251) Which of the following reconstructive techniques is THE ONE represented in the drawing below?
A. Bilateral advancement flapB. Abbé flap
C. Estlander flap
D. Gillies fan flap
E. Bernard Burrow flap
252) A patient has an idiopathic left facial paralysis. Which of the following indicates a POOR prognosis?
A. Sudden onset
B. Disturbance of taste
C. No acoustic stapedial reflex
D. Loss of the Bell's phenomenon
E. Decrease of blinking function
253) Which of the following is MOST commonly associated with flap necrosis in rhytidectomy?
A. Deep-plane rhytidectomy
B. SMAS rhytidectomy
C. SMAS rhytidectomy with plication technique
D. Excessive pressure applied by postoperative facial bandage
E. Smoking history
254) Which of the following IS INCORRECT postoperative rhytidectomy procedure?
A. The surgeon should checks on the patient the night of the surgery.
B. Unilateral facial pain is a warning sign.
C. The first visit with the patient is on the second postoperative day.
D. The preauricular sutures are removed on the fifth day postoperative.
E. The stainless steel clips are partially removed on the seventh day postoperative.
255) Which of the following statements is RELATED to a unilateral cleft lip nose deformity?
A. Cleft nostril is usually vertically oriented and narrow.
B. Caudal septum deflects toward the noncleft side.
C. Nasal tip deflects toward the cleft side.
D. Internal nasal valve is usually not compromised.
E. Nasal floor and sill are usually present and well formed.
256) A young female actress has requested a scar revision procedure. The scar is on her right cheek and was sustained 3 months ago after a car accident. The scar is 4.5 cm long, linear, slightly elevated and erythematous. The NEXT step in the management for this patient:
A. Dermabrasion
B. Corticosteroids
C. W-plasty revision
D. Geometric broken line closure revision
E. No surgery but follow up
257) Which of the following nasal muscles is the one that can DEPRESS THE NASAL TIP caudally and “round up” the supratip area?
A. Dilator naris anterior
B. Depressor septi nasi
C. Transverse nasalis
D. Levator labii-superioris alae nasi
E. Procerus and Corrugator (synergistically)
258) Which of the following RELATES to “polly beak” deformity?
A. Inadequate resection of the upper third of the nose
B. Inadequate resection of the dorsal septal cartilage
C. Excessive resection of the upper lateral cartilage
D. Inadequate removal of the lower lateral cartilage
E. Excessive scar tissue in the middle third of the nose
259) Which of the following features indicates POOR candidacy for rhytidectomy?
A. Minimal photoaging
B. Shallow cheek-lip grooves
C. Acute cervicomental angle
D. Shallow cheek bones
E. Strong foreword chin
260) Which of the following surgical maneuvers is INCORRECT in open structure rhinoplasty technique?
A. Conservative cephalic trim of the lower lateral cartilage.
B. Columellar strut sutured in place.
C. Shield shaped tip graft sutured in place.
D. Tip projection preservation with use of transfixion incision and the standard septocolumellar suture.
E. Mandatory incision-separation of the upper and lower alar cartilage.
ANSWERS & REFERENCES
251) B Abbé flap
Esclamado R. M., Krause C. J.: Lip Cancer, Chapter 108 in Head and Neck Surgery-Otolaryngology (Bailey), Third Edition, Lippincott Williams & Wilkins, 2001, pp. 1306
Esclamado R. M., Fritz M. A.: Lip Cancer, Chapter 110 in Head and Neck Surgery-Otolaryngology (Bailey), 4th Edition, Lippincott Williams & Wilkins, 2006, pp. 1535-1549
Baker S. R.: Reconstruction of Facial Defects, chapter 24 in Cummings Otolaryngology-Head and Neck Surgery, Fifth edition, Volume one, Mosby Elsevier, 2010, pp.342-363
252) D Loss of the Bell's phenomenon
May M., Sobol S.M.: Rehabilitation of the Paralyzed Face, Chapter 47, Facial Plastic and Reconstructive Surgery, (Papel, Nachlas), Mosby, First Editor, 1992, pp.435-436
253) E Smoking history
Perkins S., Dayan S.: Rhytidectomy, Chapter 15 in Facial Plastic and Reconstructive Surgery, Thieme, Second Edition, pp. 167-170, 2002
Perkins S., Naderi S.: Rhytidectomy, Chapter 19 in Facial Plastic and Reconstructive Surgery, Thieme, Third Edition, pp. 207-225, 2009
Baker S. B.: Rhytidectomy, chapter 28 in in Cummings Otolaryngology-Head and Neck Surgery, Fifth edition, Volume one, Mosby Elsevier, 2010, pp.403-427
Perkins S., Naderi S.: Rhytidectomy, Chapter 19 in Facial Plastic and Reconstructive Surgery, Thieme, Third Edition, pp. 207-225, 2009
Kridel R. W., Soliemanzadeh P.: The Aging Face (Rhytidectomy), Chapter 177 in Head & Neck Surgery-Otolaryngology, (Bailey, B.J., editor), 4th Edition, Lippincott Williams & Wilkins, pp. 2627-2649, 2006
Baker S. B.: Rhytidectomy, chapter 28 in in Cummings Otolaryngology-Head and Neck Surgery, Fifth edition, Volume one, Mosby Elsevier, 2010, pp.403-427
255) B Caudal septum deflects toward the noncleft side.
