Bologna CH147 Flaps

Question 1

Employing a back cut for a dorsal nasal rotation flap simultaneously widens the base of the flap

Answer 1

False ,it narrows base of the flap which improves its ease of rotational movement.

Question 2

Back cut of the flap enables the incorporation of some glabellar skin into the flap

Answer 2

True

Question 3

Characteristics of DNFR that enable success include a thick and highly sebaceous nose

Answer 3

False - these hinder flap success

Question 4

Characteristics that enable DNFR success include an elastic or loose skin of nasal dorsum

Answer 4

True

Question 5

The Limburg flap is a bilobed transposition flap

Answer 5

False, rhombic

Question 6

The Zitelli variant of bilobed transposition flap increases the pivot angle of the flap from 90-100 to 180 degrees

Answer 6

False vice versa

Question 7

Post op bleeding and infection are common even with meticulous surgical technique

Answer 7

False - rare

Question 8

Tunnel flaps can be single stage

Answer 8

True

Question 9

Combination flaps are helpful if defect is too large or because the defect involves more than one cosmetic subunit

Answer 9

True

Question 10

Flaps and grafts cannot be used in combination

Answer 10

False , they can

Question 11

Pressure becomes less important post operatively after 24 -48 hour

Answer 11

True

Question 12

all forms of infection can complicate the post operative course and affect the cosmetic and functional results

Answer 12

True

Question 13

In the mid post operative period, what are the most common complications requiring intervention?

Answer 13

Hypertrophic scar and trapdoor deformity

Question 14

Trapdoor deformity is usually evident 15-20 weeks after surgery

Answer 14

False 4-8 weeks

Question 15

What are some late post operative complications?

Answer 15

Persistent trapdoor deformity
Surface irregularities
Blunting or ablation of the junction between cosmetic units
Surface telangiectasia