1551-1560
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Updated: October 12, 2022
1551) A "negative vector of the eye" noted in the lateral view of patient prior to blepharoplasty/eyelid surgery is related to
A. The upper eyelid
B. The lower eyelid
B. The lower eyelid
C. The lateral canthus
D. The medial canthus
E. The brow
A. CT angiography
1553) The most common open approach used in the repair of Frontal Sinus Fractures is
1555) Which of the following statements regarding the FRICKE Flap is false?
A. It is a cutaneous laterally-based mono-pedicle transposition flap from the supraorbital area.
E. The brow
1552) Which of the following work up is the BEST recommended option for a patient with a self inflicted neck penetrating wound with a knife in Zone I? The patient is stable hemodynamically, without expanding hematoma or active bleeding?.
A. CT angiography
B. MRI angiography
C. Catheter conventional angiograpy
D. Ultrasound
E. Surgical exploration
1553) The most common open approach used in the repair of Frontal Sinus Fractures is
A. Laceration present in the forehead
B. Horizontal midforehead furrow
C. Gullwing approach in the suprabrow position
C. Gullwing approach in the suprabrow position
D. Gullwing approach in the subbraw position
E. Coronal approach
1554) Which of the following regional flaps is the best for reconstruction of a large posterior neck and scalp oval shape defect size 12 cm x 9 cm?
E. Coronal approach
1554) Which of the following regional flaps is the best for reconstruction of a large posterior neck and scalp oval shape defect size 12 cm x 9 cm?
A. Pectoral Major Musculocutaneous flap
B. Trapezius Musculocutaneous flap
B. Trapezius Musculocutaneous flap
C. Sternocleidomastoid Musculocutaneous flap
D. Plastysma Musculocutaneous flap
E. Temporalis Muscle flap
D. Plastysma Musculocutaneous flap
E. Temporalis Muscle flap
1555) Which of the following statements regarding the FRICKE Flap is false?
A. It is a cutaneous laterally-based mono-pedicle transposition flap from the supraorbital area.
B. It is ideal for reconstruction of upper and lower eyelid defects (anterior lamella)
C. It is necessary to keep 1:4 ratio the base to length dimension.
D. It is mandatory the dissection just below the underlying muscles of the brow.
D. It is mandatory the dissection just below the underlying muscles of the brow.
1556) Which of the following rhinoplasty deformities will MOST LIKELY BE corrected by applying the surgical technique represented in the drawing below? Please note that an spreader graft is used in each side of the nasal septum as well as a columellar strut that interdigitates with the spreader grafts.
A. Saddle nose
B. Crooked nose
C. Short nose
C. Short nose
D. Overprojected nose tip
E. Pollybeak nasal deformity
A. It is used in correcting a hanging columella/excess of columellar show.
ANSWERS & REFERENCES
1551) B The lower eyelid
1556) C Short nose
1557) D It is useful for closing facial wounds under tension.
Russell W. H. Kridel, Bruce A. Scott, and Hossam M. T. Foda: The Tongue-in-Groove Technique in Septorhinoplasty, A 10-Year Experience, Archives of Facial Plastic Surgery,Vol. 1, No. 4, Published online: Oct 1, 1999
1459) B Previous dorsal hump resection/secondary rhinoplasty.
1560) D It is mandatory the preservation of both arteries - TCA and DSA - for flap survival.
.
1557) Which of statements regarding M-plasty technique is FALSE?
1557) Which of statements regarding M-plasty technique is FALSE?
A. It is an excisional technique used to remove dog ears cutaneous deformities.
B. It is also used for shortening the final wound length to conserve normal tissue.
B. It is also used for shortening the final wound length to conserve normal tissue.
C. It is placed on the end of an incision to avoid crossing an aesthetic facial subunit.
D. It is useful for closing facial wounds under tension.
E. "M" figure design should have 30 degrees angles.
D. It is useful for closing facial wounds under tension.
E. "M" figure design should have 30 degrees angles.
1558) Which of statements related to the "Tongue-in-Groove Technique in Septorhinoplasty is FALSE?
