331-340 MCQ in Facial Plastic and Reconstructive Surgery

331-340

331) Which of the following surgical options is the ONE represented in the drawing below? Click the picture to enlarge image

A. Gilles Flap
B. Estlander flap
C. Karapandzic flap
D. Abbé flap
E. Bernard-Burrow flap

332) Which of the following postoperative Blepharoplasty instructions is INCORRECT?

A. Sleep on your back with the head elevated.
B. Take acetaminophen if needed.
C. Avoid lifting or straining for 3 weeks.
D. Apply occlusive dressing over the eyes for the first 24 hours.
E. Discomfort is common, pain is unusual.

333) Which of the following managements is the BEST for isolated fractures of the coronoid process of the mandible?

A. Analgesics and follow-up
B. Maxillomandibular fixation (MMF)
C. Miniplates
D. Microplates
E. Dynamic compression plate (two-holes)

334) Which of the following suture materials will produce LESS tissue reaction when used on the face?

A. Chromic catgut
B. Vicryl
C. Silk
D. Nylon
E. Prolene

335) Which of the following complications is the LEAST common in Blepharoplasty?

A. Hematoma
B. Lagophthalmos
C. Ectropion
D. Diplopia
E. Eyelid skin necrosis

336) Which of the following nasal skin defects is BEST reconstructed with skin of the ear lobule?

A. Sidewall
B. Columella
C. Soft triangle
D. Lobule
E. Dorsum

337) Which of the following statements about nasal anatomy is FALSE?

A. The lateral crus is the largest component of the nasal lobule.
B. The lobule is subdivided into tip, supratip and infratip.
C. The domes are 3 mm caudal and 8 mm anterior to the anterior septal angle.
D. The supratip defines the inferior limit of the nasal dorsum.
E. The marginal incision follows the caudal edge of the lower lateral cartilage.

338) The FIRST STEP in the management of intraorbital hemorrhage is?

A. Reassure the patient
B. Open the incision
C. Lateral canthotomy
D. Manitol IV
E. Stat ophthalmology consult

339) A patient comes to your office for a cosmetic facial surgery consultation. The BEST way to initiate the interview process is?

A. Ask for the referral source.
B. Ask about the requested cosmetic surgery.
C. Ask open questions.
D. Ask direct questions.
E. Discuss the different surgical cosmetic procedures and their alternatives.

340) Which of the following statements regarding implantable material is FALSE?

A. Cartilage has poor resorption rate predictability.
B. Calvarial bone has more resorption than iliac crest.
C. Silicone implants have an increased number of extrusions and displacements.
D. Acelular dermis is a material useful to cover dorsal nasal irregularities in the thin-skinned patient.
E. Mersilene will allow significant tissue in growth and/or bacteria colonization.


ANSWERS & REFERENCES


331) A     Gilles Flap

DeFatta R. J.,Williams III E. F: Lip Reconstruction, Chapter 61 in Facial Plastic and Reconstructive Surgery (Papel, editor), Thieme, Third Edition, p. 841-854, 2009

http://emedicine.medscape.com/article/876634-treatment

332) D     Apply occlusive dressing over the eyes for the first 24 hours.

Norman Pastorek: Baggy Eyelids, in Current Therapy in Otolaryngology-Head and Neck Surgery-4, (Gates, editor), 1990, pp. 144-149

http://emedicine.medscape.com/article/838696-treatment

333) A     Analgesics and follow-up

Gates G.A.: Current Therapy in Otolaryngology-Head and Neck Surgery, Mosby, Sixth Edition, pp. 150-152, 1998

334) D     Nylon

Holt G. R.: Esthetic Primary Wound Treatment to Improve Scars, Chapter 6 in Facial Scars, Incision, Revision and Camouflage (Thomas, Holt, editors), Mosby, 1989, pp. 66-68

335) E     Eyelid skin necrosis

Pastorek N. J.: Upper Lid Blepharoplasty, Chapter 17 in Facial Plastic and Reconstructive Surgery (Papel, editor), Thieme, Second Edition, pp. 185-195, 2002

Rankin B. S., Arden R. L., Crumley R. L.: Lower Eyelid Blepharoplasty, Chapter 18 in Facial Plastic and Reconstructive Surgery (Papel, editor), Thieme, Second Edition, pp. 196-207, 2002

Crumley R. L., Torkian B. A., Karam A. M.: Lower Eyelid Blepharoplasty, Chapter 23 in Facial Plastic and Reconstructive Surgery (Papel, editor), Thieme, Third Edition, pp. 271-285, 2009

336) B     Columella

Larrabee, Jr. W. F., Sherris D. A.: Principles of Facial Reconstruction, Lippincott-Raven Publishers, 1995, p. 84

337) C     The domes are 3 mm caudal and 8 mm anterior to the anterior septal angle.

Oneal R. M., Beil Jr. R. J., Schlesinger J.: Surgical Anatomy of the Nose, Otolaryngology Clinics of North America, Vol. 32 No. 1, Feb. 1999, pp. 145-179

338) B     Open the incision

Crumley R. L., Torkian B. A., Karam A. M.: Lower Eyelid Blepharoplasty, Chapter 23 in Facial Plastic and Reconstructive Surgery (Papel, editor), Thieme, Third Edition, pp. 271-285, 2009

http://emedicine.medscape.com/article/838696-treatment

339) C     Ask open questions.

Holt G. R., Septorhinoplasty, Form Versus Function, Rhinoplasty and Septoplasty, Part I, Otolaryngologic Clinics of North America, Vol. 32 No. 1, Feb. 1999, pp. 7-10

http://emedicine.medscape.com/article/838696-overview

340) B     Calvarial bone has more resorption than iliac crest.

Lovice D. B., Mingrone M.D., Toriumi D. M.: Grafts and Implants in Rhinoplasty and Nasal Reconstruction, Rhinoplasty and Septoplasty, Part I, Otolaryngologic Clinics of North America, Vol. 32, No. 1, Feb. 1999, pp. 113-137

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Updated: June 1, 2017