapandzic flap
C. Parallel Abbé flap
D. Webster flap
E. Johanson flap
612) Which of the following statements about the FIBULAR OSTEOCUTANEOUS FLAP is FALSE?
A. The peroneal artery and vein provide the primary blood supply to this flap.
B. The sensory input to the flap is provided by the direct innervation of the common peroneal nerve.
C. Flap elevation is usually done with a thigh tourniquet inflated to 350 mm Hg.
D. A segment of 8 cm of fibula is preserved proximally and distally.
E. A posterior splint is left in place for 10 days.
613) When will FAST ABSORBING SURGICAL GUT LOOSE virtually ALL TENSILE STRENGTH?
A. 48 hours
B. 72 hours
C. 5 days
D. 7 days
E. 10 days
614) Which of the following flaps is the ONE in which the base of the flap is not adjacent to the recipient defect and a second stage is required?
A. Rotation
B. Advancement
C. Interposition
D. Interpolation
E. Island
615) In which of the following facial areas are SILK SUTURES INDICATED?
A. Nose
B. Cheek
C. Forehead
D. Ear
E. Eyelid margin
616) A patient had botulinum A exotoxin (BTX-A) injected into the forehead. After 3 days there was still no response. Which of the following is TRUE?
A. Reinjection in 3 months
B. Reinjection with a half dose at day 4
C. Reinjection at 2 weeks
D. No for further injections
E. Reinjection increasing the initial dose at 2 weeks
617) Which of the following represents the EARLIEST SYMPTOM of LOCAL ANESTHETIC TOXICITY?
A. Visual disturbance
B. Convulsions
C. Muscular twitching
D. Respiratory system depression
E. Numbness of tongue
618) Which of the following statements about split-thickness skin grafts (STSG) is INCORRECT?
A. STSG contain a portion of the epidermis.
B. STSG are easy to harvest.
C. STSG have a different texture and lighter color than the neighboring tissue.
D. STSG are cosmetically inferior to full-thickness skin grafts.
E. STSG are less durable to than full-thickness skin grafts.
619) Which is of the following tissues IS LESS TOLERANT of EXPANSION?
A. Epidermis
B. Adipose tissue
C. Blood vessels
D. Muscular tissue
E. Neural tissue
620) Which of the following statements about the RADIAL FOREARM FLAP is TRUE?
A. It is a fascial or a fasciocutaneous flap.
B. The flap is very reliable, but is thick , non-pliable and without sensation.
C. Pathologic fracture is possible, but is not frequently occurring.
D. Primary closure of the donor site is always possible.
E. Magnetic resonance angiography is mandatory preoperatively to assess adequate blood flow
ANSWERS & REFERENCES
611) E Johanson flap
Ellis D. A.F., Gullane P. J.: Cosmetic and Reconstructive Lip Surgery, chapter 23 in Instructional Courses, American Academy of Otolaryngology Head and Neck Surgery, (Johnson, Blitzer, Ossoff, Thomas, editors) , Volume 1, pp.269-271, 1988
612) B The sensory input to the flap is provided by the direct innervation of the common peroneal nerve.
Burkey B. B., Coleman Jr., J. R.: Microvascular Flaps, in Chapter 47, Facial Plastic and Reconstructive Surgery, Second Edition, Thieme (Papel, I., editor), 2002, pp. 578-581
Burkey B. B., Schmalbach C. E., Coleman Jr., J. R.: Microvascular Flaps, in Chapter 57, Facial Plastic and Reconstructive Surgery, Third Edition, Thieme (Papel, I., editor), 2009, pp. 578-581
613) C 5 days
Maas C. S.: Wound Management and Suturing Manual, Facial Plastic Surgery, American Academy of Facial Plastic and Reconstructive Surgery, pp. 28-29, 2001
Cheney M. L.: Soft Tissue Techniques, Chapter 3 in Facial Surgery, Plastic and Reconstructive, Williams & Wilkins, pp. 53-55, 1997
Triana Jr. R. J., Murakami C. S., Larrabee Jr. W. F.: Skin Grafts and Local Flaps, in Chapter 4, Facial Plastic and Reconstructive Surgery, Third Edition, Thieme (Papel, I., editor), 2009, pp. 41-57
Park S. S.: Local and Regional Cutaneous Flaps, in Chapter 54, Facial Plastic and Reconstructive Surgery, Third Edition, Thieme (Papel, I., editor), 2009, pp. 721-743
615) E Eyelid margin
Holt G. R.: Aesthetic primary wound treatment to improve scars chapter 6 in Facial Scars, Incision, Revision and Camouflage (Thomas, Holt, editors), Mosby, p. 67, 1989
616) C Reinjection at 2 weeks
Blitzer A., Binder W. J., Brin M. F.: Botulinum Exotoxin A (Botox) for Facial Wrinkles, Chapter 23 in Facial Plastic and Reconstructive Surgery, Second Edition, Thieme, (Papel, editor), 2002, p. 262-268
Meyer T. K., Blitzer A.: Botulinum Toxin for Facial Wrinkles, Chapter 30 in Facial Plastic and Reconstructive Surgery, Third Edition, Thieme, (Papel, editor), 2009, p. 369-377617) E Numbness of tongue
Feinstein R., Nielsen H. C.: Local anesthetics chapter 4 in Facial Scars, Incision, Revision and Camouflage (Thomas, Holt, editors), Mosby, pp. 37-38, 1989
Levine H. L.: Skin, Dermal and Mucosal grafting, Chapter 2, Otolaryngology, (Paparella, Schumrick, Gluckman, Meyerhoff, editors), Saunders, Vol. IV, Plastic and Reconstructive Surgery and Interrelated Disciplines, Third Edition, pp. 2639-2645, 1991
Triana Jr. R. J., Larrabee Jr. W. F.: Skin Grafts and Local Flaps, Chapter 4 in Facial Plastic and Reconstructive Surgery, Third Edition, Thieme, (Papel, editor), 2009, pp. 41-58
619) B Adipose tissue
Hoffmann J. F.: Tissue Expansion in Reconstruction of the Head and Neck, Chapter 45 in Facial Plastic and Reconstructive Surgery, (Papel, I, editor), Thieme,2002, pp. 549-551
Hoffmann J. F.: Tissue Expansion in Reconstruction of the Head and Neck, Chapter 55 in Facial Plastic and Reconstructive Surgery, (Papel, I, editor), Thieme, 2009, pp. 549-551
620) A It is a fascial or a fasciocutaneous flap.
Burkey B. B., Coleman Jr., J. R.: Microvascular Flaps, in Chapter 47, Facial Plastic and Reconstructive Surgery, Second Edition, Thieme (Papel, I., editor), pp. 567-571, 2002
Burkey B. B., Schmalbach C. E., Coleman Jr., J. R.: Microvascular Flaps, in Chapter 57, Facial Plastic and Reconstructive Surgery, Third Edition, Thieme (Papel, I., editor), 2009, pp. 578-581
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Updated: June 1, 2017
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