341-350 MCQ in Facial Plastic and Reconstructive Surgery

341-350

341) Which of the following measures represents the distance indicated by the arrow seen in the drawing below? Click the picture to enlarge image



A. 4 cm
B. 6 cm
C. 8 cm
D. 10 cm
E. 3/4 of the ear’s height

342) The main DISADVANTAGE in applying cyanoacrylate tissue adhesive to the skin is its

A. Erythema effect
B. Foreign body effect
C. Blister effect
D. Necrosis effect
E. Local histotoxicity effect

343) A nasal subunit deficit will require the removal of the entire subunit, if the percentage of the defect is GREATER than:

A. 20%
B. 25%
C. 30%
D. 40%
E. 50%

344) Which of the following full-thickness eyelid defects is IDEAL for use of the lateral canthotomy with cantholysis technique?

A. 30%
B. 55%
C. 60%
D. 75%
E. 80%

345) Which of the following statements regarding Trap-Door Deformity is FALSE?

A. It is a bulging elevation of the skin following the use of a transposition flap.
B. Early trap-door deformities can be treated with intralesional 1 ml triamcinolone acetonide (40 mg/ml).
C. Long standing trap-door deformities can be treated with multiple Z-plasties.
D. Cartilage support replacement during reconstruction will minimize the risk of trap-door formation.
E. Prevention can be achieved by wide undermining of the surrounding skin.

346) Which of the following incisions employed in Rhinoplasty is INCORRECT in order to gain access to the tip and dorsum?

A. Transcartilaginous incision
B. Intercartilaginous incision
C. Transcolumellar incision
D. Marginal incision
E. Rim incision

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

A. The skin thickness is greatest in the nasofrontal groove.
B. The arterial supply to the external structures of the nose is derived from the ophthalmic, facial and internal maxillary arteries.
C. The sensibility of the external nose is through branches of the ophthalmic and maxillary divisions of the fifth cranial nerve.
D. The supratip defines the cephalic limit of the nasal tip.
E. The narrowest part of the bony vault is at the level of the rhinion.

348) Which of the following alloplastic implants is the BEST for use in nasal dorsal augmentation?

A. Silicone
B. Polyamide
C. Polyethylene mesh
D. Polytetrafluoroethylene
E. Proplast

349) Which of the following reconstructive techniques will give the BEST cosmetic result in the repair of a defect of the entire lobule of the nose?

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

350) Which of the following mandibular fractures has the HIGHEST complication rate?

A. Symphysis
B. Condyle
C. Ramus
D. Angle
E. Body


ANSWERS & REFERENCES


341) B     6 cm.

Ruder R. O.: Congenital Auricular Deformities, Chapter 75 in Facial Plastic and Reconstructive Surgery, (Papel, editor) Thieme, Third Edition, p.p. 1043-1057, 2009

342) E     Local histotoxicity effect

Toriumi D.M., Bagal A.A.: Cyanocrylate tissue adhesives for skin closure in the outpatient setting in Otolaryngologic Clinics of North America (J. P. Porter, editor), Saunders, Volume 35, Number 1, pp.104-107

343) E     50%

Danahey D. G., Hilger P. A.: Reconstruction of Large Nasal Defects, Management of Facial Cutaneous Defects, Part II, Otolaryngologic Clinics of North America, Vol. 34, August 2001, pp. 695-696

Leach J.: Reconstruction of Nasal Tissue Deficits, A Self-Instructional Package, American Academy of Otolaryngology-Head and Neck Surgery Foundation, Inc., 1998, p. 19

344) A     30%

Jewett B. S., Shockley W. W.: Reconstructive Options for Periocular Defects, Management of Facial Cutaneous Defects, Part I, Otolaryngologic Clinics of North America, Vol. 34, No. 3, June 2001, pp. 609-625

Millay D. J., Larrabee Jr., W. F.: Eyelid Reconstruction, Chapter 43, in Facial Plastic and Reconstructive Surgery, (Papel, Nachlas, editors), Mosby, First Edition, 1992, pp.405-406

345) D     Cartilage support replacement during reconstruction will minimize the risk of trap-door formation.

Vural E., Key J. M.: Complications, Salvage, and Enhancement of Local Flaps in Facial Reconstruction, in Management of Facial Cutaneous Defects, Part II, Otolaryngologic Clinics of North America, Vol. 34, No. 4, August 2001, pp. 739-751

346) E     Rim incision

Tardy M. E., Toriumi D. M., Hecht D. A.: Philosophy and Principles of Rhinoplasty, Chapter 32 in Facial Plastic and Reconstructive Surgery, (Papel, editor) Thieme, Second Edition, pp. 377-379, 2002

347) E    The narrowest part of the bony vault is at the level of the rhinion.

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

348) D     Polytetrafluoroethylene

Oneal R. M., Beil R. J., Jr., Schesinger J.: Surgical Anatomy of the 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. 145-181

349) E     Paramedian forehead flap

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

350) D    Angle

Winzenburg S.M., Imola M. J.: Mandibular Fractures, in Facial Trauma: Primary and Secondary Repair, Otolaryngologic Clinics of North America, Saunders, Vol. 6, Number 4, p. 457, 1998

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Updated: June 1, 2017