51-60
51) Which of the following statements regarding this stage of the microtia reconstruction (shown in the picture) is TRUE? Click the picture to enlarge image.
A. Usually is done at the time of carving the auricular framework.B. The flap used can be either superiorly or inferiorly based.
C. The designed flap will require to have an internal cartilage support.
D. A composite graft from the contralateral ear can be used if not enough tissue is available.
E. The fibroadipose lobular remnant is transposed posteriorly and inferiorly.
52) Which of the following is the MOST common complication of dermabrasion?
A. Milia
B. Skin infection
C. Scarring
D. Hypopigmentation
E. Hyperpigmentation
53) Which of the following is the MOST common complication of transcutaneous blepharoplasty?
A. Hematoma
B. Epiphora
C. Ectropion
D. Eyelid malposition
E. Entropion
54) Which of the following DESCRIBES the cymba?
A. A fossa posterior to the superior crus of the antihelix
B. A fossa between the superior and inferior crus of the antihelix
C. A fossa between the helix and antihelix
D. A portion of the concha located superiorly to the crus of the helix
E. A portion of the concha located inferiorly to the crus of the helix
55) Which of the following chemical peeling agents is the MOST commonly used and the most VERSATILE?
A. Glycolic acid
B. Retinoic acid
C. Trichloroacetic acid
D. Baker-Gordon solution
E. Phenol
56) Which of the following statements about an aesthetic evaluation of the nose is TRUE?
A. The nasolabial angle is more acute in women than in men.
B. The nose in women possess a prominent rhinion and a delicate skin.
C. The nose with a broad, wide and flat appearance is called a leptorrhine nose.
D. The nasofrontal angle is approximately 120 degrees.
E. The Frankfort line extends from the superior aspect of the tragus to the margin of the lower eyelid.
57) Which of the following areas is the IDEAL skin/donor site in the repair of a defect of the skin at the tip of the nose?
A. Preauricular
B. Postauricular
C. Forehead
D. Supraclavicular
E. Infraclavicular
58) Which of the following is the EARLIEST symptom of local anesthetic systemic toxicity?
A. Lightheadedness
B. Slurred speech
C. Visual disturbances
D. Circumoral numbness and tingling
E. Tinnitus and hypotension
59) Which of the following statements about the African American nose is FALSE?
A. The nose is flat, broad and short.
B. The nose has the appearance of an infantile dorsum lacking projection.
C. The nose has an overdevelopment of the anterior nasal spine.
D. The nose has an acute nasolabial angle.
E. The nose has a short, thick and hidden columella.
60) Which of the following anesthetic agents has the LONGEST duration of action?
A. Lidocaine (plain)
B. Lidocaine (with epinephrine)
C. Tetracaine
D. Bupivacaine
E. Cocaine
ANSWERS & REFERENCES
51) E The fibroadipose lobular remnant is transposed posteriorly and inferiorly.
Ruder R. O.: Microtia Reconstruction, Chapter 57 in Facial Plastic and Reconstructive Surgery 9 (Papel and Nachlas, editors), Mosby Year Book, pp. 540-541, 1992
Ruder O.R.: Congenital Auricular Deformities 75, in Facial Plastic and Reconstructive Surgery, Thieme Medical Publishers, Third edition (Ira Papel, editor) p. 1043-1057, 2009
Aguilar III E. A. , Echo Anthony: Congenital Auricular Malformation, Chapter 191 in
Bailey's Head & Neck Surgery Otolaryngology, (Johnson J.T., Rosen C. A., editors), Volume two, Fifth edition, Wolters Kluwer / Lippincott Williams & Wilkins, 2014, pp. 3161-3175
52) A Milia
Mandy S. H., Monheit G. D.: Dermabrasion and Chemical Peels in Chapter 25, in Facial Plastic and Reconstructive Surgery, Thieme Medical Publishers, Third edition (Ira Papel, editor) p. 301-320, 2009
Perkins S. W., Sandel IV H. D.: Management of Aging Skin, chapter 27 in Cummings Otolaryngology-Head and Neck Surgery, Fifth Edition, Volume one, Mosby Elsevier, 2010, pp. 390-404
http://emedicine.medscape.com/article/1126231-treatment
53) D Eyelid malposition
Rankin B.S., Arden R. L, Crumley R.L.: Lower Eyelid Blepharoplasty in Chapter 18 in Facial Plastic and Reconstructive Surgery, Thieme, Second Edition, pp. 204-206, 2002
Crumley R. L., Torkian B. A., Karam A. M.: Lower Eyelid Blepharoplasty, Chapter 23, in Facial Plastic and Reconstructive Surgery, Thieme Medical Publishers, Third edition (Ira Papel, editor) p. 271-285, 2009
Friedman O., Zaldivar R. A., Wand T. D.: Blepharoplasty, chapter 30 in Cummings Otolaryngology-Head and Neck Surgery, Fifth Edition, Volume one, Mosby Elsevier, 2010, pp. 439-451
54) D A portion of the concha located superiorly to the crus of the helix.
