1351-1360 MCQ in Facial Plastic and Reconstructive Surgery

1351-1360
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Updated: June 5, 2018

1351) Which of the following statements regarding anatomy of the Frontal Sinus is FALSE?

A. The frontal sinus is present at birth
B. The frontal sinus reaches adult size at approximately 15 years of age.
C. The frontal sinus is usually bilateral and asymmetric
D. The size and shape of the frontal sinus is extremely variable
E. The floor of the sinus forms a portion of the anterior cranial fossa.

1352) Which of the following facial fillers is MOST commonly related to cases of blindness?

A. Autologous Fat
B. Collagen
C. Hyaluronic acid
D. Paraffin
E. Silicone

1353) Which of the following is the MOST common complication in patients receiving Free flap for reconstructive procedures in the head and neck?

A. Flap loss
B. Fistula/Dehiscence
C. Abscess/Cellulitis
D. Pneumonia
E. Delirium tremens

1354) Which of the following statement regarding the Supraclavicular Artery Island Flap is FALSE?

A. It is a fasciocutaneous flap
B. It is design with width a 6 cm and 25 cm length from the fulcrum.
C. It is an ideal alternative flap for reconstruction of cervicofacial defects.
D. The Supraclavicular Artery is a branch of the Transverse Cervical Artery in most patients.
E. The Supraclavicular Artery Island Flap is transposed into the defect and the donor site will require
 skin grafting in

1355) Which of the following muscle is related to the submucous cleft palate deformity?

A. Tensor Veli Palatini muscle
B. Levator Veli Palatini muscle
C. Palatoglossus
D. Palatopharyngeous
E. Muscularis Uvulae


1356) Which of the following statements is TRUE regarding the flap used in the drawing below?

A. It is a two-stage procedure
B. It is used in a large lower lip defect that involves the oral commisure
C. It is a rotation-transposition flap
D. It is based superiorly on the superior labial artery
E. It has always a well preserved motor function and sensitivity.

1357) Which of the following surgical description will DECREASE tip rotation?

A. Cephalic trim
B. Medial crura overlay
C. Lateral crura steal
D. Lateral crura overlay
E. Plumbing graft

1358) The most common cause of Head and Neck Free Flaps failure is?

A. Immediate post-op hematoma
B. Infection
C. Seroma
D. Venous thrombosis
E. Arterial thrombosis

1359) Which of the following nasal grafts used in rhinoplasty is defined by: "Cartilage placed in a subcutaneous pocket that strengthens the lateral wall of the nose and can be applied to the internal nasal valve (INV) or external nasal valve (ENV)"?.

A. Spreader grafts
B. Butterfly grafts
C. Splay grafts
D. Alar Batten grafts
E. Shield grafts

1360) Which of the following statements in Orbital Anatomy is TRUE?

A. The orbit is formed by 8 bones.
B. The anterior ethmoidal artery (AEA) is located 18 mm posterior to the anterior lacrimal crest
C. The posterior ethmoidal artery(PEA) is located 7 mm further posteriorly of the AEA.
D. The posterior ethmoidal artery (PEA) is located 6 mm the optic canal
E. The inferior orbital fissure contains motor and sensory nerve

ANSWERS & REFERENCES

1351) A       The frontal sinus is present at birth

Strong E. Bradley: Frontal Sinus and Naso-Orbito-Ethmoid Fracutes chapter 63 in Facial Plastic and Reconstructive Surgery, Papel I, 2017, pp. 802-825

1352) C      Autologous Fat

Beleznay K., Carruthers Jean D. A., Humprey S., Jones D.: Avoiding and Treating Blindness from Fillers: A Review of the World Literature, Dermatol Surg. 2015, ; 41 (10): 1097-1117

1353) B       Fistula/Dehiscence

Eskander A., Kang S., Tweel B., Sitapara J., Old M., Ozer E., Agrawal A., Carrau R., Rocco J.W., Teknos T. N.: Predictors of Complia;tions in Patients Receiving Head and Neck Free Flap Reconstructive Procedures, Otolaryngology-Head and Neck Surgery, 2018, Vol. 158 (5) 839-847

1354) A     The Supraclavicular Artery Island Flap is transposed into the defect and the donor site will require skin grafting in most cases.

Kokot N., Mazhar K., Reder L.S., Peng G.L., Sinha U.K.: Use of Supraclavicular Artery Island Flap for Reconstruction of Cervicofacial Defects, Otolaryngology-Head and Neck Surgery, 2014, Vol. 150 (2) 222-228

1355) B       Levator Veli Palatini muscle

Desai S.C.: Facial Plastic and Reconstructive Surgery, Clinical Reference Guide, chapter 48, Veloopharyngeal Insufficiency, Plural Publishing, pp.496

1356) D      It is based superiorly on the superior labial artery

https://emedicine.medscape.com/article/876634-treatment

1357) B        Medial crura overlay

Desai S.C.: Facial Plastic and Reconstructive Surgery, Clinical Reference Guide, chapter 25, Tip Rhinoplasty, Plural Publishing, pp.257

1358) D      Venous thrombosis

Revenaugh P. C., Shipchandler T. Z., Burkey B.B.: Microvascular and Regional Flaps in Head and Neck Reconstruction jn chapter 51 in Facial Plastic and Reconstructive Surgery, Papel, 2016, pp. 50-51

1349) D     Alar Batten grafts

Spielmann P. M., White P.S., Hussain S.S.M.: Surgical Techniques for the treatment of Nasal Valve Collapse: A Systematic Review, The Laryngoscope 119, July 2009, pp. 1281-1289

1360) D        The posterior ethmoidal artery (PEA) is located 6 mm the optic canal

Bevans S. E., Moe K. S.: Advances In Orbital Reconstrucction, Trauma in Facial Plastic Surgery, Facial Plastic Surgery, , Elsevier, November 2017. pp. 513-535


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Updated: June 5, 2018