Coleman J. R., Sykes J. M: Cleft Lip Rhinoplasty, Chapter 66 in Facial Plastic and Reconstructive Surgery, (Papel, editor) Thieme, Second Edition, p. 831, 2002
Coleman J. R., Sykes J. M: Cleft Lip Rhinoplasty, Chapter 77 in Facial Plastic and Reconstructive Surgery, (Papel, editor) Thieme, Third Edition, p. 1080, 2009
256) E No surgery but follow up
Kokoska M. S., Thomas J. R.: Scar Revision, Chapter 5 in Facial Plastic and Reconstructive Surgery, (Papel, editor) Thieme, Second Edition, p. 55, 2002
Kokoska M. S., Thomas J. R.: Scar Revision, Chapter 5 in Facial Plastic and Reconstructive Surgery, (Papel, editor) Thieme, Third Edition, p. 59, 2009
257) B Depressor septi nasi
Tardy, Jr, M.E, Alex J., Hendrick D., Dayan S.: Surgical Anatomy of the Nose, Chapter 173, Head and Neck Surgery-Otolaryngology (Bailey), Third Edition, Lippincott Williams & Wilkins, 2001, pp.2216-2217
Kim D, W., Mau T.: Surgical Anatomy of the Nose, Chapter 170, Head and Neck Surgery-Otolaryngology (Bailey), 4th Edition, Lippincott Williams & Wilkins, 2006, pp.2511-2532
258) B Inadequate resection of the dorsal septal cartilage
Perkins S. W.: Secondary Rhinoplasty, Chapter 175, Head and Neck Surgery-Otolaryngology (Bailey), 4th Edition, Lippincott Williams & Wilkins, 2006, pp.2595-2609
Papel I. D.: Secondary Rhinoplasty, Chapter 46 in Facial Plastic and Reconstructive Surgery, (Papel, editor) Thieme, Third Edition, pp.589-603, 2009
Surowitz J. B., Most S. P.: Complications of Rhinoplasty, Complications in Facial Plastic Surgery, Facial Plastic Surgery Clinics of North America, Nov. 2013,21:4, pp.639-651
259) D Shallow cheek bones
Perkins S., Dayan S.: Rhytidectomy, Chapter 15 in Facial Plastic and Reconstructive Surgery, Thieme, Second Edition, pp. 167-170, 2002
Perkins S., Naderi S.: Rhytidectomy, Chapter 19 in Facial Plastic and Reconstructive Surgery, Thieme, Third Edition, pp. 207-225, 2009
260) E Mandatory incision-separation of the upper and lower alar cartilage.
Toriumi D. M., Johnson C. M.: Open Structure Rhinoplasty, Featured Technical Points and Long-Term Follow-up, in Otolaryngologic Clinics of North America, Saunders, Vol. 1, Number 1, pp. 1-21, 1993
Adamson P. A., Litner J. A.: Open Rhinoplasty, Chapter 41 in Facial Plastic and Reconstructive Surgery, Thieme, Third Edition, pp. 529-546, 2009
--------------------------------------
Updated: May 1, 2017
No comments:
Post a Comment