Sunday, December 1, 2024

1571-1580 MCQ in Facial Plastic and Reconstructive Surgery

 1571-1580

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Updated: Dec 10, 2024

1571) Which of the following Free Flaps is considered the workhorse for mandibular reconstruction in the pediatric population?

A. Iliac crest free flap
B. Radial free flap
C. Fibula free flap
D. Scapula free flap (scapular tip)
E. Scapula free flap (lateral scapular border)

1572) Which of the following surgical steps in the management of thick skin rhinoplasty is FALSE?

A. Open approach
B. Supraperichondral tip dissection
C. Avoid selective defatting
D. Lateral crural tensioning
E. Septal extension graft

1573) Which of the following surgical technique is NOT USED in the Cleft Palate Repair?

A) Unipedicled two-flap palatoplasty (Bardach and Salyer).
B) Bipedicled flap palatoplasty (Von Langenbeck)
C) Mohler technique Palatoplasty (Millard Technique modification)
D) V-Y Advancement (Veau-Wardill-Kinner) palatoplasty.
E.) Furlow Palatoplasty (Double Opposing Z-Plasty)


1574) Which of the following statements in pediatric vascular tumor is FALSE?? 

A. Infantile hemangioma is the most common tumor of infancy.
B. Minimally or not detectable at birth.
C. Rapid growth in the first year of life
D. Do not regress or involute
E. Propanolol therapy has demonstrated great efficacy in their treatment.

1575) After the administration of botulinum toxin injection at the glabellar region the patient develops an upper eyelid ptosis. Which of the following medication is the one used to treat this complication? 

A.
Artificial tears
B. Lidocaine ophtalmic
C. Apraclonidine eye drops
D. Dexametasone eye drops
E. Gentamicin ophthalmic

1576) Which of the following surface anatomy nomenclature is the ONE marked by the arrow?





A. Trichion
B. Nasion 
C. Rhinion
D. Supratip 
E. Pogonium
.
1577) Which of the following is the MOST common complication seen in the use of the Temporal Parietal Fascia Flap (TPFF)?
 
A. Alopecia
B. Necrosis
C. Weakness of the frontalis muscle
D. Venous congestion
E. Hematoma

1578) Which of the following components is NOT considered related to the "Preservation Rhinoplasty"?

A. Elevation of the soft tissue envelope in the sub-SMAS plane.
B. Presertion of the scroll ligament complex.
C. Presertion the nasal dorsum without creating an open roof deformity.
D. Maintaining the alar cartilage, avoiding lateral crural resection.
E. Dorsal preservation (with en bloc dorsal lowering).

1579) Which of the following statements regarding the Anterior Septal Angle in the open dorsal approach to rhinoplasty is FALSE?

A. It is the most anterior projecting point  of the septum.
B. It contributes to the nasal tip support
C. It contributes to the tip projection
D. It contributes to the nasal length
E. It contributes to the external nasal valve function

1580) Which of the following statements regarding Botulinum toxin to treat facial wrinkles is FALSE?

A. It is a protein produced by the anaerobic gram-positive bacteria
B. Botulinum type A and Type B are only used clinically.
C. Botulinum toxin is injected into the intradermal plane
D. Complete paralysis of the muscle occurred 5-7 days
E. Clinical results can last up to 3-4 months.




ANSWERS & REFERENCES


1571) 
A    Fibula free flap

Wang W., Shokri T., Ruiz-Mojica C., Ducic Y.: Pediatric Free Flaps: Indications, Considerations, and Follow up, Facial Plastic Surgery Clinic N. America, 33 (2025), pp. 109-115

1572) C     Avoid selective defatting

Cobo R., Patrocinio L.G., Guyuron B., Swanson M.: Management of thick skin in Rhinoplasty, Facial Plastic Surgery Clinic N. America, 32 (2024), pp.473-493

1573) C    Mohler technique Palatoplasty (Millard Technique modification)

Long B. D., Petersson R.S.: Primary Cleft Palate Repair, Facial Plastic Surgery Clinic N. America, 32 (2024), pp. 55-62

1574) C    Do not regress or involute
 
  Urbamn, M., Williams E. F.: Vascular Lesions, Facial Plastic Surgery Clinic N. America, 32 (2024), pp.13-25

1575) C   Apraclonidine eye drops

Gillman G. S.: Cosmetic Uses of Neurotoxins and Injectable Fillers, chapter 197 in Bailey's Head & Neck Surgery Otolaryngology (Johnson and Rosen, editors), Fifth Edition, 2014, Walters Kluwer/Lippincott Williams & Wilkins, pp. 3239-3251

1576) C    Rhinion

Gillman G.S.: Rhinoplasty: Incisions, Approaches and Analysis, Chapter 180, Bailey's Head & Neck Surgery Otolaryngology (Johnson and Rosen, editors), Fifth Edition, 2014, Walters Kluwer/Lippincott Williams & Wilkins, pp. 2941-2951

1567) A    Alopecia



1578) A     
  
Patel P. N., Most S. P.: Overview of Dorsal Preservation Rhinoplasty, Facial Plastic Surgery Clinic N. America, 31 (2023), pp. 1-11
1579)     It contributes to the external nasal valve function

Rod J Rohrich, Phillip B DauweBenson J Pulikkottil , Ronnie A Pezeshk: The Importance of the Anterior Septal Angle in the Open Dorsal Approach to RhinoplastyPlast Reconstr Surg. 2017 Mar;139(3):604-612



1580)     Botulinum toxin is injected into the intradermal plane

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



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Updated: Dec. 10, 2024

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