Post-test

Post-test

Learning Objectives

At the conclusion of this activity, the participant should be able to:

1. Understand the complications of rhytidectomy and methods to reduce their incidence

2. Anticipate common complications of rhinoplasty and be able to integrate into clinical practice methods to reduce these complications

3. Describe methods to treat early and late complications of repair of bony and soft tissue facial trauma

4. Integrate into clinical practice measures to reduce the incidence of complications of auricular reconstruction

5. Employ methods to prevent complications of cleft palate and cleft lip repair

6. Understand and describe measures to prevent and treat adverse sequellae of facial laser treatments

7. Use neuromodulators and soft tissue fillers in a way that reduces the risk of complications

1. Definitive, or secondary cleft rhinoplasty should be performed at which of the following ages in females and males respectively

   • 11 and 13 years

   • 13 and 15 years

   • 15 and 17 years

   • 17 and 19 years

2. The unilateral secondary cleft nasal deformity contains all of the following characteristics EXCEPT

   • Retrodisplacement and underprojection of dome on the cleft side

   • Foreshortened columella on the cleft side

   • Caudal septal deflection to the cleft side

   • Malpositioned alar base on the cleft side

3. Included among the causes of the failed rhinoplasty outcome are the following:

   • The grandiose patient with unreasonable expectations

   • Hostile wound-healing responses that subvert a technically sound operation

   • Improper cosmetic analysis of the nose

   • a, b, and c

4. Which of the following factors predispose to the inverted-V deformity?

   • Scar contracture of the middle vault cartilages

   • Over-resection of the nasal dorsum

   • Soft pliable nasal cartilage

   • Short nasal bones

   • All of the above

5. What is the underlying cause of post-operative alar retraction?

   • Overly tight dome sutures

   • Over-excision of the cephalic (lateral crural) margin

   • Soft pliable alar cartilage

   • Short nasal bones

   • Horizontal contracture of the vestibular skin

6. A patient has internal valve obstruction following aggressive dorsal hump reduction. What surgical technique, in addition to spreader grafts, can help alleviate the Learning Objectives static obstruction in this region?

   • Alar batten graft

   • Flaring suture

   • Flip-flop lateral crura

   • Drilling of the piriform aperture

7. A patient with Wegener's Granulomatosis is experiencing severe nasal obstruction due to mucosal inflammation. On exam there is significant destruction of the mucosa corresponding to the supra-alar crease. What is the next course of action?

   • Composite graft from the conchal bowl

   • “Bucket-handle” mucosal flap

   • Buccal mucosa pedicled flap

   • Medical control of inflammation

8. The following technique(s) can be used to deproject, or give the illusion of deprojecting, the nasal tip:

   • Raising the radix

   • Lowering the radix

   • Medial crural overlay

   • Lateral crural steal

   • A & C

9. Which of the following do not contribute to the appearance of a short nose deformity?

   • Low nasal dorsum

   • Long upper lip

   • High radix

   • Over-rotated nasal tip

10. Which of the following grafting techniques are key to positioning the ala when correcting the short nose deformity?

    • Shield tip graft combined with lateral crural grafts

    • Lateral crural strut grafts repositioned caudally

    • Composite skin/cartilage graft from ear

    • Alar batten grafts placed in the side wall of the nose