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Chapter 55. Reconstructive Head and Neck Surgery

Healing by secondary intention could result in a poor cosmetic result at which site?

A. Lateral forehead/temple

B. Nasal alar rim

C. Medial canthal region

D. Medial Cheek

A patient that developed Ramsay-Hunt syndrome and has had a HB VI facial nerve paralysis now for 18 months (since symptom onset). EMG shows electrical silence. The patient wants to restore movement and symmetry of the lower face. What reconstructive option would be best for this patient?

A. XII-VII jump graft to the facial nerve trunk

B. Static sling to elevate the commissure using fascia lata

C. Temporalis muscle transposition

D. Gracillis free flap powered by CN V (masseteric nerve)

Which of the following statements about skin grafts is incorrect?

A. They heal well over the fat, muscle, perichondrium, and fascia.

B. They depend on formation of a hematoma for survival.

C. They require immobilization and avoidance of shear to take.

D. The thinner the graft, the greater the risk of contracture.

E. Meshed grafts can be used to cover large scalp defects.

Which is not a feature of the scapular system of free flaps?

A. May be harvested with two separate bone-containing segments to reconstruct bone defects that are separated in space

B. Has the least freedom of rotation of the soft tissue component with respect to the osseous component of all the bone-containing free flaps

C. Requires decubitus positioning for harvest through a transaxillary approach

D. Is based on the thoracodorsal artery

A full-thickness defect of the upper lip not involving the philtrum, and measuring less than 1/3 of the lip width should be closed

A. With a perialar crescentic flap

B. With perialar crescentic flaps combined with an Abbe flap

C. With an Estlander flap

D. With a Karapandzic flap

E. Primarily

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