311-320 MCQ in Facial Plastic and Reconstructive Surgery

311-320

311) Which of the following basal cell carcinoma lesions represented in the drawing below has the LEAST possibility of recurrence? Click the picture to enlarge image.

A. A
B. B
C. C
D. D
E. E

312) Which of the following is considered a MAJOR TIP support mechanism in rhinoplasty?

A. Membranous septum
B. Anterior and posterior nasal spine
C. Attachment of the sesamoid cartilage complex to the pyriform aperture
D. Attachment of LLC (lower lateral cartilage) to S-STE (skin-soft tissue envelope)
E. Attachment of the ULC (upper lateral cartilage) to the LLC (lower lateral cartilage)

313) Which of the following radiographic views is THE IDEAL for visualization of dentoalveolar structures?

A. CT
B. Panorex
C. Lateral skull films
D. Anteroposterior skull films
E. Towne

314) What is the time limit that will allow the surgeon to utilize the nerve stimulator intraoperatively to assist in the identification of distal branches of a severed facial nerve?

A. 12 hours
B. 24 hours
C. 36 hours
D. 48 hours
E. 72 hours

315) Which of the following mandibular fracture managements is the one MOST USEFUL in the reparation of comminuted mandibular body fracture with traumatic bone loss?

A. Maxillomandibular fixation (MMF)
B. Multiple miniplates
C. Dynamic compression plates (DCP)
D. Eccentric Dynamic compressing plates (EDCP)
E. Mandibular Reconstruction Plates (MRP)

316) Which of the following statements regarding the Zitelli modified bilobe flap is TRUE?

A. Uses narrow angles (60 degrees) between lobes
B. Best used to repair skin defects of the upper third of the nose
C. Is elevated in the subdermal plane
D. Reduces the pin cushion effect in the nasal skin
E. Base usually positioned medially

317) Which of the following nasal subunits has a thick, immobile and sebaceous skin?

A. The lobule
B. The dorsum
C. The sidewall
D. The ala
E. The columella

318) Which of the following donor areas for “full-thickness skin graft” is the BEST to cover a superficial defect in the cephalic aspect of the nose?

A. Preauricular
B. Postauricular
C. Supraclavicular
D. Submental
E. Eyelid

319) Which of the following reconstructive techniques is the BEST for a surface nasal defect involving the columella and lobule?

A. Secondary intention
B. Bilobed flap of the dorsum
C. Rhomboid flap of the dorsum
D. Full thickness skin graft
E. Paramedian forehead flap

320) The number of aesthetic units of the nose is:

A. 5
B. 6
C. 7
D. 8
E. 9


ANSWERS & REFERENCES



311) E     E


Stucker F.J., Nathan C.O., Lian T. S.: Cutaneous Malignancy, Chapter 105 in Head and Neck-Otolaryngology (Bailey B., editor), Lippincott Williams & Wilkins, 4th Edition, 2006, pp. 1455-1468

312) E     Attachment of the ULC (upper lateral cartilage) to the LLC (lower lateral cartilage)

Larrabee, Jr., W. F.: Open Rhinoplasty and the Upper Third of the Nose, Open Rhinoplasty, in Facial Plastic Surgery Clinics of North America, Volume 1, Number 1 August 1993, pp. 23-30

313) B     Panorex

Best J.A., Lewis J.S.: Management Dentoalveolar Injuries in the Facial Trauma Patient, in Facial Trauma: Primary and Secondary Repair, Otolaryngologic Clinics of North America, Saunders, Vol. 6, Number 4, pp. 436-437, 1998

314) E     72 hours

Holt G. R.: Acute Soft Tissue Injuries of the Face, Chapter 54 in Facial Plastic and Reconstructive Surgery, (Papel, editor) Thieme, Second Edition, p. 692, 2002

Stallworth C. L., Holt G. R.: Acute Soft Tissue Injuries of the Face, Chapter 65 in Facial Plastic and Reconstructive Surgery, (Papel, editor) Thieme, Third Edition, pp. 907-918, 2009

315) E     Mandibular Reconstruction Plates (MRP)

Kellman R. M.: Clinical Applications of Bone Plating Systems to Facial Fractures, Chapter 57 in Facial Plastic and Reconstructive Surgery, (Papel, editor) Thieme, Second Edition, p.p. 727-729, 2002

Costantino P. D., Tadros M., Wolpoe M.: Principles of Facial Plating Systems, Chapter 67 in Facial Plastic and Reconstructive Surgery, (Papel, editor) Thieme, Third Edition, p.p. 929-944, 2009

316) D     Reduces the pin cushion effect in the nasal skin

Baker S.: Major Nasal Reconstruction, Chapter 49 in Facial Plastic and Reconstructive Surgery, (Papel, editor) Thieme, Second Edition, p.p. 606-607, 2002

Baker S.: Major Nasal Reconstruction, Chapter 59 in Facial Plastic and Reconstructive Surgery, (Papel, editor) Thieme, Third Edition, p.p. 807-820, 2009

317) A      The lobule

Baker S.: Major Nasal Reconstruction, Chapter 49 in Facial Plastic and Reconstructive Surgery, (Papel, editor) Thieme, Second Edition, p.p. 610-611, 2002

Baker S.: Major Nasal Reconstruction, Chapter 59 in Facial Plastic and Reconstructive Surgery, (Papel, editor) Thieme, Third Edition, p.p. 807-820, 2009

318) A     Preauricular

Baker S.: Major Nasal Reconstruction, Chapter 49 in Facial Plastic and Reconstructive Surgery, (Papel, editor) Thieme, Second Edition, p.p. 610-611, 2002

Leach J.: Reconstruction of Nasal Tissue Deficits, A Self-Instructional Package, American Academy of Otolaryngology-Head and Neck Surgery Foundation, Inc., 1998, pp.34-35

319) E     Paramedian forehead flap

Leach J.: Reconstruction of Nasal Tissue Deficits, A Self-Instructional Package, American Academy of Otolaryngology-Head and Neck Surgery Foundation, Inc., 1998, pp.40-52

320) E     9


Baker S.: Major Nasal Reconstruction, Chapter 49 in Facial Plastic and Reconstructive Surgery, (Papel, editor) Thieme, Second Edition, p.p. 610-611, 2002

Baker S.: Major Nasal Reconstruction, Chapter 59 in Facial Plastic and Reconstructive Surgery, (Papel, editor) Thieme, Third Edition, p.p. 807-820, 2009

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Updated: June 1, 2017