371-380
371) Which of the following statements is FALSE regarding the surgical technique represented in the drawing below? Click the picture to enlarge image
A. The lower lateral cartilage is exposed through intercartilaginous and marginal incisions.B. A bipedicle condrocutaneous flap is surgically created.
C. Conservative reduction of the caudal margin of the lower lateral cartilage is recommended.
D. Preservation of 6 mm of the complete strip of residual lower lateral cartilage is preferred.
E. The approach is usually associated with transdomal sutures in order to narrow a broad and wide arched domes.
372) Which of the following statements about the surgical technique used in upper eyelid blepharoplasty is FALSE?
A. Local anesthesia with light premedication is used in the ambulatory setting.
B. Topical corneal anesthesia is used in addition to the local anesthesia.
C. The medial fat compartment is whiter and denser than the central fat compartment.
D. Polypropylene suture is used to close the skin incision.
E. Application of cool moist compresses over the eyelids is recommended postoperatively.
373) Which of following is CORRECT regarding the preferred Palatoplasty techniques?
A. Complete bilateral palate: Three-Flap palatoplasty
B. Complete secondary palate: Two-Flap palatoplasty
C. Complete unilateral: Von Langenbeck Palatoplasty
D. Soft palate cleft: Two-Flap palatoplaty
E. Submucous cleft: Double Reversing Z-plasty
374) Which of following statements is FALSE regarding the lateral canthus in Cosmetic Blepharoplasty?
A. The lateral canthal tendon becomes attenuated (lax) with age.
B. The lateral canthus normally is 2 mm higher than the medial canthus.
C. In cases of lateral canthal tendon laxity the canthus can be pulled to the lateral limbus of the eye.
D. Lateral tarsal strip is effective in the treatment of mild degrees of eyelid laxity.
E. Lateral canthal plication is effective in the treatment of mild, moderate and severe degrees of laxity.
375) Which of the following is the IDEAL incision to be used in a non-delivery approach for conservative tip refinement in the presence of medium skin thickness and adequate tip cartilage symmetry.
A. Transcartilaginous
B. Marginal
C. Rim
D. Transcolumellar
E. Retrograde-eversion incision
376) Which of the following statements is FALSE regarding brow and forehead endoscopic lifting?
A. The indications are the same as those for a coronal open approach.
B. It will improve asymmetric brow ptosis
C. It will improve horizontal forehead rhytids
D. It will improve vertical glabellar rhytids
E. Patients with facial nerve paralysis on one or both sides are excellent candidates
377) Which of the following statements about the nasofrontal region is TRUE?
A. The normal naso-facial angle is 50 degrees.
B. The normal naso-frontal angle is 140 degrees.
C. A shallow nasofrontal angle creates the illusion of a shorter nose.
D. A deep nasofrontal angle creates the illusion of longer nose.
E. A deep nasofrontal angle creates the illusion of a dorsal hump.
378) Which of the following statements regarding the Nasal Tip Graft is FALSE?
A. A shield-shaped tip graft can be sculpted from the auricular cartilage.
B. Tip grafts are sutured to the caudal margin of the medial or intermediate crura.
C. Prolene 6-0 material is ideal for suturing.
D. Medium skin thickness is conducive to better camouflage action.
E. Cyanoacrylate tissue adhesives are ideal for reinforcing tip sutures.
379) Which of the following statements regarding aesthetic nasal proportions is INCORRECT?
A. Male noses tend to be longer and have a smaller dorsal hump.
B. The projection is measured in the lateral view using a 3-4-5 triangle.
C. The lobule comprises one third of the nasal height and the columella the remaining two thirds.
D. The upper lateral cartilages are a pair of triangular cartilages that are situated over the caudal surface of the nasal bone.
E. The cephalic portion of the lower lateral cartilages overlaps the caudal portion of the triangular cartilages (scroll).
380) Which the following surgical managements is the BEST in order to correct a severe right nasal alar retraction?
