Thursday, May 6, 2010

181-190 MCQ in Facial Plastic and Reconstructive Surgery

181-190

181) Which of the following surgical techniques have been USED in the reconstruction of the lower lip defect seen in the drawing below? Click the picture to enlarge image.

A. Abbé Flap
B. Eslander Flap
C. Karapandzic Flap
D. Bernard-Burrow Flap
E. Gillies Flap

182) Which of the following is the ADEQUATE INTERVAL between scalp reductions?

A. 1 month
B. 1 ½ months
C. 2 months
D. 2 ½ months
E. 3 months

183) The distance from the nasal tip to the alar line measures 0.55 - 0.60 of the distance from the nasion to the tip of the nose. To WHOM do we attribute this rule?

A. Goode
B. Crumley
C. Byrd
D. Simmons
E. Gonzalez-Ulloa

184) Which of the following with reference to Rhinoplasty is NOT considered an incision?

A. Intercartilaginous
B. Transcartilaginous
C. Transcolumellar
D. Marginal
E. Cartilage-splitting

185) Which of the following surgical techniques used to treat a long curvilinear scar - not parallel to RSTL- in the cheek is the BEST related to camouflage?

A. Running W-Plasty
B. Single M-Plasty
C. Multiple M-Plasty
D. Multiple Z-Plasty
E. Geometric Broken Line Closure

186) Which of the following with reference to Rhinoplasty is NOT considered an approach?

A. Cartilage-splitting
B. Retrograde
C. Delivery
D. External
E. Complete strip

187) Which of the following relationships of the lips to the nasomental line is CORRECT?

A. Upper lip is 4 mm anterior; lower lip 2 mm anterior.
B. Upper lip is 4 mm posterior, lower lip 2 mm posterior.
C. Upper lip is 2 mm anterior, lower lip 4 mm posterior.
D. Upper and lower lips are tangential to the nasomental line.
E. Upper lip is 4 mm posterior, lower lip 4 mm posterior.

188) Which of the following anatomic REGIONS is bounded by the nasal septum, the caudal margin of the upper lateral cartilage and the floor of the nose?

A. Scroll region
B. Rhinion
C. Sellion
D. Nasal valve
E. Internasal suture line

189) Which of the following infections is the MOST common in the postoperative period after Laser Skin Resurfacing?

A. Herpes simplex virus
B. Herpes zoster virus
C. Staphylococcus aureus
D. Pseudomonas aeruginosa
E. Candida

190) Which of the following statements about scalp reduction is TRUE?

A. It is adequate for frontal hair loss.
B. It is adequate for Norwood alopecia class I and II.
C. It is adequate for Norwood alopecia class V.
D. The “Stretch-Back” phenomenon is insignificant.
E. It is usually carried out under general anesthesia.


ANSWERS & REFERENCES



181) C     Karapandzic Flap

Williams III E.F., Hove C.: Lip Reconstruction, Chapter 51, Facial Plastic and Reconstructive Surgery, second edition (Ira Papel, editor), Thieme Medical Publishers, pp. 634-645, 2002

DeFatta R. J., Williams III E. F.: Lip Reconstruction, Chapter 61, Facial Plastic and Reconstructive Surgery, Third edition (Ira Papel, editor), Thieme Medical Publishers, pp. 841-854, 2009

182) E      3 months

Unger M.G.: Scalp Reduction, Hair Replacement Surgery, Facial Plastic Surgery Clinics of North America, Volume 2, Number 2, pp. 166, May 1994

183) A     Goode

Ridley M.B., VanHook S. M.: Aesthetic Facial Proportions, Chapter 11, Facial Plastic and Reconstructive Surgery, Thieme Medical Publishers, Third edition (Ira Papel, editor) p. 128, 2009

Papel I. D., Mabrie, D. C.: Deprojecting the Nasal Profile, Rhinoplasty and Septoplasty, Part I ( Park S.S., Holt G. R., editors) The Otolaryngologic Clinics of North America, Vol. 32, No. 1, February 1999, pp.71-73

