451-460 MCQ in Facial Plastic and Reconstructive Surgery

451-460

451) The distance represented between the arrows is?


A. 30 % of the width of the nasal base
B. 50 % of the width of the nasal base
C. 75 % of the width of the nasal base
D. 1/3 of the width of the nasal ala
E. 2/3 of the width of the nasal ala

452) When is the PROPER time to divide the paramedian forehead flap?

A. 7 days
B. 14 days
C. 21 days
D. 30 days
E. 45 days

453) Which of the following facial flaps has an AXIAL-PATTERN vascular component?

A. Rhomboid flap
B. Dufourmental flap
C. Note flap
D. Bilobed flap
E. Nasolabial flap

454) Which of the following statements about Rhinoplasty is TRUE?

A. The nasal tip skin is thick and relatively devoid of subcutaneous and sebaceous glands.
B. Straight-line removal of a nasal hump can result in an over-reduced profile.
C. The mimetic muscle most important in influencing the position of the nasal tip is the Levator Labii Superioris.
D. Lateral osteotomies should be “angle cut” to avoid collapse of the nasal vault.
E. The membranous septum is a major tip support mechanism of the nose.

455) Which of the following statements about Rhinoplasty is TRUE?

A. The best access and visualization for Rhinoplasty is achieved via the bipedicle (bucket-handle) approach.
B. Nasal skin is thinnest at the nasal tip.
C. Medial osteotomy is performed after lateral osteotomy.
D. The preferred lateral osteotomy pattern is: high-low-high.
E. Intermediate osteotomy is performed after lateral osteotomy.

456) Which of the following statements about External Rhinoplasty is TRUE?

A. A high transcolumellar incision is preferred.
B. The major vasculature of the nasal tip is located below the musculoaponeurotic layer of the nose
C. The most common complication of the transcolumelar incision is necrosis.
D. The proper dissection plane is above the cartilages and bone and above the musculoaponeurotic layer of the nose.
E. External Rhinoplasty divides a minor support mechanism of the nose.

457) Which of the following IS NOT an approach in Rhinoplasty?

A. Intercartilaginous
B. Delivery, bipedicle chondrocutaneous
C. Nondelivery, cartilage splitting
D. Nondelivery, retrograde eversion
E. Open

458) Which of the following will NOT preserve or enhance tip projection in Rhinoplasty?

A. Autogenous cartilage tip grafts
B. Transdomal sutures
C. Plumping grafts
D. Complete strip technique
E. Complete transfixion incision

459) Which of the following is BEST served by a non-open approach?

A. Cleft-lip nose deformity
B. Marked underprojection
C. Nasal tip rhinoplasty revision
D. Marked tip asymmetry
E. Conservative tip refinement and rotation

460) Which of the following is the MOST difficult to correct with a Revision Rhinoplasty?

A. Excess tissue in the bony pyramid
B. Excess tissue in the upper cartilaginous vault
C. Excess tissue in the caudal septum
D. Excess tissue in the caudal septum and lower cartilaginous vault
E. Excess reduction of the both lower lateral cartilages



ANSWERS & REFERENCES


451) C     75 % of the width of the nasal base

McGraw-Wall B: Facial Analysis, Chapter 170, Head and Neck Surgery-Otolaryngology, (Bailey, editor), Third Edition, Lippincott Williams & Wilkins, p. 2187, 2001

Calhoun K. H. , Stambaugh K. I.: Facial Analysis and Preoperative Evaluation, Chapter 168, Head and Neck Surgery-Otolaryngology, (Bailey, editor), 4th Edition, Lippincott Williams & Wilkins, pp. 2491, 2006

452) C     21 days

Burget G.C.: Nasal Restoration with Flaps and Grafts, Large Nasal Defects, Chapter 167A, Head and Neck Surgery-Otolaryngology, (Bailey, editor), Third Edition, Lippincott Williams & Wilkins, pp. 2122-2128, 2001

Park S. S.: Nasal Restoration with Flaps and Grafts, Chapter 165, Head and Neck Surgery-Otolaryngology, (Bailey, editor), 4th Edition, Lippincott Williams & Wilkins, pp. 2421-2451, 2006

453) E     Nasolabial flap

Shumrick K. A., Campbell A. C.: Local Skin Flaps: Anatomy, Physiology, and General Types, Chapter 161, Head and Neck Surgery-Otolaryngology, (Bailey, editor), Third Edition, Lippincott Williams & Wilkins, pp. 2035-2036, 2001

Shumrick K. A., Chadwell J. B., Campbell A. C.: Local Skin Flaps: Anatomy, Physiology, and General Types, Chapter 161, Head and Neck Surgery-Otolaryngology, (Bailey, editor), 4th Edition, Lippincott Williams & Wilkins, pp. 2357-2367, 2006

454) B     Straight-line removal of a nasal hump can result in an over-reduced profile.

