1131) Which of the following statements is FALSE regarding the radial forearm free flap?
A. It is thin and pliable flap
B. Versatile
C. Limited bulk
D. Forearm defect can be close primarily
E. Osteo-cutaneous flap with 10 cm of radius is possible
1132) What is the MAIN ADVANTAGE of the free Lateral Arm Flap versus the free Radial Foream Flap?
A. Thin and pliable skin
B. Primary closure of the donor defect is possible
C. It has more bone available
D. Allen test results is the most important consideration of avoid hand ischemia
E. Postoperative bleeding and infection more common
1133) Which of the following is FALSE regarding the Lateral Arm Free Flap?
A. It is based on the posterior radial collateral artery
B. The radial artery is also a main part of vascular pedicle
C. Primary closure can usually be accomplish
D. It has dual venous drainage
E. The cutaneous paddle is approximately to one third of the circumference of the arm
1134) Which of the following is a MORBIDITY MOST commonly related to the Superficial Temporal Parietal Fascia Flap?
A. Skin necrosis
B. Infection
C. Bleeding
D. Alopecia
E. Severe postoperative edema
1135) Which of the following is FALSE regarding the Rectus Myocutaneous Free Flap?
A. The deep superior epigastric artery and vein is part of the vascular pedicle
B. The deep inferior epigastric artery and vein is part also of the vascular pedicle
C. The deep superior epigastric artery must be mandatorily ncluded in head and neck reconstruction.
D. Abdominal wall hernia is part of the potential morbidity
E. The donor site is usually closed primarily
1136) Which of the following surgical techniques is the one that was used with the final scar result?
A. Running Z-plasties
B. Running W-plasties
C. Geometric broken-line closure
D. Running M-plasties
E. Fusiform excision with scar repositioning
1137) Which of the following microvascular Free Soft-Tissue Flap is the BULKIEST?
A. Radial forearm
B. Lateral arm
C. Gracilis
D. Anterolateral thigh
E. Rectus
1138) Which of the following microvascular flaps is the BEST to be used in total glossectomy?
A. Latissimus dorsi
B. Radial forearm
C. Anterolateral thigh
D. Gracilis
E. Lateral arm
1139) Which of the following microvascular flaps is MOST COMMONLY used in facial reanimation?
A. Lateral arm
B. Superficial Temporal Parietal Fascia
C. Anterolateral thigh
D. Gracilis
E. Radial Forearm
1140) Which of the following statements regarding the fibular osteo-cutaneous flap is TRUE?
A. The longest possible segment of fibular bone for harvesting is 20 cm
B. The fibular bone can be contoured to reconstruct only small to medium mandibular defects
C. An 8-cm segment of fibular is necessary above and below for ankle and knee stability
D. Posterior split in the immediate postoperative period is usually not necessary
E. Two-team approach although possible not recommended
ANSWERS & REFERENCES
1131) D Forearm defect can be close primarily
Chepeha D. B., Teknos T. N.: Microvascular Free Flaps in Head and Neck Reconstruction, Chapter 162, in Head & Neck Surgery - Otolaryngology (Bailey, Byron J.; Johnson, Jonas T.; Newlands, Shawn D.d, editors), 4th edition, Lippincott Willimas & Wilkins, 2006, pp 2369- 2391
Burkey B. B, , Coleman J. R: Microvascular Flaps, chapter 47, Facial Plastic and Reconstructive Surgery, second edition, (Papel, I. D., editor), Thieme, 2002, pp. 567-590
1132) B Primary closure of the donor defect is possible
Chepeha D. B., Teknos T. N.: Microvascular Free Flaps in Head and Neck Reconstruction, Chapter 162, in Head & Neck Surgery - Otolaryngology (Bailey, Byron J.; Johnson, Jonas T.; Newlands, Shawn D.d, editors), Lippincott Willimas & Wilkins, 2006, pp 2369- 2391
