361-370
361) Which of the aesthetic Facial Proportions in the drawing below is NOT IDEAL? Click the picture to enlarge image
A. AB. B
C. C
D. D
E. E
362) Which of the following statements is FALSE regarding the medicinal Leech therapy?
A. Hirudo medicinalis is the most commonly used leech in compromised flaps
B. Aeromonas hydrophila has been found in wound infection when using leeches.
C. The use of a third-generation cephalosporin is mandatory for wound infection prophylaxis when using leeches.
D. Hematocrit and ortho stasis should be monitored during long term leech therapy.
E. Monitoring of serum myoglobin is mandatory during leech therapy.
363) Which of the following nasal anatomical terms is INCORRECT?
A. Nasion –- depression at root of nose overlying the naso-frontal suture
B. Rhinion –- junction of nasal bones and upper lateral cartilages
C. Tip defining point –- most anterior projection of nasal tip
D. Anterior septal angle –- most inferior and caudal point of cartilaginous septum
E. Pogonion –- most prominent anterior projection of the chin
364) Which of the following statements about surgical anatomy of the eyelid is TRUE?
A. The upper lid is tangential to the superior corneal limbus.
B. The lower lid covers 3 mm of the inferior corneal limbus.
C. The upper lid has three fat compartments.
D. The lower lid has two fat compartments.
E. Muller’s muscle is a smooth muscle innervated by the cervical sympathetic chain.
365) The MOST common complication of epicanthoplasty performed on the Asian eyelid is:
A. Hematoma
B. Bleeding
C. Hypertrophic scarring
D. Infection
E. Necrosis of the epicanthal area
366) Which of the following statements regarding Upper Blepharoplasty in the Asian patient is TRUE?
A. 75% of East Asians demonstrate a “single eyelid”.
B. Asian patients desire full “Westernization” of the eye.
C. In the single eyelid the levator filaments penetrate the orbital septum and orbicularis muscle.
D. The periorbital fat compartment descends inferiorly creating “puffiness” of the eyelid.
E. 50% of East Asians have the epicanthal fold.
367) Which of the following conditions is BEST IMPROVED by Blepharoplasty?
A. Lateral crow’s feet
B. Exophthalmos
C. Orbicularis muscle hypertrophy
D. Cheek bags
E. Dark shadow on the lower lids
368) Which of the following preoperative photographs is NOT a standard view for blepharoplasty documentation?
A. Full-face frontal
B. Full-face lateral
C. Close-up frontal
D. Close-up lateral
E. Close-up oblique
369) Injury to the superior oblique muscle is MOST commonly seen during surgery related to the:
A. Medial upper eyelid fat pocket
B. Central upper eyelid fat pocket
C. Lateral upper eyelid fat pocket
D. Medial lower lid fat pocket
E. Lateral lower lid fat pocket
370) Which of the following statements is TRUE regarding postoperative care after Transcutaneous Blepharoplasty of the lower eyelid?
A. Patient must stay overnight for visual checks.
B. Prophylaxis with oral antibiotics is mandatory.
C. Patient usually can return to work at 2 weeks.
D. Patient can use make-up after 10 days.
E. Swimming, running and other strenuous exercises are not allowed earlier than 2 months postop.
ANSWERS & REFERENCES
361) D D
Ridley M.B., VanHook S. M.: Aesthetic Facial Proportions, Chapter 9 in Facial Plastic and Reconstructive Surgery, Thieme Medical Publishers, second edition (Ira Papel, editor) pp. 96-109, 2002
Ridley M.B., VanHook S. M.: Aesthetic Facial Proportions, Chapter11 in Facial Plastic and Reconstructive Surgery, Thieme Medical Publishers, Third edition (Ira Papel, editor) pp. 119-133, 2009
Tardy Jr. M.E.: Rhinoplasty, Chapter 47 in Otolaryngology-Head and Neck Surgery, (Cummings, Fredrikson, Harker, Krause, Schuller, editors), Second Edition, Mosby, 1993, p. 815
362) E Monitoring of serum myoglobin is mandatory during leech therapy.
Utley D.S., Koch R.J., Goode R.L.: The Failing Flap in Facial Plastic and Reconstructive Surgery: Role of the Medicinal Leech, Laryngoscope 108, August 1998, pp 1129-1135
Papel I.D., Mabrie D.C.: Deprojecting the Nasal Profile,Rhinoplasty and Septoplasty, Part I, (Park S.S., Holt G. R., editor), Otolaryngology Clinics of North America, Vol. 32 No. 1, Feb. 1999, p. 66
364) E Muller’s muscle is a smooth muscle innervated by the cervical sympathetic chain.
Henderson P. S. , Regan Thomas J.: Surgical Anatomy and Pathology of the Eyelids and Periorbita, Blepharoplasty, Facial Plastic Surgery Clinics of North America, Vol. 3, No.2, May 1995, pp. 135-140
McCurdy Jr. J. A.: Cosmetic Surgery of the Asian Face, Chapter 28 in Facial Plastic and Reconstructive Surgery, (Papel, editor) Thieme, Second Edition, p. 329, 2002
McCurdy Jr. J. A.: Cosmetic Surgery of the Asian Face, Chapter 35 in Facial Plastic and Reconstructive Surgery, (Papel, editor) Thieme, Third Edition, p.p. 435-458, 2009366) D The periorbital fat compartment descends inferiorly creating “puffiness” of the eyelid.
McCurdy Jr. J. A.: Upper Blepharoplasty in the Asian Patient: the “double eyelid” operation, Facial Plastic Surgery Clinics of North America, 10, 2002, pp. 351-368
McCurdy Jr. J. A.: Cosmetic Surgery of the Asian Face, Chapter 35 in Facial Plastic and Reconstructive Surgery, (Papel, editor) Thieme, Third Edition, p.p. 435-458, 2009
Pastorek N.: Blepharoplasty, A Self-Instructional Package Committee on Continuing Education in Otolaryngology, American Academy of Otolaryngology-Head and Neck Surgery Foundation, Inc., 1983, pp. 26-38
http://emedicine.medscape.com/article/838696-overview
368) B Full-face lateral
Pastorek N. J.: Upper Lid Blepharoplasty, Chapter 17, in Facial Plastic and Reconstructive Surgery, (Papel, editor) Thieme, Second Edition, pp. 185-195, 2002
http://emedicine.medscape.com/article/838696-overview
369) A Medial upper eyelid fat pocket
Pastorek N.: Blepharoplasty, A Self-Instructional Package Committee on Continuing Education in Otolaryngology, American Academy of Otolaryngology-Head and Neck Surgery Foundation, Inc., 1983, pp. 82-83
http://emedicine.medscape.com/article/842137-treatment#a17
370) D Patient can use make-up after 10 days.
Smullen S. M., Mangat D. S.: Cosmetic Lower Eyelid Surgery, Transcutaneous Approach, Blepharoplasty, Facial Plastic Surgery Clinics of North America, Vol. 3, No. 2, 1995 pp.172-173
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Updated: June 1, 2017
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