201) The drawing below represents a flap designed to close a defect in the left temple. Which of the following statements is FALSE?
A. It is a O-T flap.B. It has rotation and advancement components.
C. It is useful for defects juxtaposed to important aesthetic landmarks.
D. The advantage is a very favorable scar running parallel to relaxed skin tension lines (RSTL).
E. It will require the excision of some normal tissue adjacent to the defect.
202) Which of the following statements regarding frontal sinus anatomy is TRUE?
A. By the age of 10, the frontal sinus is fully developed.
B. The sensory innervation is provided by the ophthalmic branch of the trigeminal nerve.
C. The ostium lies posterior to the anterior ethmoid cells.
D. The posterior table of the frontal sinus is usually thicker than the anterior table.
E. The size and shape of the adult frontal sinus is quite constant.
203) As a general rule for the selection of a tissue expander its base size SHOULD BE:
A. 1 ½ times the area to be reconstructed
B. 2 times the area to be reconstructed
C. 3 times the area to be reconstructed
D. 4 times the area to be reconstructed
E. 4 ½ times the area to be reconstructed
204) Which of the following techniques is the MOST USEFUL in the revision of a circular pin cushion scar deformity?
A. Simple excision
B. Running W-Plasty
C. Geometric Broken Line Closure
D. Multiple Z-plasties
E. Serial excisions
205) Which of the following photographic views is UNNECESSARY in the preoperative evaluation for blepharoplasty?
A. Frontal (full face)
B. Frontal close up of the eyes with eyes open and closed
C. Frontal close up of the eyes with upward gaze
D. Close up of the eyes, right and left lateral
E. Basal (full face)
206) Which of the following descriptions of background represents the IDEAL for photographic documentation in facial plastic surgery?
A. Light blue, single solid color, not shiny
B. White, single solid color, not shiny
C. Light blue, single solid color, shiny
D. Dark gray, single solid color, not shiny
E. Dark gray, single solid color, shiny
207) Which of the following statements pertaining to psychological and legal considerations in revision rhinoplasty is FALSE?
A. The selected patient should accept improvement rather than perfection.
B. Most surgeons do not charge for revisions of their own rhinoplasties.
C. Most surgeons if the patient is unhappy with the revision will refund the original surgical fee in order to avoid litigation.
D. Open-ended questions are the most useful in order to understand the dissatisfaction with the original surgery.
E. If the dissatisfaction with the original surgery is due to unrealistic expectations revision surgery is not recommended.
208) Which of the following statements regarding Nasal Tip Asymmetries is FALSE?
A. The lower third of the nose is infrequently a source of dissatisfaction in rhinoplasty revision.
B. Concavity of the lateral crura can be treated with lateral crura turnover.
C. Lateral alar asymmetries can be corrected with curved auricular cartilage from the ear concha.
D. The external rhinoplasty approach is very useful for correction of tip abnormalities in revision cases.
E. Infralobular septal tip grafts are useful in order to increase projection.
209) Which of the following statements regarding Polly Beak Deformity is FALSE?
A. It occurs due to over-resection of the bony hump
B. It occurs due to under-resection of the cartilaginous pyramid at the anterior septal angle
C. It occurs due to fullness of the middle third of the nose
D. It occurs due to poor supratip re-drapage with a thick skin
E. It occurs due to postoperative tip ptosis.
210) Which of the following is INCORRECT in the management of a severe human bite?
A. Copious irrigation with normal saline
B. Debridment of the wound
C. Tetanus prophylaxis
D. Primary closure
E. Intravenous bolus of a second-generation cephalosporin
ANSWERS & REFERENCES
201) D The advantage is a very favorable scar running parallel to relaxed skin tension lines (RSTL).
Park S. S.: Local and Regional Cutaneous Flaps, Chapter 44 Facial Plastic and Reconstructive Surgery, Thieme Medical Publishers, second edition (Ira Papel, editor) pp.535-536, 2002
Park S. S.: Local and Regional Cutaneous Flaps, Chapter 54 in Facial Plastic and Reconstructive Surgery, (Papel, editor) Thieme, Third Edition, p.p. 721-743, 2009
202) B The sensory innervation is provided by the ophthalmic branch of the trigeminal nerve.