A. Septal cartilage graft
B. Ipsolateral cavum concha graft
C. Contrateral cavum concha graft
D. Composite cymba concha of the left ear
E. Composite cymba concha of the right ear
ANSWERS & REFERENCES
371) C Conservative reduction of the caudal margin of the lower lateral cartilage is recommended.
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, p. 379, 2002
Tardy M. E. Jr., Toriumi D. M., Hecht D.A.: Philosophy and Principles of Rhinoplasty, Chapter 40 in Facial Plastic and Reconstructive Surgery (Papel, editor), Thieme, Third Edition, pp.507-528, 2009
372) B Topical corneal anesthesia is used in addition to the local anesthesia.
Pastorek N. J.: Blepharoplasty, A Self-Instructional Package from the Committee on Continuing Education in Otolaryngology, AAO-HNS Foundation, Inc., 70-86, 1983
Sykes J. M.: Diagnosis and Treatment of Cleft Lip and Palate Deformities, Chapter 65 in Facial Plastic and Reconstructive Surgery (Papel, editor), Thieme, Second Edition, pp. 824-829, 2002
Capone R. B., Sykes J. M.: Evaluation and Management of Cleft Lip and Palate Deformities, Chapter 76 in Facial Plastic and Reconstructive Surgery (Papel, editor), Thieme, Third Edition, pp. 1059-1078, 2009
374) E Lateral canthal plication is effective in the treatment of mild, moderate and severe degrees of laxity.
Glassman M. L., Hornblass A.: The Lateral Canthus in Cosmetic Surgery, ComtemporaryTechniques: An update with the Masters, Facial Plastic Surgery Clinics of North America, Vol. 10, No. 1, 2002, 29-35
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. 377-381, 2002
Tardy M. E. Jr., Toriumi D. M., Hecht D.A.: Philosophy and Principles of Rhinoplasty, Chapter 40 in Facial Plastic and Reconstructive Surgery (Papel, editor), Thieme, Third Edition, pp.507-528, 2009
376) E Patients with facial nerve paralysis on one or both sides are excellent candidates
Graham III, H. D.: Endoscopic Rhytidectomy, Chapter 36, in Otolaryngology-Head and Neck Surgery (Cummings, Fredrickson, Harker, Krause, Richardson, Schuller, editors), Third Edition, Mosby, Vol. 1, pp.700-701, 1998
Adamson P. A., Dahiya R.: The Aging Forehead, Chapter 179 in Head and Neck Surgery-Otolaryngology, (Bailey, B.J., editor), Lippincott Williams & Wilkins, 4th Edition, 2006, pp. 2663-2683
377) E A deep nasofrontal angle creates the illusion of a dorsal hump.
Toriumi D. M. , Hecht D. A.: Skeletal Modifications in Rhinoplasty, Advances in Rhinoplasty, Facial Plastic Surgery Clinics of North America, Vol. 8, No.4, 2000, pp. 413-414
378) E Cyanoacrylate tissue adhesives are ideal for reinforcing tip sutures.
Toriumi D. M., Johnson Jr., C. M.: Open Structure Rhinoplasty, Featured Technical Points and Long-Term Follow-up, Open Rhinoplasty, Facial Plastic Surgery Clinics of North America, Vol. 1, No. 1, 1995, pp. 10-21
379) D The upper lateral cartilages are a pair of triangular cartilages that are situated over the caudal surface of the nasal bone.
Larrabee Jr, W. F., Cupp C.: Advanced Nasal Anatomy, Advanced Rhinoplasty, Facial Plastic Surgery Clinics of North America, Vol. 2, No. 4, 1994 pp. 393-416
380) D Composite cymba concha of the left ear
Becker D. G.: Complications of Rhinoplasty, Chapter 39 in Facial Plastic and Reconstructive Surgery (Papel, editor), Thieme, Second Edition, p. 454, 2002
Becker D. G.: Complications of Rhinoplasty, Chapter 49 in Facial Plastic and Reconstructive Surgery (Papel, editor), Thieme, Third Edition, p. 641, 2009
-------------------------------------
Updated: June 1, 2017
No comments:
Post a Comment