641) The drawing below represents the medial orbital wall, in particular the frontoethmoidal suture. What is the measurement of the area indicated by the arrow marked with an X?
A. 25 mmB. 30 mm
C. 35 mm
D. 40 mm
E. 55 mm
642) Which of the following represents the FIRST STAGE of Nagata’s Method for microtia reconstruction is TRUE?
A. Framework placement
B. Framework placement and lobule transposition
C. Framework placement, incorporation of tragal component and lobule transposition
D. Excision of remnant cartilages and lobule transposition
E. Lobule transposition
643) Which of the following is the MOST COMMON complication related to the use of silastic material for auricular reconstruction?
A. Hematoma
B. Infection
C. Exposure
D. Displacement
E. Poor cosmetic result
644) Which of the following INCISIONS is the one recommended for the retrograde approach in Rhinoplasty?
A. Transcartilaginous
B. Intercartilaginous
C. Marginal
D. Rim
E. Transcolumellar and marginal
645) Which of the following dissections IS RECOMMENDED for protection of the facial nerve in the temporal approach for Endoscopic Brow Elevation?
A. Dissection in the subperiosteal plane
B. Dissection in the areolar tissue plane (innominate fascia)
C. Dissection in the supraperiosteal plane
D. Dissection medial and inferior to a branch of the zygomaticotemporal vein
E. Dissection lateral and superior to a branch of the zygomaticotemporal vein
646) Which of the following represents the SECOND STAGE of BRENT’S technique for microtia reconstruction?
A. Framework placement
B. Lobule transposition
C. Lobule transposition and tragus reconstruction
D. Excision of remnant cartilages and lobule transposition
E. Framework placement, incorporation of tragal component and lobule transposition
647) Which of the following statements about head and neck embryology is TRUE?
A. The development of the pharyngeal arches begins at approximately day 20.
B. Each pharyngeal arch contains an artery, a nerve, a cartilaginous bar, and a muscle component.
C. The stapedius muscle and posterior belly of digastric muscle form part of the first pharyngeal arch.
D. The stylopharyngeus muscle forms part of the second pharyngeal arch.
E. The thyroid and cricoid cartilages form part of the third pharyngeal arch.
648) Which of the following anatomical structures is a derivative of the second pharyngeal arch?
A. Maxilla
B. Zygoma
C. Incus
D. Cricoid
E. Stapes
649) Which of the following MEASUREMENTS refers to the distal radius bone segment that can safely be harvested in a composite reconstruction using a Radial Forearm Free Flap?
A. 5 cm
B. 10 cm
C. 15 cm
D. 20 cm
E. 25 cm
650) Which of the following PERCENTAGES APPROXIMATES the survival rate of Micrografts in Hair Replacement Surgery?
A. 60%
B. 70%
C. 80%
D. 90%
E. 100%
ANSWERS & REFERENCES
641) C 35 mm
Burkat C. N., Lemke B. N.: Anatomy of the Orbit and Its Related Structures, Advances in Oculo-facial Surgery, ( Bosniak S. L., editor), Otolaryngologic Clinics of North America, October 2005, Vol.38, No. 5, pp.825-856
642) C Framework placement, incorporation of tragal component and lobule transposition
Walton R. L., Beahm E. K.: Auricular Reconstruction for Microtia: Part II. Surgical Techniques, Plastic and Reconstructive Surgery, January 2002, Vol. 110, No. 1, pp. 234-249
643) C Exposure
Walton R. L., Beahm E. K.: Auricular Reconstruction for Microtia: Part I, Anatomy, Embryology and Clinical Evaluation, Plastic and Reconstructive Surgery, June 2002, Vol. 109, No. 7, pp. 2473-2482
644) B Intercartilaginous
Tardy M. E., Toriumi D. M., Hecht D.A.: Philosophy and Principales of Rhinoplasty, Chapter 32 Facial Plastic and Reconstructive Surgery, Thieme Medical Publishers, Third edition (Ira Papel, editor), 2009, pp. 507-528
645) D Dissection medial and inferior to a branch of the zygomaticotemporal vein
http://emedicine.medscape.com/article/839535-overview
http://emedicine.medscape.com/article/1276726-overview
646) B Lobule transposition
Walton R. L., Beahm E. K.: Auricular Reconstruction for Microtia: Part II. Surgical Techniques, Plastic and Reconstructive Surgery, January 2002, Vol. 110, No. 1, pp. 234-249
Goding G. S., Eisele D. W.: Embryology of the Face, Head and Neck, Chapter 62 in Facial Plastic and Reconstructive Surgery, Second Edition, (Papel I. D., editor), 2002 , pp.785-794
Goding G. S., Eisele D. W.: Embryology of the Face, Head and Neck, Chapter 73 in Facial Plastic and Reconstructive Surgery, Third Edition, (Papel I. D., editor), 2009 , pp. 1019-1028
648) E Stapes
Goding G. S., Eisele D. W.: Embryology of the Face, Head and Neck, Chapter 62 in Facial Plastic and Reconstructive Surgery, Second Edition, (Papel I. D., editor), 2002 , pp.785-794
Goding G. S., Eisele D. W.: Embryology of the Face, Head and Neck, Chapter 73 in Facial Plastic and Reconstructive Surgery, Third Edition, (Papel I. D., editor), 2009 , pp. 1019-1028
649) B 10 cm
Burkey B. B., Schmalbach C. E., Coleman Jr. J. R.: Microvascular Flaps, Chapter 57 in Facial Plastic and Reconstructive Surgery, Third Edition, (Papel I. D., editor), 2009 , pp. 765-793
Chepeha D. B., Teknos T. N.: Microvascular Free Flaps in Head and Neck Reconstruction, Chapter 162, in Head & Neck Surgery Otolaryngology, (Bailey, B. J., editor), 4th Edition, Lippincott Williams & Wilkins, 2006, pp. 2369-2391
650) E 100%
Buchwach K. A.: Standard Grafts, Minigrafts, and Micrografts, Their Use in Hair Transplantation, Facial Plastic Surgery Clinics of North America , Hair Replacement Surgery, (Konior R.J. and Rousso D. E. ., editors), May 1994, Vol. 2, No. 2, pp. 149-161
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Updated: June 15, 2017
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