1151) A 51 year old female actress in good general health is requesting a rhytidectomy. She has a strong jawline, well defined cheek bones, low seated submandibular glands, a high posterior hyoid bone and a thin neck skin with the expected photoaging for her age. Which of the following is NOT considerated IDEAL in this patient?
A. High posterior hyoid bone
B. Low seated submandibular glands
C. Strong forward chin
D. Shallow melolabial folds
E. Sharp cervicomental angle
1152) Which of the following face and neck abnormalities of aging is BEST corrected by the Rhytidectomy?
A. Cervico-mental angle
B. Deep nasolabial folds
C. Lateral perioral jowling
D. Orbicularis oculi muscle ptosis
E. Malar fat pad ptosis
1153) Which of the following statements is NOT improved by a Facelift procedure?
A. Ptosis of the jowl
B. Cervicomental angle
C. Malar fat pad ptosis
D. Turkey gobbler deformity
E. Skin redundancy of the lower face
1154) Which of the following effects is TRUE using soft tissue expanders?
A. Thin epidermis
B. Thin dermis
C. Thick adipose tissue
D. Decreased skin pigmentation
E. Increased hair follicles
1155) Which of the following complications in rhytidectomy and its incidence is TRUE?
A. Facial nerve palsy (0.8%)
B. Hematoma (1%)
C. Skin slough (15%)
D. Alopecia (10%)
E. Deformity of the earlobe (12%)
1156) What is the NORMAL intercanthal distance (A) represented in the drawing?
A.25 mm
B.35 mm
C.40 mm
D.45 mm
E.50 mm
1157) What is the BEST reconstruction option to repair one third full-thickness surgical defect of the lower lip?
A. Primary repair
B. Abbe flap
C. Estlander flap
D. Gillies flap
E. Karapandzic flap
1158) Which of the following statements regarding the anatomy of the platysma muscle is FALSE?
A. It is a paired muscle innervated by the external laryngeal branch of the superior laryngeal nerve.
B. It originates from the fascia of the pectoralis major and deltoid muscles.
C. It ascends in the neck to insert on the inferior border of the mandible.
D. Its posterior third of the platysma passes over the mandible and fuse with the SMAS.
E. It can cause the "turkey-gobbler" , "double chin" as people age.
1159) Which of the following statement defines the "most anterior point of the chin soft tissue".
A. Menton
B. Subnasale
C. Pogonion
D. Cervical point
E. Gnathion
1160) If you compare the classic rhytidectomy procedure versus the deep plane rhytidectomy, the DEEP PLANE rhytidectomy will have a lower incidence of
A. Nerve paresis
B. Nerve paralysis
C. Hematoma
D. Infection
E. Deformity of the ear lobe
ANSWERS & REFERENCES
1151) B Low seated submandibular glands
Kridel R. W.H., Soliemanzadeh P.: The Aging Face (Rhytidectomy) chapter 177 in Bailey, Byron J.; Johnson, Jonas T. Newlands, Shawn D., Head & Neck Surgery - Otolaryngology, 4th Edition, 2006, pp 2627-2649
1152) A Cervico-mental angle
Kridel R. W.H., Soliemanzadeh P.: The Aging Face (Rhytidectomy) chapter 177 in Bailey, Byron J.; Johnson, Jonas T. Newlands, Shawn D., Head & Neck Surgery - Otolaryngology, 4th Edition, 2006, pp 2627-2649
1153) C Malar fat pad ptosis
Kridel R. W.H., Soliemanzadeh P.: The Aging Face (Rhytidectomy) chapter 177 in Bailey, Byron J.; Johnson, Jonas T. Newlands, Shawn D., Head & Neck Surgery - Otolaryngology, 4th Edition, 2006, pp 2627-2649
1154) B Thin dermis
Hoffmann J. F.: Tissue Expansion in Reconstruction of the Head and Neck, Chapter 55 in Facial Plastic and Reconstructive Surgery, (Papel I. D. , editor), Third edition, 2009, pp. 745-756
1155) A Facial nerve palsy (0.8%)
Kridel R. W.H., Soliemanzadeh P.: The Aging Face (Rhytidectomy) chapter 177 in Bailey, Byron J.; Johnson, Jonas T. Newlands, Shawn D., Head & Neck Surgery - Otolaryngology, 4th Edition, 2006, pp 2627-2649
Perkins S. W., Naderi S.:Rhytidectomy, Chapter 19 in Facial Plastic and Reconstructive Surgery, (Papel I. D., editor), Third edition, 2009, pp. 207-225
1156) B 35 mm
Strong E. B.: Frontal Sinus and Naso-Orbital-Ethmoid Complex Fractures, Chapter 70 in Facial Plastic and Reconstructive Surgery, (Papel I. D. , editor), Third edition, 2009, pp. 977-990
1157) A Primary repair
DeFatta R. J. , Williams E. F.: Lip Recontruction, Chapter 61 in Facial Plastic and Reconstructive Surgery, (Papel I. D. , editor), Third edition, 2009, pp. 841-854
1158) A It is a paired muscle innervated by the external laryngeal branch of the superior laryngeal nerve.
Williams III E. F., Pontius A. T.: The Aging Neck, chapter 178 in Bailey, Byron J.; Johnson, Jonas T. Newlands, Shawn D., Head & Neck Surgery - Otolaryngology, 4th Edition, 2006, pp 2651-2662
1159) C Pogonion
Williams III E. F., Pontius A. T.: The Aging Neck, chapter 178 in Bailey, Byron J.; Johnson, Jonas T. Newlands, Shawn D., Head & Neck Surgery - Otolaryngology, 4th Edition, 2006, pp 2651-2662
1160) C Hematoma
Williams III E. F., Pontius A. T.: The Aging Neck, chapter 178 in Bailey, Byron J.; Johnson, Jonas T. Newlands, Shawn D., Head & Neck Surgery - Otolaryngology, 4th Edition, 2006, pp 2651-2662
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Updated: August 5, 2017
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