1161-1170 MCQ in Facial Plastic and Reconstructive Surgery

1161-1170

1161) Which of the following questions in the preoperative assessment of a possible cosmetic facial surgery is BEST TO AVOID?

A. "Do you think this surgery will make any other things better for you?"
B. "Does anyone else want you to have this surgery?"
C. "How long have you wanted this change?"
D. "Why do you want this done?"
E. "What can I do for you"?

1162) Which of the following statements in the surgical repair of a cleft lip is FALSE?

A. The Millard method is based on the rotation-advancement flaps.
B. The Tennison-Randall method is based on the inset of a triangular flap from the cleft side into a releasing incision on the noncleft side.
C. The Millard method preserves the Cupid's bow and the philtral dimple.
D. The Tennison-Randall method has an excellent access to the nasal deformity.
E. The Millard method creates a more natural and pleasant scar.

1163) Which of the following metal implants DOES NOT corrode over time?

A. Vitallium
B. Titanium
C. Stainless steel
D. Gold
E. Silver

1164) Which of the following statements regarding collagen is FALSE?

A. There are three types of bovine collagen: Zyderm I, Zyderm II, and  Zyplast.
B. Zyplast is cross-linked with glutaraldehyde.
C. There are three types of human collagen: CosmoDerm I, CosmoDerm II and Cosmoplast
D. Bovine and human collagen will require skin testing prior to the treatment injection.
E. Bovine and human collagen results last 4 months.

1165) Which of the following statements regarding Hyaluronic acid implants is FALSE?

A. Hyaluronic acid is one of the component of the extracelullar matrix in the dermis.
B. Restylane is derived from laboratory fermentation of bacterial cultures of equine streptococci.
C. Hyaloform is a purified form derived from the rooster combs.
D. Skin testing is mandatory prior to injection of any form of hyaluronic acid products.
E. Corrections by hyaluronic acid products can be expected to last 6 months.

1166) Which of the following anatomy terminology is the ONE indicated by the black arrow? Please note that the drawing is related to the internal aspect of the mandible.

A. Mylohyoid groove
B. Mylohyoid line
C. Oblique line
D. Mental groove
E. Mental foramen

1167) Radiesse is related to which of the following implant materials?

A. Collagen
B. Hyaluronic acid
C. Hydroxyapatite
D. Polyacrylamide
E. Polyester

1168) What is the following PERCENTAGE of patients will usually benefit from chin augmentation for better facial balance?

A.1%
B.5%
C.10%
D.20%
E.40%

1169) Which of the following chin augmentation implants DOES NOT allow any fibrobrovascular in-growth?.

A. Expanded Polytetrafluoroethylene (ePTFE)
B. Polyethylene
C. Polyamide mesh
D. Polyamide nylon mesh
E. Solid Silicone rubber

1170) Which of the following statements regarding nasal implants is FALSE?

A. Nasal septal cartilage is the preferred cartilaginous grafting material for nasal reconstruction.
B. Conchal cartilage is the second choice for cartilaginous grafting material for nasal reconstruction.
C. Costal cartilage has the disadvantage/susceptibility of warping
D. Iliac crest  bone is the preferred bone grafting material for nasal reconstruction
E. Temporalis fascia is use as an onlay graft over other implant materials to smooth contour irregularities.

ANSWERS & REFERENCES

1161) D     "Why do you want this done?"

http://emedicine.medscape.com/article/838030-overview

 1162) D     The Tennison-Randall method has an excellent access to the nasal deformity.

http://emedicine.medscape.com/article/877970-treatment

1163) B      Titanium

Chow J. , Quatela V. C.:  Synthetic Facial Implants, Facial Plastic Surgery Clinics of North America, (Shire J. R., editor), February 2008, Vol. 16, No. 1, pp. 1-10

1164) D     Bovine and human collagen will require skin testing prior to the treatment injection.

Chow J. , Quatela V. C.:  Synthetic Facial Implants, Facial Plastic Surgery Clinics of North America, (Shire J. R., editor), February 2008, Vol. 16, No. 1, pp. 1-10

Williams III E. F., Pontius A. T.: The Aging Neck, chapter 185 in Bailey, Byron J.; Johnson, Jonas T. Newlands, Shawn D., Head & Neck Surgery - Otolaryngology, 4th Edition, 2006, pp 2762-2769

1165) D     Skin testing is mandatory prior to injection of any form of hyaluronic acid products.

Chow J. , Quatela V. C.: Synthetic Facial Implants, Facial Plastic Surgery Clinics of North America, (Shire J. R., editor), February 2008, Vol. 16, No. 1, pp. 1-10

Williams III E. F., Pontius A. T.: The Aging Neck, chapter 185 in Bailey, Byron J.; Johnson, Jonas T. Newlands, Shawn D., Head & Neck Surgery - Otolaryngology, 4th Edition, 2006, pp 2762-2769

1166) B     Mylohyoid line

Shire J. R.: The importance of the Prejowl Notch in Face Lifting: The Prejowl Implant, Facial Plastic Surgery Clinics of North America, (Shire J. R., editor), February 2008, Vol. 16, No. 1, pp. 87-97

1167) C     Hydroxyapatite

Chow J. , Quatela V. C.:  Synthetic Facial Implants, Facial Plastic Surgery Clinics of North America, (Shire J. R., editor), February 2008, Vol. 16, No. 1, pp. 1-10

1168) D     20%

Lanson B. G., R. T.: Chin Augmentation, Facial Plastic Surgery Clinics of North America, (Shire J. R., editor), February 2008, Vol. 16, No. 1, pp. 69-77

1169) E     Solid Silicone rubber

Lanson B. G., R. T.: Chin Augmentation, Facial Plastic Surgery Clinics of North America, (Shire J. R., editor), February 2008, Vol. 16, No. 1, pp. 69-77

1170) D      Iliac crest  bone is the preferred bone grafting material for nasal reconstruction

Romo III T., Pearson J. M.:Nasal Implants, Facial Plastic Surgery Clinics of North America, (Shire J. R., editor), February 2008, Vol. 16, No. 1, pp. 123-132

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Updated: August 5, 2017