1291-1300 MCQ in Facial Plastic and Reconstructive Surgery

1291-1300

1291) Which of the following nerve is the MOST commonly used as interposition nerve graft for facial nerve reanimation (nerve crossover technique)?

A. Glossopharyngeal nerve
B. Phrenic nerve
C. Spinal nerve
D. Greater Auricular nerve
E. Trigeminal nerve

1292) What is the PERCENTAGE of speech, swallowing, and mastication difficulties related to the XII-to-VII nerve crossover used in facial reanimation?

A. 1%
B. 5%
C. 15%
D. 25%
E. 40%

1293) Which of the following statements in facial reanimation related to Cranial Nerve Crossover XII -to- VII is FALSE?

A. Cranial nerve XII-to-VII crossover without nerve jump grafting is the classical technique
B. Cranial nerve XII-to-VII crossover with jump nerve grafting is a modification of the classical technique.
C. Cranial nerve XII-to-VII crossover without nerve jump grafting (intramastoid facial nerve mobilization), is another useful modification of the classical technique.
D. Cranial nerve XII-to-VII crossover techniques are indicated within the first 2 years after the onset of paralysis.
E. Cranial nerve XII-to-VII crossover will improve facial function after 1 year to the House-Brackmann score 2

1294) Which of the following findings will have a confirmed BENEFIT after rhinoplaty by the use of perioperative administration of multiple-dose of steroids?

A. Lower eyelid Ecchymosis
B. Lower eyelid Edema
C. Intraoperative bleeding
D. Perinasal Ecchymosis
E. Perinasal Edema

1295) The most common steroids - dexamethasone and methylprednisolone - used in the rhinoplasty operation have a HALF-LIFE of approximately

A. 12
B. 18
C. 24
D. 36
E. 48

1296) The drawing below represents a Hypoglossal-Facial Nerve Crossover. Which of the following statements is FALSE in the represented XII-VII Crossover below.? 

Please note: 

(F red color/Facial Nerve Proximal end),
(F blue color/Facial Nerve distal end)
and H (red color/Hypoglossal nerve.
The circle represents the anastomosis XII-VII).

A. XII-VII anastomosis without interposition nerve graft is the most common nerve transfer technique used for re-innervation of a long-standing facial nerve paralysis
B. The indicated time for a XII-VII crossover nerve transfer technique is a facial nerve paralysis of more than 2 years
C. The electromyography (EMG) shows fibrillations with intact motor endplates
D. If the motor endplates are not viable (electrical silence in the EMG) will preclude the nerve anastomosis
E. There is no loss of sensation in the auricular region

1297) Which of the following management is FALSE regarding the treatment of Infantile Hemangiomas?

A. Surgical Excision
B. Metotrexate
C. Laser Surgery
D. Crysurgery
E. Steroids

1298) Which of the following medications is considered the gold-standard treatment for Infantile hemangioma?

A. Steroids
B. Propanolol
C. Metrotexate
D. Imiquimod
E. Becaplermin

1299) A pediatric patient has been managed with a good result for a facial hemangioma. Which is the best laser used to treat the residual telangiectasias after hemangioma management and involution?

A. CO2 laser
B. 532-nm diode laser
C. Argon laser
D. KTP laser
E. Nd:YAG

1300) Which of the following statements regarding Infantile Hemangioma is FALSE?

A. It is the most common benign tumor in the pediatric population
B. It is not present at birth
C. It has a slow growth in the first 10 months
D. It has an spontaneous involution in approximately 70% of the cases
E. It has the possibility of scarring and deformity after regression




ANSWERS & REFERENCES

1291) D     Greater Auricular nerve

Beutner D., Luers J.C., Grosheva M.: Hypoglossal-Facial-Jump-Anastomosis Without an Interposition Nerve Graft, Laryngoscope 123, October 2013, pp. 2392-2396

1292) C     15%

Madison Clark J., Shockley W. W.: Management of the Paralyzed face, chapter 63 in Facial Plastic and Reconstructive Surgery, (Papel. I, editor), Thieme, Third edition, 2009, pp. 869-895
 
1293) E     Cranial nerve XII-to-VII crossover will improve facial function after 1 year to the House-Brackmann score 2

Beutner D., Luers J.C., Grosheva M.: Hypoglossal-Facial-Jump-Anastomosis Without an Interposition Nerve Graft, Laryngoscope 123, October 2013, pp. 2392-2396

1294) B     Lower eyelid edema

Hwang Se H., Lee Joo H., Kim Byung G., Kim Soo W., Kang Jun M.: The Efficacy of Steroids for Edema and Ecchymosis after Rhinoplasty: A Meta-analysis, Laryngoscope 125, January 2015, pp.92-98

1295) D     36 hours

Hwang Se H., Lee Joo H., Kim Byung G., Kim Soo W., Kang Jun M.: The Efficacy of Steroids for Edema and Ecchymosis after Rhinoplasty: A Meta-analysis, Laryngoscope 125, January 2015, pp.92-98

1296) B     The indicated time for a XII-VII crossover nerve transfer technique is a facial nerve paralysis of more than 2 years

Beutner D., Luers J.C., Grosheva M.: Hypoglossal-Facial-Jump-Anastomosis Without an Interposition Nerve Graft, Laryngoscope 123, October 2013, pp. 2392-2396

1297) C     Metotrexate

Cerrati Eric W., March Teresa M O, Chung Hoyun, Waner Milton: Diode Laser for the Treatment of Telangiectasias following Hemangioma Involution, Otolaryngology-Head and Neck Surgery Vol. 152 (2), 2015, pp. 239-243

1298) B    Propanolol

Cerrati Eric W., March Teresa M O, Chung Hoyun, Waner Milton: Diode Laser for the Treatment of Telangiectasias following Hemangioma Involution, Otolaryngology-Head and Neck Surgery Vol. 152 (2), 2015, pp. 239-243

1299) B     532-nm diode laser

Cerrati Eric W., March Teresa M O, Chung Hoyun, Waner Milton: Diode Laser for the Treatment of Telangiectasias following Hemangioma Involution, Otolaryngology-Head and Neck Surgery Vol. 152 (2), 2015, pp. 239-243

1300) D     It has a slow growth in the first 10 months

Cerrati Eric W., March Teresa M O, Chung Hoyun, Waner Milton: Diode Laser for the Treatment of Telangiectasias following Hemangioma Involution, Otolaryngology-Head and Neck Surgery Vol. 152 (2), 2015, pp. 239-243

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Updated: March 19, 2017