Zimbler M. S.: Aesthetic Facial Analysis, chapter 19 in Cummings Otolaryngology-Head and Neck Surgery, Fifth edition, Volume one, Mosby Elsevier, 2010, pp. 269-280

184) E     Cartilage-splitting

Toriumi D.M., Becker D.G.: Rhinoplasty: Dissection Manual, Lippincott Williams & Wilkins, pp.160, 1999

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

Tardy Jr. M. E., Thomas J. R.: Rhinoplasty, chapter 36 in Cummings Otolaryngology-Head and Neck Surgery, Fifth edition, Volume one, Mosby Elsevier, 2010, pp. 508-544

185) E     Geometric Broken Line Closure

Cook T.A., Guida R.A., Burke A.J.C.: Soft Tissue Techniques, Chapter 3 in Facial Plastic and Reconstructive Surgery, Thieme Medical Publishers, second edition (Ira Papel, editor) pp. 35-36, 2002

Cook T.A., Guida R.A., Burke A.J.C.: Soft Tissue Techniques, Chapter 3 in Facial Plastic and Reconstructive Surgery, Thieme Medical Publishers, Third edition (Ira Papel, editor) pp. 27-39, 2009

186) E     Complete strip

Tardy M.E., Toriumi D.M., Hecht D.A.: Philosophy and Principles of Rhinoplasty, Chapter 32 in Facial Plastic and Reconstructive Surgery, Thieme Medical Publishers, second edition (Ira Papel, editor) p. 378, 2002

Tardy Jr. M.E., Toriumi D.M., Hecht D.A.: Philosophy and Principles of Rhinoplasty, Chapter 40 in Facial Plastic and Reconstructive Surgery, Thieme Medical Publishers, Third edition (Ira Papel, editor) p. 516, 2009

187) B

Ridley M.B., VanHook S. M.: Aesthetic Facial Proportions, Chapter 9, Facial Plastic and Reconstructive Surgery, Thieme Medical Publishers, second edition (Ira Papel, editor) p. 106, 2002

Ridley M.B., VanHook S. M.: Aesthetic Facial Proportions, Chapter11, Facial Plastic and Reconstructive Surgery, Thieme Medical Publishers, Third edition (Ira Papel, editor) p. 130, 2009

Zimbler M.S.: Aesthetic Facial Analysis, chapter 19 in Cummings Otolaryngology- Head and Neck Surgery, Fifth edition, Volume one, Mosby Elsevier, 2010, pp. 269-280

188) D     Nasal valve

Toriumi D.M., Becker D.G.: Rhinoplasty: Dissection Manual, Lippincott Williams & Wilkins, pp.5-6, 1999

Becker D. G.: Complications of Rhinoplasty, chapter 39 in Facial Plastic and Reconstructive Surgery, Thieme Medical Publishers, second edition (Ira Papel, editor) p. 458, 2002

Becker D. G.: Complications of Rhinoplasty, chapter 49 in Facial Plastic and Reconstructive Surgery, Thieme Medical Publishers, Third edition (Ira Papel, editor) p. 645, 2009

189) A     Herpes simplex virus

Hecht D.A., Toriumi D.M.: Laser Skin Resurfacing, Head and Neck Surgery-Otolaryngology, (Bailey B.J., editor) Lippincott Williams & Wilkins) Third Edition, Chapter 189, 2001, p. 2467-2468

190) C     It is adequate for Norwood alopecia class V.

Unger M.G.: Scalp Reduction, Hair Replacement Surgery, Facial Plastic Surgery Clinics of North America, Volume 2, Number 2, pp. 163-180, May 1994

Bassichis B. A., Konior R. J.: Management of Alopecia, Head and Neck Surgery-Otolaryngology, (Bailey B.J., editor) Lippincott Williams & Wilkins) 4th Edition, Chapter 184, 2006, p. 2749-2759

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 Updated:  May 1, 2017


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