Burkey B. B, , Coleman J. R: Microvascular Flaps, chapter 47, Facial Plastic and Reconstructive Surgery, second edition, (Papel, I. D., editor), Thieme, 2002, pp. 567-590
1133) B The radial artery is also a main part of vascular pedicle
Chepeha D. B., Teknos T. N.: Microvascular Free Flaps in Head and Neck Reconstruction, Chapter 162, in Head & Neck Surgery - Otolaryngology (Bailey, Byron J.; Johnson, Jonas T.; Newlands, Shawn D.d, editors), Lippincott Willimas & Wilkins, 2006, pp 2369- 2391
Burkey B. B, , Coleman J. R: Microvascular Flaps, chapter 47, Facial Plastic and Reconstructive Surgery, second edition, (Papel, I. D., editor), Thieme, 2002, pp. 567-590
1134) D Alopecia
Chepeha D. B., Teknos T. N.: Microvascular Free Flaps in Head and Neck Reconstruction, Chapter 162, in Head & Neck Surgery - Otolaryngology (Bailey, Byron J.; Johnson, Jonas T.; Newlands, Shawn D.d, editors), Lippincott Willimas & Wilkins, 2006, pp 2369- 2391
Burkey B. B, , Coleman J. R: Microvascular Flaps, chapter 47, Facial Plastic and Reconstructive Surgery, second edition, (Papel, I. D., editor), Thieme, 2002, pp. 567-590
1135) C The deep superior epigastric artery must be mandatorily included in head and neck reconstruction.
Chepeha D. B., Teknos T. N.: Microvascular Free Flaps in Head and Neck Reconstruction, Chapter 162, in Head & Neck Surgery - Otolaryngology (Bailey, Byron J.; Johnson, Jonas T.; Newlands, Shawn D.d, editors), Lippincott Willimas & Wilkins, 2006, pp 2369- 2391
Burkey B. B, , Coleman J. R: Microvascular Flaps, chapter 47, Facial Plastic and Reconstructive Surgery, second edition, (Papel, I. D., editor), Thieme, 2002, pp. 567-590
1136) C Geometric broken-line closure
Hochman M.: Scar Camouflage, Chapter 164, in Head & Neck Surgery - Otolaryngology (Bailey, Byron J.; Johnson, Jonas T.; Newlands, Shawn D, editors), Lippincott Willimas & Wilkins, 2006, pp 2412-2419
1137) E Rectus
Chepeha D. B., Teknos T. N.: Microvascular Free Flaps in Head and Neck Reconstruction, Chapter 162, in Head & Neck Surgery - Otolaryngology (Bailey, Byron J.; Johnson, Jonas T.; Newlands, Shawn D., editors), Lippincott Willimas & Wilkins, 2006, pp 2369- 2391
1138) A Latissimus dorsi
Chepeha D. B., Teknos T. N.: Microvascular Free Flaps in Head and Neck Reconstruction, Chapter 162, in Head & Neck Surgery - Otolaryngology (Bailey, Byron J.; Johnson, Jonas T.; Newlands, Shawn D., editors), Lippincott Willimas & Wilkins, 2006, pp 2369- 2391
Burkey B. B, , Coleman J. R: Microvascular Flaps, chapter 47, Facial Plastic and Reconstructive Surgery, second edition, (Papel, I. D., editor), Thieme, 2002, pp. 567-590
1139) D Gracilis
Chepeha D. B., Teknos T. N.: Microvascular Free Flaps in Head and Neck Reconstruction, Chapter 162, in Head & Neck Surgery - Otolaryngology (Bailey, Byron J.; Johnson, Jonas T.; Newlands, Shawn D., editors), Lippincott Willimas & Wilkins, 2006, pp 2369- 2391
1140) C An 8-cm segment of fibular is necessary above and below for ankle and knee stability
Chepeha D. B., Teknos T. N.: Microvascular Free Flaps in Head and Neck Reconstruction, Chapter 162, in Head & Neck Surgery - Otolaryngology (Bailey, Byron J.; Johnson, Jonas T.; Newlands, Shawn D., editors), Lippincott Willimas & Wilkins, 2006, pp 2369- 2391
Burkey B. B, , Coleman J. R: Microvascular Flaps, chapter 47, Facial Plastic and Reconstructive Surgery, second edition, (Papel, I. D., editor), Thieme, 2002, pp. 567-590
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Updated: August 5, 2017
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