A. It is used in correcting a hanging columella/excess of columellar show.
B. The caudal septum is placed into the groove between the medial crura
C. It is useful for control nasal tip rotation, adjust tip position and correct caudal septal deviation.
D. It is not a conservative technique, involving resection of cartilage, therefore decreasing the support of the nasal tip.
E. It can be used in primary and revision rhinoplasty cases.
1559) Which of the following indications is the LEAST adequate to apply the spreader flaps in rhinoplasty?
A. Unoperated nose, primary rhinoplasty.
B. Previous dorsal hump resection/secondary rhinoplasty.
C. Prominent dorsal hump.
D. Tension nose deformity
D. Tension nose deformity
E. Mild crooked nose
1560) Which of the following statements regarding the Lower Trapezius flap is FALSE?
A. It is the most versatile of the trapezious flaps.
B. It is ideal for large defects in the posterior neck and posterior scalp
C. It is supply by the Transverse Cervical Artery (TCA) and the dorsal scapular artery (DSA)
C. It is supply by the Transverse Cervical Artery (TCA) and the dorsal scapular artery (DSA)
D. It is mandatory the preservation of both arteries - TCA and DSA - for flap survival.
E) It is usually close the donor site performing wide undermining of the margins.
ANSWERS & REFERENCES
1551) B The lower eyelid
Karimnejad K., Walen S.: Functional and Cosmetic Eyelid Surgery, Complications in Eyelid Surgery, Facial Plastic Surgery Clinic N. America, 24 , May 2016, pp. 193-203
1552) A CT angiography
1552) A CT angiography
Saito N., Hito R., Burke PA., Sakai O.: Imaging of penetrating injuries of head and neck current practice at a level I trauma center in the United States. Keio J Med 2014 63 (2): 22-33
Stewart M. G.: Penetrating Face and Neck Trauma, chapter 76 in Bailey's Head & Neck Surgery Otolaryngology, Volume One, Fifth Edition, (Johnson and Rosen, editors), 2014, pp. 1131-1140
1553) E Coronal approach
Rodman R., Kellman R. M.: Chapter 36 Frontal Sinus Fractures, in Facial Plastic and Reconstructive Surgery, Clinical Reference Guide, (Desai S.C, editor), Plural Publishing, 2017, pp. 357-362
1554) B Trapezius Musculocutaneous flap
Day A. T., Chaudhary H., Richmon J. D.: Chapter 40, Regional Flaps, in Facial Plastic and Reconstructive Surgery, Clinical Reference Guide, (Desai S.C, editor), Plural Publishing, 2017, pp. 403-414
1555) D. It is mandatory the dissection just below the underlying muscles of the brow.
1556) C Short nose
Katira Kristopher, Guyuron B.: Contemporary Techniques for Effective Nasal Lengthening, Rhinoplasty: Contemporary Innovations, Facial Plastic Surgery Clinic N. America, 23 (2015), pp. 81-91
1558) D It is not a conservative technique, involving resection of cartilage, therefore decreasing the support of the nasal tip.
Kovacevic M., Wurm J.: Spreader Flaps for Middle Vault Contour and Stabilization, Rhinoplasty: Contemporary Innovations, Facial Plastic Surgery Clinic N. America, 23 (2015), pp. 1-9
Day A. T., Chaudhary H., Richmon J. D.: Chapter 40, Regional Flaps, in Facial Plastic and Reconstructive Surgery, Clinical Reference Guide, (Desai S.C, editor), Plural Publishing, 2017, pp. 403-414
Annino Jr D.J., Shu R.S., Gold D.R.: Chapter 56 in Musculocutaneous Flaps in Facial Plastic and Reconstructive Surgery, (Papel I. editor), Thieme, Third Edition, 2009, pp. 757-764
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Updated: October 12, 2022
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