Strong E.B., Sykes J. M.: Frontal Sinus and Naso-orbito-ethmoid Complex Fractures, Chapter 59 in Facial Plastic and Reconstructive Surgery, Thieme Medical Publishers, second edition (Ira Papel, editor) pp. 747-748, 2002
Strong E.B.: Frontal Sinus and Naso-orbito-ethmoid Complex Fractures, Chapter 70 in Facial Plastic and Reconstructive Surgery, Thieme Medical Publishers, Third edition (Ira Papel, editor) pp. 977-990, 2009
203) C 3 times the area to be reconstructed
Hoffmann J. F.: Tissue Expansion in Reconstruction of the Head and Neck, Chapter 45 in Facial Plastic and Reconstructive Surgery, Thieme Medical Publishers, second edition (Ira Papel, editor) p. 554, 2002
Hoffmann J. F.: Tissue Expansion in Reconstruction of the Head and Neck, Chapter 55 in Facial Plastic and Reconstructive Surgery, Thieme Medical Publishers, Third edition (Ira Papel, editor) p. 750, 2009
Kokoska M. S., Thomas J. R.: Scar Revision, Chapter 5 in Facial Plastic and Reconstructive Surgery, Thieme Medical Publishers, second edition (Ira Papel, editor) pp. 55-59, 2002
Kokoska M. S., Thomas J. R.: Scar Revision, Chapter 5 in Facial Plastic and Reconstructive Surgery, Thieme Medical Publishers, Third edition (Ira Papel, editor) pp. 59-65, 2009
Thomas J.R., Mobley S. R.: Scar Revision and Camouflage, chapter 21 in Cummings Otolaryngology-Head and Neck Surgery, Fifth edition, Volume one, Mosby Elsevier, 2010, pp.295-301
205) E Basal (full face)
Kontis T. C: Photography in Facial Plastic Surgery, Chapter 11 Facial Plastic and Reconstructive Surgery, Thieme Medical Publishers, second edition (Ira Papel, editor) p. 119, 2002
Kontis T. C: Photography in Facial Plastic Surgery, Chapter 13 Facial Plastic and Reconstructive Surgery, Thieme Medical Publishers, Third edition (Ira Papel, editor) p. 146, 2009
Friedman O., Zaldivar R. A., Wang T.D.: Blepharoplasty, chapter 30 in Cummings Otolaryngology-Head and Neck Surgery, Fifth edition, Mosby Elsevier, 2010, pp.439-451
206) A Light blue, single solid color, not shiny
Kontis T. C: Photography in Facial Plastic Surgery, Chapter 11 Facial Plastic and Reconstructive Surgery, Thieme Medical Publishers, second edition (Ira Papel, editor) p. 118, 2002
Kontis T. C: Photography in Facial Plastic Surgery, Chapter 13 Facial Plastic and Reconstructive Surgery, Thieme Medical Publishers, Third edition (Ira Papel, editor) p. 145, 2009
207) C Most surgeons if the patient is unhappy with the revision will refund the original surgical fee in order to avoid litigation.
Kridel R.W.H., Yee S.: Psychological, Financial, and Legal Considerations in Secondary Rhinoplasty, Revision Rhinoplasty, Facial Plastic Surgery Clinics of North America, Volume 3, Number, pp.347-351, Nov. 1995
208) A The lower third of the nose is infrequently a source of dissatisfaction in rhinoplasty revision.
Glasgold M.J., Glasgold A.I.: Tip Grafts and their effects on tip position and contour, Revision Rhinoplasty, Facial Plastic Surgery Clinics of North America, Volume 3, Number 4 , November 1995, pp.367-379
McCollough E. G., Robertson J.S., Greco T. M.: Nasal Tip Asymmetries, A Systemic Approach, Revision Rhinoplasty, Facial Plastic Surgery Clinics of North America, Volume 3, Number 4 , November 1995, pp.353-366
Adamson P.A: The Over-Resected Nasal Dorsum, Revision Rhinoplasty, Facial Plastics Surgery Clinics of North America, Volume 3, Number 4, pp. 412-413, Nov. 1995
Becker D. G.: Complications in Rhinoplasty, Chapter 49, Facial Plastic and Reconstructive Surgery, Thieme Medical Publishers, Third edition (Ira Papel, editor) pp. 639-648, 2009
Kim D. W., Lopez M. A., Toriumi D. M.: Revision Rhinoplasty, Chapter 39 in Cummings Otolaryngology-Head and Neck Surgery, Fifth edition, Volume one, Mosby Elsevier, 2010, pp. 580-594
210) D Primary closure
Holt G. R.: Acute Soft Tissue Injuries of the Face, Chapter 54, Facial Plastic and Reconstructive Surgery, Thieme Medical Publishers, second edition (Ira Papel, editor) pp. 690-691, 2002
Stallworth C. L., Holt G. R.: Acute Soft Tissue Injuries of the Face, Chapter 65, Facial Plastic and Reconstructive Surgery, Thieme Medical Publishers, Third edition (Ira Papel, editor) pp. 907-918, 2009
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Updated: May 1, 2017
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