471-480 MCQ in Facial Plastic and Reconstructive Surgery

471-480

471) Which of the following represents the VENTRAL position applied to the nose? Click the picture to enlarge image.

A. A
B. B
C. C
D. D
E. E

472) Which of the following facial muscles will raise the eyebrows?

A. The frontalis
B. The corrugator supercilii
C. The procerus
D. The orbicularis
E. Temporoparietalis

473) A 48 year old man requests your help in order to improve the aging appearance of the upper third of his face. Which of the following surgical techniques is BEST for this patient, taking into consideration that has male pattern baldness with a high clearly defined frontal hairline?

A. Coronal Forehead Lift
B. Trichophytic Forehead Lift
C. Endoscopic Forehead Lift
D. Mid-forehead Lift
E. Pretrichial Lift

474) A 46 years old patient requests correction of his asymmetric brow ptosis. Which of the following surgical techniques is the BEST for this purpose?

A. Coronal Lift
B. Trichophytic Lift
C. Endoscopic Lift
D. Direct Brow Lift
E. Temporal Lift

475) Which of the following surgical techniques is the PROCEDURE OF CHOICE (if no contraindications exist for its use) for the correction of brow ptosis and reduction of forehead and glabellar rhytids?

A. Coronal Lift
B. Trichophytic Lift
C. Endoscopic Lift
D. Mid-forehead Lift
E. Pretrichial Lift

476) Which of the following facial flaps has a blood supply from the DERMAL AND SUBDERMAL PLEXUS?

A. Nasolabial flap
B. Median forehead flap
C. Dufourmental flap
D. Lateral forehead flap
E. Deltopectoral flap

477) The BAKAMJIAN FLAP has its blood supply from:

A. The transverse cervical artery
B. The perforating branches of the internal mammary artery
C. The deep temporal artery
D. The thoracodorsal artery
E. The thoracoacromial artery

478) Which of the following statements regarding lip-switch flaps is TRUE?

A. They are based on the angular artery.
B. Medial defects are closed with the Estlander flap.
C. Commisure defects are closed with the Abbe flap.
D. The Abbe flap is a one-stage procedure.
E. The Estlander flap usually will require a secondary commissuroplasty.

479) After implantation of tissue expanders, WHEN should the sequential injections of saline begin?

A. 3 days
B. 7 days
C. 14 days
D. 21 days
E. 30 days

480) Which of the following scar revision techniques is the BEST for use on a mature, linear (12 cm), unbroken scar of the left cheek and the lower third of the face?

A. Multiple Z-Plasty
B. Running W-Plasty
C. Geometric Broken-Line closure
D. Serial excision
E. Dermabrasion and laser resurfacing



ANSWERS & REFERENCES


471) C     C


Tardy Jr. M.E., Alex J., Hendrix D., Dayan S.: Chapter 173, Surgical Anatomy of the Nose, Head and Neck Surgery-Otolaryngology, (Bailey, editor), Third Edition, Lippincott Williams & Wilkins, p. 2213, 2001

Kim D. W., Mau T.: Chapter 170, Surgical Anatomy of the Nose, Head and Neck Surgery-Otolaryngology, (Bailey, editor), 4th Edition, Lippincott Williams & Wilkins, pp. 2511-2532, 2006

472) A     The frontalis

Adamson P. A., Brunner E., Pearson D. C.: The Aging Forehead, Chapter 182, Head and Neck Surgery-Otolaryngology, (Bailey, editor), Third Edition, Lippincott Williams & Wilkins, p. 2355, 2001

Adamson P. A., Dahiya R.: The Aging Forehead, Chapter 179, Head and Neck Surgery-Otolaryngology, (Bailey, editor), 4th Edition, Lippincott Williams & Wilkins, pp. 2663-2683, 2006

473) D     Mid-forehead Lift

Adamson P. A., Brunner E., Pearson D. C.: The Aging Forehead, Chapter 182, Head and Neck Surgery-Otolaryngology, (Bailey, editor), Third Edition, Lippincott Williams & Wilkins, p. 2355, 2001

Adamson P. A., Dahiya R.: The Aging Forehead, Chapter 179, Head and Neck Surgery-Otolaryngology, (Bailey, editor), 4th Edition, Lippincott Williams & Wilkins, pp. 2663-2683, 2006

474) D     Direct Brow Lift

Adamson P. A., Brunner E., Pearson D. C.: The Aging Forehead, Chapter 182, Head and Neck Surgery-Otolaryngology, (Bailey, editor), Third Edition, Lippincott Williams & Wilkins, p. 2355, 2001

Adamson P. A., Dahiya R.: The Aging Forehead, Chapter 179, Head and Neck Surgery-Otolaryngology, (Bailey, editor), 4th Edition, Lippincott Williams & Wilkins, pp. 2663-2683, 2006

475) C     Endoscopic Lift

Adamson P. A., Brunner E., Pearson D. C.: The Aging Forehead, Chapter 182, Head and Neck Surgery-Otolaryngology, (Bailey, editor), Third Edition, Lippincott Williams & Wilkins, p. 2355, 2001

Adamson P. A., Dahiya R.: The Aging Forehead, Chapter 179, Head and Neck Surgery-Otolaryngology, (Bailey, editor), 4th Edition, Lippincott Williams & Wilkins, pp. 2663-2683, 2006

476) C     Dufourmental 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

477) B     The perforating branches of the internal mammary artery

Buchbinder D.W., Urken M.L.: Mandibular Reconstruction, Chapter 163, Head and Neck Surgery-Otolaryngology, (Bailey, editor), Third Edition, Lippincott Williams & Wilkins, p. 2075, 2001

Jameson M. J., Levine P. A.: Neoplasms of the Oral Cavity, Chapter 111, Head and Neck Surgery-Otolaryngology, (Bailey, editor), 4th Edition, Lippincott Williams & Wilkins, pp. 1551-1567, 2006

http://emedicine.medscape.com/article/1284569-overview

478) E     The Estlander flap usually will require a secondary commissuroplasty.

Esclamado R. M., Krauss C.J.: Lip Cancer, Chapter 108, Head and Neck Surgery-Otolaryngology, (Bailey, editor), Third Edition, Lippincott Williams & Wilkins, pp. 1304-1309, 2001

Esclamado R. M., Fritz M. A.: Lip Cancer, Chapter 110, Head and Neck Surgery-Otolaryngology, (Bailey, editor), Third Edition, Lippincott Williams & Wilkins, pp. 1535-1549, 2006

479) C     14 days

Holt G. R.: Tissue Expansion in Reconstruction, Chapter 165, Head and Neck Surgery-Otolaryngology, (Bailey, editor), Third Edition, Lippincott Williams & Wilkins, p. 2103-2109, 2001

Hoffmann J. f.: Tissue Expansion in Reconstruction of the Head and Neck, Chapter 55 in Facial Plastic and Reconstructive Surgery, (Papel, editor) Thieme, Third Edition, pp. 745-756, 2009

480) C     Geometric Broken-Line closure

Hochman M.: Scar Camouflage, Chapter 166, Head and Neck Surgery-Otolaryngology, (Bailey, editor), Third Edition, Lippincott Williams & Wilkins, p. 2117, 2001

Kokoska M. S., Thomas J. R.: Scar Revision, Chapter 5 in Facial Plastic and Reconstructive Surgery, (Papel, editor) Thieme, Third Edition, pp. 59-65, 2009

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Updated: June 1, 2017