Nachlas N.E.: Otoplasty in Chapter 27 in Facial Plastic and Reconstructive Surgery, Thieme, Second Edition, pp. 309-310, 2002
Adamson P. A., Doud Galli S. K., Chen T.: Otoplasty, chapter 33 in Cummings Otolaryngology-Head and Neck Surgery, Fifth Edition, Volume one, Mosby Elsevier, 2010, pp. 475-480
Mandy S. H., Monheit G. D.: Dermabrasion and Chemical Peels in Chapter 25, in Facial Plastic and Reconstructive Surgery, Thieme Medical Publishers, Third edition (Ira Papel, editor) p. 301-320, 2009
http://emedicine.medscape.com/article/1829120-overview
Orten S.S., Hilger P.A.: Facial Analysis of the Rhinoplasty Patient, Chapter 31 in Facial Plastic and Reconstructive Surgery, Thieme, Second Edition, pp. 361-368, 2002
Boahene K. D. O., Orten S. S., Hilger P. A.: Facial Analysis of the Rhinoplasty Patient, Chapter 38 in Facial Plastic and Reconstructive Surgery, Thieme, Third Edition, pp. 477-487, 2009
Davidson, T.M., Murakami, W.T.: Rhinoplasty planning: Aesthetic concepts, dynamics and facial construction, SIPAC, American Academy of Otolaryngology-Head and Neck Surgery, pp. 15-19, 1982
Burget G. C.: Aesthetic Restoration of the Nose, Clinics in Plastic Surgery, Vol. 12, No. 3, pp. 463-465
Hom D. B., Tope W. D.: Minimally Invasive Options and Skin Grafts for Cutaneous Reconstruction, Chapter 53 in Facial Plastic and Reconstructive Surgery (Papel, editor), Thieme, Third Edition, pp. 703-719, 2009
58) D Circumoral numbness and tingling
Ehlert T.K., Arnold D. E.: Local Anesthesia for Soft-Tissue Surgery, Otolaryngology Clinics of North America, Vol. 23, No. 5, pp. 837-840
Lustik S. J., Newlands S. D., Chapter 15 in Anesthesiology, Bailey's Head & Neck Surgery Otolaryngology, (Johnson J.T., Rosen C. A., editors), Volume one, Fifth edition, Wolters Kluwer / Lippincott Williams & Wilkins, 2014, pp.235-249
59) C The nose has an overdevelopment of the anterior nasal spine.
Toriumi D.M., Skykes J. M., Johnson C. M.: Open Structure Rhinoplasty for Management of the Non-Caucasian Nose, Surgical Techniques in Otolaryngology-Head and Neck Surgery, Vol. 1, No. 4, pp. 225-233, 1990
Boyette J. R., Stucker F. J.: African American Rhinoplasty in Multicultural Aesthetics in Facial Plastic Surgery, Facial Plastic Surgery Clinics of North America (Regan Tomas J. editor), August 2014, pp. 379-393
60) D Bupivacaine
Ahlstrom K.K., Frodel J.L.: Local Anesthetics for Facial Plastic Procedures in Otolaryngologic Clinics of North America, Office-Based Procedures in Facial Plastic Surgery, Saunders, Vol. 35, Number 1, p. 35, 2002
Fletcher M: Anesthesia in Facial Plastic Surgery, Chapter 14 in Facial Plastic and Reconstructive Surgery (Papel, editor), Thieme, Second Edition, pp. 145-146, 2002
Fletcher M: Anesthesia in Facial Plastic Surgery, Chapter 17 in Facial Plastic and Reconstructive Surgery (Papel, editor), Thieme, Third Edition, pp. 189-197, 2009
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Updated: April 30, 2017
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