461-470 MCQ in Facial Plastic and Reconstructive Surgery

461-470

461) Which of the following reconstructive techniques is BEST in order to correct the defect shown in the drawing below?

A. Bilobed Flap
B. Rhomboid flap
C. Bilateral advancement-rotation flap
D. Cheek-neck advancement-rotation flap
E. V-Y advancement flap

462 Which of the following acquired nasal deformities is due to the EXCESSIVE EXCISION of lower lateral cartilage and vestibular skin?

A. Bosselation
B. Pinching
C. Alar retraction
D. Columellar retraction
E. Polly-beak formation

463) Which of the following acquired nasal deformities is MOST likely the result of OVERRESECTION of the lateral crus of the lower lateral cartilage?

A. Bosselation
B. Pinching
C. Short nose
D. Columellar retraction
E. Polly-beak formation

464) Which of the following sutures is the ONE required for closing a transconjuntival blepharoplasty incision?

A. 6-0 Prolene
B. 6-0 Chromic
C. 6-0 Vicryl
D. 6-0 Silk
E. Sutures are not required

465) Which of the following descriptions IS FALSE regarding the unilateral cleft-lip nasal deformity?

A. Deviation of the nasal dorsum to the non-affected side
B. Lower dome
C. Flattened lateral crus
D. Caudal displacement of the alar rim
E. Depressed or missing bony floor

466) Which of the following is TRUE about the African American nose?

A. Thin nasal tip skin
B. Thin or insignificant subcutaneous adipose tissue in the nasal tip
C. Nasal bone is usually small in both length and height
D. The nasal spine is overdeveloped
E. The nose looks wide but with a high dorsum

467) Which of the following conditions is BEST improved by Rhytidectomy?

A. Ptosis of the jowl
B. Fine creases and deep rhytids of the skin
C. Nasolabial folds
D. Malar ptosis
E. Wrinkles related to facial expressions

468) Which of the following should NOT be discontinued prior to Rhytidectomy?

A. Smoking
B. Aspirin
C. Steroids
D. Vitamin E
E. Statins

469) Which of the following statements regarding Rhithydectomy is TRUE?

A. Imbrication involves folding the SMAS fascia on itself and securing it with a permanent buried suture.
B. Plication involves incision, resection of the SMAS fascia and reaproximation of the cut SMAS fascia edges with a permanent buried suture.
C. Imbrication offers better and longer lasting results than plication.
D. Imbrication carries a greater chance for surgical morbidity than plication
E. Periorbital and perioral resurfacing is not to be done simultaneously with rhytidectomy.

470) A patient has a pathological platysma muscle accentuation with banding noted in repose. Which of the following is the proper classification of these cervical abnormalities?

A. Class II
B. Class III
C. Class IV
D. Class V
E. Class VI


ANSWERS & REFERENCES


461) D     Cheek-neck advancement-rotation flap

Olson T.S., Baker S.R.: Surgical Reconstruction after Mohs Surgery, Chapter 164, Head and Neck Surgery-Otolaryngology, (Bailey, editor), Third Edition, Lippincott Williams & Wilkins, p. 2090-2093, 2001

Calhoun K. H., Shockley W. W.: Surgical Reconstruction after Mohs Surgery and Tissue Expansion, Chapter 163, Head and Neck Surgery-Otolaryngology, (Bailey, editor), 4th Edition, Lippincott Williams & Wilkins, p. 2293-2409, 2006

Park S. S.: Local and Regional Cutaneous Flaps, Chapter 54 in Facial Plastic and Reconstructive Surgery (Papel I. D., editor), Third Edition, 2009, pp. 721-743

462) C     Alar retraction

Kamer F. M., Pieper P. G.: Revision Rhinoplasty, Chapter 178, Head and Neck Surgery-Otolaryngology, (Bailey, editor), Third Edition, Lippincott Williams & Wilkins, pp. 2294-2296, 2001

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

Papel I. D.: Secondary Rhinoplasty, Chapter 46 in Facial Plastic and Reconstructive Surgery (Papel I. D., editor), Third Edition, 2009, pp. 589-603

463) B     Pinching

Kamer F. M., Pieper P. G.: Revision Rhinoplasty, Chapter 178, Head and Neck Surgery-Otolaryngology, (Bailey, editor), Third Edition, Lippincott Williams & Wilkins, p. 2294, 2001

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

Papel I. D.: Secondary Rhinoplasty, Chapter 46 in Facial Plastic and Reconstructive Surgery (Papel I. D., editor), Third Edition, 2009, pp. 589-603

464) E     Sutures are not required

Pastorek N. J.: Blepharoplasty, Chapter 179, Head and Neck Surgery-Otolaryngology, (Bailey, editor), Third Edition, Lippincott Williams & Wilkins, pp. 2312-2314, 2001

Pastorek N. J., Bustillo A.: Blepharoplasty, Chapter 176, Head and Neck Surgery-Otolaryngology, (Bailey, editor), 4th Edition, Lippincott Williams & Wilkins, pp. 2611-2625, 2006

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

465) A     Deviation of the nasal dorsum to the non-affected side

Larrrabee Jr, W. F., Alsarraf R.: Special Considerations in Rhinoplasty, Chapter 177, Head and Neck Surgery-Otolaryngology, (Bailey, editor), Third Edition, Lippincott Williams & Wilkins, p. 2273, 2001

http://emedicine.medscape.com/article/842043-overview

466) C     Nasal bone is usually small in both length and height

Larrrabee Jr, W. F., Alsarraf R.: Special Considerations in Rhinoplasty, Chapter 177, Head and Neck Surgery-Otolaryngology, (Bailey, editor), Third Edition, Lippincott Williams & Wilkins, pp. 2273-2280, 2001

467) A     Ptosis of the jowl

Kridel R. W. H., Covello L. V. : The Aging Face (Rhytidectomy), Chapter 180, Head and Neck Surgery-Otolaryngology, (Bailey, editor), Third Edition, Lippincott Williams & Wilkins, pp. 2317-2338, 2001

468) E     Statins

Kridel R. W. H., Covello L. V. : The Aging Face (Rhytidectomy), Chapter 180, Head and Neck Surgery-Otolaryngology, (Bailey, editor), Third Edition, Lippincott Williams & Wilkins, p. 2324, 2001

469) D      Imbrication carries a greater chance for surgical morbidity than plication.

Kridel R. W. H., Covello L. V. : The Aging Face (Rhytidectomy), Chapter 180, Head and Neck Surgery-Otolaryngology, (Bailey, editor), Third Edition, Lippincott Williams & Wilkins, pp. 2330-2331, 2001

470) C     Class IV

Dedo D. D., Ismail A. S. : The Aging Neck, Chapter 181, Head and Neck Surgery-Otolaryngology, (Bailey, editor), Third Edition, Lippincott Williams & Wilkins, pp. 2341-2344, 2001

Williams III E. F., Pontius A. T. : The Aging Neck, Chapter 178, Head and Neck Surgery-Otolaryngology, (Bailey, editor), 4th Edition, Lippincott Williams & Wilkins, pp. 2651-2662, 2006

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Updated: June 1, 2017