191) Which of the following surgical techniques is the BEST to correct an irregular right Cupid’s bow (discrepancy between the level of the vermilion-cutaneous junction of 2 mm on the right side) shown in the drawing?
A. Elliptic excisionB. V-Y closure
C. Z-Plasty
D. Bilobed flap
E. Dermabrasion
192) A middle age attractive female, has a normal frontal hairline, minimal forehead wrinkles and an asymmetrical moderate brow ptosis with minimal upper eyelid skin excess. Which of the following surgical techniques is the BEST for this particular patient?
A. Endoscopic forehead-brow Lift
B. Coronal forehead-brow Lift
C. Trichophytic forehead-brow Lift
D. Direct brow Lift
E. Midforehead Lift
193) A 10-year-old boy has a linear vertical forehead scar extending from the hairline to the left eyebrow after facial trauma which occurred 1 year ago. The BEST cosmetic scar revision technique in this case is:
A. Serial Excision
B. Multiple Z-Plasty
C. Single W-Plasty
D. Running W-Plasty
E. Geometric Broken-line technique
194) Which of the following complications is NOT commonly seen in cosmetic blepharoplasty?
A. Lower lid malposition
B. Scleral show
C. Change in shape of the medial canthal region
D. Lateral canthal dystopia
E. Postoperative epiphora
195) Which of the following quantitative measures represents a MINIMAL NORMAL Schirmer's test value??
A. 4 mm
B. 6 mm
C. 8 mm
D. 10 mm
E. 14 mm
196) Which of the following statements defines the “FURNAS” technique for correcting the Protruding Ear?
A. Permanent sutures through the conchal cartilage to the mastoid periosteum
B. Permanent mattress sutures placed along the cartilage and anterior perichondrium through a posterior incision
C. Reshaping or splitting the auricular cartilage to weaken its resistance which will allow the creation of the proper configuration
D. Combination of sculpting and suturing techniques to create the proper shape configuration
E. Shaping the protruding ear using molding splints
197) Which of the following statements is FALSE regarding the Delivery Approach in Rhinoplasty?
A. Combines inter-cartilaginous and marginal incisions to create bilateral chondrocutaneous flaps
B. Good visualization of entire lower lateral cartilages
C. Good access to the tip and nasal dome
D. Minimal disturbance of the nasal tissues
E. Involves the separation of a major tip support of the nose and disruption of the upper and lower lateral cartilages
198) Which of the following statements is TRUE regarding the different Skin Line Types?
A. Relaxed Skin Tension Lines (RSTL) usually run perpendicular to the wrinkles.
B. Relaxed Skin Tension Lines (RSTL) usually run parallel to the contraction of muscles.
C. Langer’s Lines are relaxation creases found in the skin of cadavers.
D. Langer’s Lines are ideal for planning elective incisions.
E. Facial Langer’s Lines coincide with the facial wrinkle lines.
199) Which of the following operative maneuvers will DECREASE PROJECTION?
A. Cephalic resection
B. Plumping grafts
C. Columellar strut
D. Lateral crura steal
E. Full-transfixion incision
200) Which of the following statements regarding the M-Plasty is FALSE?
A. It is commonly used at the ends of the a fusiform excision.
B. It is commonly used to shorten the final length of the wound.
C. The limbs of an M-Plasty should be less than 30 degrees.
D. The closure of an M-Plasty represents a V-to-Y closure.
E. It is commonly used to camouflage a scar.
ANSWERS & REFERENCES
191) C Z-Plasty
Bardach J., Noordhoff M. S.: Correction of Secondary Unilateral Cleft Lip Deformities, Chapter 2, in Surgical Techniques in Cleft Lip and Palate, (Bardach, Salyer), Mosby, 1991, pp. 65
192) A Endoscopic forehead-brow Lift
Graham III H.D., Endoscopic Rhytidectomy, Chapter 36 in Otolaryngology-Head and Neck Surgery (Cummings, Fredrickson, Harker, Krause, Richardson, Schuller, editors), Volume Two, Mosby, Third Edition, 1998, pp. 699-708
Adamson P. A.: The Aging Forehead, Chapter 179 in Head & Neck Surgery-Otolaryngology, (Bailey, B.J., editor), 4th Edition, 2006, pp. 2663-2683
Hochman M.: Scar Camouflage, Chapter 166 in Head and Neck Surgery- Otolaryngology (Calhoun K. H, Editor) Third Edition, Lippincott Williams & Wilkins, pp. 2113-2117, 2002
Kokoska M. S., Thomas J. R.: Scar Revision, Chapter 5, Facial Plastic and Reconstructive Surgery, Thieme Medical Publishers, Third edition (Ira Papel, editor) pp. 59-65, 2009
http://emedicine.medscape.com/article/838297-overview
194) C Change in shape of the medial canthal region
Kilpatrick J.K., LaFerriere K. A.: Blepharoplasty, Lower Eyelid Laxity chapter in Otolaryngology and Facial Plastic Surgery, emedicine online publication
Crumley R. L., Torkian B. A., Karam A. M.: Lower Eyelid Blepharoplasty, Chapter 23, Facial Plastic and Reconstructive Surgery, Thieme Medical Publishers, Third edition (Ira Papel, editor) pp. 271-285, 2009
195) D 10 mm
Adamson P. A. , Constantinides M.S.: Complications of Blepharoplasty, Facial Plastic Surgery Clinics of North America, Vol.3, No. 2, pp. 211-221, 1995
http://emedicine.medscape.com/article/838696-overview
http://emedicine.medscape.com/article/838696-overview
196) A Permanent sutures through the conchal cartilage to the mastoid periosteum
Nachlas N.E.: Otoplasty, Chapter 27, Facial Plastic and Reconstructive Surgery, Thieme Medical Publishers, second edition (Ira Papel, editor) pp. 311-315, 2002
Nachlas N.E.: Otoplasty, Chapter 34, Facial Plastic and Reconstructive Surgery, Thieme Medical Publishers, Third edition (Ira Papel, editor) pp. 421-433, 2009
Adamson P. A., Doud Galli S. K., Chen T.: Otoplasty, 33 in Cummings Otolaryngology-Head and Neck Surgery, Fifth edition, Mosby Elsivier, 2010, pp.475-480
Tardy Jr. M. E., Toriumi D. M., Hecht D.A.: Chapter 40, Facial Plastic and Reconstructive Surgery, Thieme Medical Publishers, Third edition (Ira Papel, editor) pp. 507-528, 2009
Pasha R, Areden R.L.: Facial Plastic and Reconstructive, Chapter 7 in Otolaryngology-Head and Neck Surgery, Clinical Reference Guide, (Pasha R., Editor), Singular Thomson Learning, 2001, p. 378
199) E Full-transfixion incision
Becker D.G.: Complications of Rhinoplasty, Chapter 39 in Facial Plastic and Reconstructive Surgery, Thieme Medical Publishers, second edition (Ira Papel, editor) p. 453, 2002
Becker D.G.: Complications of Rhinoplasty, Chapter 49 in Facial Plastic and Reconstructive Surgery, Thieme Medical Publishers, Third edition (Ira Papel, editor) p. 641, 2009
200) E It is commonly used to camouflage a scar.
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) p. 29, 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. 30-31, 2009
http://emedicine.medscape.com/article/838297-treatment
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Updated: May 1, 2017
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