Saturday, September 3, 2022

1531-1540 MCQ in Facial Plastic and Reconstructive Surgery

 1531-1540

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Updated: September 16, 2022 

1531) Which of the following statements related to the DEEP plane dissection used to reconstruct cutaneous defects after Mohs surgery is TRUE?

A. It is an axial flap based on the superior temporal artery.
B. 
It is a composite flap based on the skin and SMAS elevated en bloc.
C. It is not indicated in smokers patients.
C. It is contraindicated with history of radiation therapy in the affected area.
D. It will not required to correct standing cutaneous deformities adjacent to the defect.

1532) Which of the following area of the face is MOST effectively improved with a Full-Incision Face Lift compared to a Short-Scar Face-Lift ?

A. Nasolabial fold
B. Jawline
C. Neck
D. Preauricular 
E. Postauricular

1533) Which of the following blepharoplasty eyelid terminology is FALSE?

A. Dermatochalasis: Excess skin of the eyelid
B. Negative vector: The anterior most point of the cornea projects beyond the inferior orbital rim.
C. Tear trough deformity:  Soft tissue depression seen along the medial inferior orbital rim
D. Malar mounds: Redundant folds of lax skin and orbicularis muscle.
E. Scleral show: White sclera show between the inferior limbus of the iris and the margin of the lower eyelid in the Frankfort horizontal plane


1534) Which of the following statements regarding the forehead flap is TRUE?

A. It is based in the supraorbital artery
B. The greater the pedicle width,.the greater is the arch of rotation
C. A folded paramedian flap can be used to reconstruct inner mucosal lining and external soft tissue simultaneously.
D. The pedicle is divided at 10 days
E.  The donor area will require a full-thickness skin graft for closure the defect

1535) Which of the following statements is indicated the USE  of antibiotics before surgery -  in facial fracture management?

A. Mandibular fractures (not isolated condyle)
B. Isolated mandibular condyle fractures
C. Midface fractures
D. Frontal Sinus fractures
E. Skull base fractures:


1536)Which of the following is the VALUE of the angle "X" represented in the local flap seen in the drawing below?




A. 30 degrees
B. 40 degrees
C. 50 degrees
D. 60 degrees
E. 70 degrees
.
1537) Which of the following facial characteristics is NOT IDEAL in the selection for a proper candidate for  Rhytidectomy?

A. Sharp cervico-mental angle
B. Strong facial bony structures
C. Round face
D. Fuller mid-face
E. Shallow melo-labial folds

1538) Which of statements in the diagnosis of the Zygoma/Tripod fracture is FALSE?

A. Enophtalmus.
B. Trismus
C. Protrusion/bulge of the malar bone
D. Subconjuntival hemorrhage
E. Hypesthesia/anesthesia of V2

1539) Which of the following statements regarding Hyaluronic Acid (HA) is FALSE?

A. Hyaluronic Acid (HA) does not require a skin test.
B. Hyaluronic Acid (HA) can be injected into the deep dermis, SQ or preperiosteal.
C. It can be used added with or without lidocaine. 
D. Hyaluronic Acid (HA) with a low G' (G prime) is firmer, thicker and tend to keep their shape after injection. 
E. Hyaluronidase (HAse) is used to dissolve HA if necessary.

1540) Which of the following statement is the MAIN ADVANTAGE of  the Deep-Plane vs Subcutaneous cervicofacial rotation-advacement flaps in facial cutaneous defects reconstruction?

A. Decrease seroma formation
B. Decrease hematoma formation
C. Decrease distal flap necrosis
D. Decrease facial nerve paralisis
E) Decrease sialocele formation




ANSWERS & REFERENCES


1531) B     It is a composite flap based on the skin and SMAS elevated en bloc.

Jacono A.A., Rousso J.J., Lavin T.J.: Comparing rates of distal edge necrosis in deep-plane vs subcutaneous cervicofacial rotation-advancement flaps for facial cutaneous Mohs defects, JAMA Facial Plastc Surgery, 2014; 16 (1)31-35

1532) C      Neck

Antell D. E., May J.M., Bonnano M.J., Lee N.Y.: A Comparison of the Full and Short-Scar Face-Lift Incision Techniques in Multiple Sets of Identical Twins, Plastic Reconstructive Surg. 2016; 137 (6): 1707-1714

1533) D    Malar mounds: Redundant folds of lax skin and orbicularis muscle.

Perkins S. W., Prischmann J.: Lower Eyelid Blepharoplasty,  Chapter 187 in Bailey's Head and Neck Surgery, (Johnson & Rosen, editors), Fifth Edition, 2014, pp. 3085-3102

Dzifa S. Kpodzo, MD, MPH, Foad Nahai, MD, Clinton D. McCord, MD: Malar Mounds and Festoons: Review of Current Management, Aesthetic Surgery Journal, Volume 34, Issue 2, February 2014, Pages 235–248

1534) C    A folded paramedian flap can be used to reconstruct inner mucosal lining and external soft tissue simultaneously.
 
Justicz N., Lee Li. N.: Primary and Local Flaps, chapter 39 in Facial Plastic and Reconstructive Surgery, Clinical Reference Guide, (Desai S. C., editor), Plural Publishing, 2017, pp. 387-402

1535)  Mandibular fractures (not isolated condyle)

 Doerr T. D.: Evidence-based Facial Fracture Management, Facial Plastic Surgery Clinic North America, 2015; 23 (3):335-345

1536) C     60 degrees

Jewett B.: Local Cutaneous Flaps and Grafts, Chapter 173 in Bailey's Head and Neck Surgery, (Johnson & Rosen, editors), Fifth Edition, 2014, pp. 2797-2823

1537) C     Round face

Perkins S. W., Waters H.H.: Rhytidectomy, Chapter 14 , Facial Plastic and Reconstructive Surgery (Papel, I, editor), 2016, pp. 139-158

Sand J. P., Hahn S., Branham G.H.: Rhytidectomy, chapter 34 in Facial Plastic and Reconstructive Surgery, Clinical Reference Guide, (Desai S.RodmC., editor), Plural Publishing, 2017, pp. 163-174

1538) C      Protrusion/bulge of the malar bone

Rodman R., Kellman R. M.: Midface and Pan-Facial Fractures, chapter 34 in Facial Plastic and Reconstructive Surgery, Clinical Reference Guide, (Desai S. C., editor), Plural Publishing, 2017, pp. 339-345

1439) D     Hyaluronic Acid (HA) with a low G' (G prime) is firmer, thicker and tend to keep their shape after injection.

Kontis T.C.: Injectables for Rejuvenation, chapter 21 in Facial Plastic and Reconstructive Surgery, Clinical Reference Guide, (Desai S.C., editor), Plural Publishing, 2017, pp. 197-206

1540) C       Decrease distal flap necrosis

Jacono A.A., Rousso J.J., Lavin T.J.: Comparing rates of distal edge necrosis in deep-plane vs subcutaneous cervicofacial rotation-advancement flaps for facial cutaneous Mohs defects, JAMA Facial Plastc Surgery, 2014; 16 (1)31-35

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Updated: September 16, 2022 

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