Calhoun K. H.: Introduction to Rhinoplasty, Chapter 174, Head and Neck Surgery-Otolaryngology, (Bailey, editor), Third Edition, Lippincott Williams & Wilkins, pp. 2232-2238, 2001

Renner G. J.: Introduction to Rhinoplasty, Chapter 171, Head and Neck Surgery-Otolaryngology, (Bailey, editor), 4th Edition, Lippincott Williams & Wilkins, pp. 2533-2550, 2006

455) D     The preferred lateral osteotomy pattern is: high-low-high.

Calhoun K. H.: Introduction to Rhinoplasty, Chapter 174, Head and Neck Surgery-Otolaryngology, (Bailey, editor), Third Edition, Lippincott Williams & Wilkins, pp. 2232-2238, 2001

Renner G. J.: Introduction to Rhinoplasty, Chapter 171, Head and Neck Surgery-Otolaryngology, (Bailey, editor), 4th Edition, Lippincott Williams & Wilkins, pp. 2533-2550, 2006

456) E     External Rhinoplasty divides a minor support mechanism of the nose.

Toriumi D. M., Hecht D. A., Emer J. J.: External Rhinoplasty Approach, Chapter 175, Head and Neck Surgery-Otolaryngology, (Bailey, editor), Third Edition, Lippincott Williams & Wilkins, pp. 2242-2249, 2001

457) A     Intercartilaginous

Tardy, Jr. M.E., Hendrick D., Alex J.: Refinement of the Nasal Tip, Chapter 176, Head and Neck Surgery-Otolaryngology, (Bailey, editor), Third Edition, Lippincott Williams & Wilkins, pp. 2255-2266, 2001

Tardy Jr. M. E., Toriumi D. M., Hecht D. A.: Philosophy and Principles of Rhinoplasty, Chapter 40 in Facial Plastic and Reconstructive Surgery, Third Edition, (Papel I. D., editor), 2009 , pp. 507-528

458) E     Complete transfixion incision

Tardy, Jr. M.E., Hendrick D., Alex J.: Refinement of the Nasal Tip, Chapter 176, Head and Neck Surgery-Otolaryngology, (Bailey, editor), Third Edition, Lippincott Williams & Wilkins, pp. 2266-2268, 2001

Tardy Jr. M. E., Toriumi D. M., Hecht D. A.: Philosophy and Principles of Rhinoplasty, Chapter 40 in Facial Plastic and Reconstructive Surgery, Third Edition, (Papel I. D., editor), 2009 , pp. 507-528

459) E     Conservative tip refinement and rotation

Tardy, Jr. M.E., Hendrick D., Alex J.: Refinement of the Nasal Tip, Chapter 176, Head and Neck Surgery-Otolaryngology, (Bailey, editor), Third Edition, Lippincott Williams & Wilkins, pp. 2263-2265, 2001

Coleman Jr. J. R., Sykes J. M.: Cleft Lip Rhinoplasty, Chapter 77 in Facial Plastic and Reconstructive Surgery, Third Edition, (Papel I. D., editor), 2009 , pp. 1079-1093

460) E     Excess reduction of the both lower lateral cartilages

Kamer F. M., Pieper P. G.: Revision Rhinoplasty, Chapter 178, Head and Neck Surgery-Otolaryngology, (Bailey, editor), Third Edition, Lippincott Williams & Wilkins, p. 2292, 2001

Perkins S. W., Naderi S.: Secondary Rhinoplasty, Chapter 175, Head and Neck Surgery-Otolaryngology, (Bailey, editor), 4th Edition, Lippincott Williams & Wilkins, pp. 2595-2609, 2006

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Updated: June 1, 2017