321-330
321) Which of the following statements is TRUE regarding the Bilobed Flap seen in the drawing below? Click the picture to enlarge image.
A. It has a total rotation angle of approximately 180 degrees.B. It is suitable for tip and columella defects.
C. Its major advantage is less pin-cushioning compared its counterpart.
D. The tissue undermining is only in the subdermal plane.
E. It will leave circular scars that will blend easily with nasal subunits.
322) When is an elective otoplasty MOST commonly performed?
A. At 4 years of age
B. At 6 years of age
C. At 9 years of age
D. At 12 years of age
E. At 18 years of age
323) Which of following statements regarding facial flaps survival is FALSE?
A. Delaying the flap involves incising the borders and leaving it “in situ” for 2 weeks.
B. Hyperbaric oxygen has a proven beneficial effect on facial flaps with arterial ischemia.
C. Most common vascular problems in facial flaps are due to congestion.
D. Medicinal leeches are beneficial when arterial ischemia is present.
E. Hyperbaric oxygen has a proven beneficial effect on congested facial flaps.
324) Which of following aesthetic nasal subunits is BEST resurfaced using a melolabial interpolation flap?
A. Lobule
B. Ala
C. Dorsum
D. Sidewall
E. Columella
325) Which of the following statements is the MOST appropriate from a mature and responsible patient with realistic expectations?
A. My nose is too big, I would like it to be smaller.
B. I trust you. Anything that you feel necessary is fine with me.
C. My wife wants me to have surgery to improve the appearance of my nose.
D. I trust you. You are the greatest plastic surgeon in town.
E. I want the surgery to be performed prior to my wedding.
326) Which of the following operative techniques is NOT useful in order to correct nasal valve collapse (widen the valve angle)?
A. Spreader Grafts
B. Flaring Sutures
C. Butterfly Grafts
D. Internal Dermal Grafts
E. Allar Battens Grafts
327) The MOST common cause of a “twisted” nose is?
A. Trauma
B. Iatrogenic
C. Congenital
D. Cocaine use
E. Infection
328) Which area of the nose is IDEAL for Alloplastic Implant placement?
A. Tip
B. Dorsum
C. Ala
D. Sill
E. Columella
329) A 21 year old male patient has a significant "S" shaped naso-septal deformity due to a motor vehicle accident. There is displacement of nasal bones, upper lateral cartilages and septum. Which of the following is the LEAST useful in order to correct the problem?
A. Septoplasty technique using the external approach
B. Use of bilateral spreader cartilage grafts
C. Use of bilateral septo-mucoperichondral elevation
D. Evaluation of the internal nasal valve preoperatively
E. Killian, hemitransfixion and closed approach
330) Which of the following metallic implants is the BEST tolerated and has the greatest MRI compatibility?
A. Stainless steel
B. Vitalium
C. Titanium
D. Cobalt
E. Nickel
ANSWERS & REFERENCES
321) C Its major advantage is less pin-cushioning compared its counterpart.
Park S.S.: Local and Regional Cutaneous Flaps, Chapter 44, in Facial Plastic and Reconstructive Surgery (Papel, editor), Thieme, Second Edition, pp. 539-540, 2002
Park S.S.: Local and Regional Cutaneous Flaps, Chapter 54, in Facial Plastic and Reconstructive Surgery (Papel, editor), Thieme, Third Edition, pp. 721-743, 2009
322) B At 6 years of age
Cheney M.L., Rounds M: Otoplasty in Facial Plastic Surgery Clinics of North America, Vol. 5 Number 4, p. 319, Nov. 1997
http://emedicine.medscape.com/article/1290275-overview
http://emedicine.medscape.com/article/839886-overview
Park S.S.: Local and Regional Cutaneous Flaps, Chapter 44, in Facial Plastic and Reconstructive Surgery (Papel, editor), Thieme, Second Edition, pp. 539-540, 2002
Park S.S.: Local and Regional Cutaneous Flaps, Chapter 54, in Facial Plastic and Reconstructive Surgery (Papel, editor), Thieme, Third Edition, pp. 721-743, 2009
324) B Ala
Leach J.: Reconstruction of Nasal Tissue Deficits, A Self-Instructional Package, American Academy of Otolaryngology-Head and Neck Surgery Foundation, Inc., 1998, pp.40
Baker S.: Major Nasal Reconstruction, Chapter 49 in Facial Plastic and Reconstructive Surgery, (Papel, editor) Thieme, Second Edition, 2002, p.p. 611-612
325) A My nose is too big, I would like it to be smaller.
326) D Internal Dermal Grafts
Schlosser R. J., Park S. S.: Functional Nasal Surgery, Rhinoplasty and Septoplasty (Park S. S., Holt G.R, editors), Part I, Otolaryngologic Clinics of North America, Vol. 32, No. 1, Feb. 1999, pp. 42-49
Papel I. D.: Surgery of the Middle Vault, Chapter 43 in Facial Plastic and Reconstructive Surgery, (Papel, editor) Thieme, Third Edition, 2009, p.p. 555-561
327) A Trauma
Terkonda R. P., Sykes J. M.: Repairing the Twisted Nose, Rhinoplasty and Septoplasty (Park S. S., Holt G.R, editors), Part I, Otolaryngologic Clinics of North America, Vol. 32, No. 1, Feb. 1999, pp. 53-54
328) B Dorsum
Lovice D. B., Mingrone M.D., Toriumi D. M: Grafts and Implants in Rhinoplasty and Nasal Reconstruction, Rhinoplasty and Septoplasty (Park S. S., Holt G.R, editors), Part I, Otolaryngologic Clinics of North America, Vol. 32, No. 1, Feb. 1999, pp. 123-126
329) E Killian, hemitransfixion and closed approach
Keefe M. A., Cupp C.L.: The Septum in Rhinoplasty, Rhinoplasty and Septoplasty (Park S. S., Holt G.R, editors), Part I, Otolaryngologic Clinics of North America, Vol. 32, No. 1, Feb. 1999, pp. 15-36
330) C Titanium
Holt G. R.: Grafts and Implants in Facial, Head and Neck Surgery, Chapter 160, Head and Neck Surgery-Otolaryngology (Bailey), Third Edition, Lippincott Williams & Wilkins, 2001, pp. 2023-2024
Holt G. R.: Grafts and Implants in Facial, Head and Neck Surgery, Chapter 160, Head and Neck Surgery-Otolaryngology (Bailey), 4th Edition, Lippincott Williams & Wilkins, 2006, pp. 2345-2356
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Updated: June 1, 2017
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