FPRS Inservice Review
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Transcript of FPRS Inservice Review
FPRS Inservice Review
2-15-12
Facial Analysis
• The Frankfort horizontal plane connects the:A. Nasion and pogonionB. Nasion and porionC. Porion and orbitaleD. Stomion and rhinion
Facial Analysis
• The Frankfort horizontal plane connects the:A. Nasion and pogonionB. Nasion and porionC. Porion and orbitaleD. Stomion and rhinion
Facelift
• Most commonly injured nerve:A. Marginal mandibular branchB. Frontal branchC. Buccal branchD. Great auricular nerve
Facelift
• Most commonly injured nerve:A. Marginal mandibular branchB. Frontal branchC. Buccal branchD. Great auricular nerve
Facelift
• Most commonly injured MOTOR nerve:A. Marginal mandibular branchB. Frontal branchC. Buccal branchD. Great auricular nerve
Facelift
• Most commonly injured MOTOR nerve:A. Marginal mandibular branchB. Frontal branchC. Buccal branchD. Great auricular nerve
Forehead Rhytids
• Horizontal rhytids in the glabella are cause by contraction of which muscles?A. ProcerusB. Corrugator supercilii
Forehead Rhytids
• Horizontal rhytids in the glabella are cause by contraction of which muscles?A. ProcerusB. Corrugator supercilii
Forehead Anatomy
Elevator muscle • FrontalisDepressor muscles: • Procerus• Corrugator supercilii• Orbital portion of the
orbicularis oculi)
Unilateral Cleft Lip Nose
• Tip and columella deviate toward:A. Cleft sideB. Non-cleft side
Unilateral Cleft Lip Nose
• Tip and columella deviate towards:A. Cleft sideB. Non-cleft side
Unilateral Cleft Lip Nose
• Caudal septum deviates toward:A. Cleft sideB. Non-cleft side
Unilateral Cleft Lip Nose
• Caudal septum deviates toward:A. Cleft sideB. Non-cleft side
Unilateral Cleft Lip Nose
• Cartilaginous and bony septum deviates toward:A. Cleft sideB. Non-cleft side
Unilateral Cleft Lip Nose
• Cartilaginous and bony septum deviates toward:A. Cleft sideB. Non-cleft side
Unilateral Cleft Lip Nose
• Cleft side alar base is positioned:A. Posteriorly, laterally and inferiorlyB. Medially and inferiorlyC. Posteriorly and medially
Unilateral Cleft Lip Nose
• Cleft side alar base is positioned:A. Posteriorly, laterally and inferiorlyB. Medially and inferiorlyC. Posteriorly and medially
Unilateral Cleft Lip Nose
• The lower lateral cartilage on the cleft side has an elongated:A. Lateral crusB. Medial crus
Unilateral Cleft Lip Nose
• The lower lateral cartilage on the cleft side has an elongated:A. Lateral crusB. Medial crus
Rhinoplasty
• What incisions comprise an open rhinoplasty incision?A. Mid-columellar and rimB. Mid-columellar and marginalC. Mid-columellar and intracartilaginousD. Mid-columellar and intercartilaginous
Rhinoplasty
• What incisions comprise an open rhinoplasty incision?A. Mid-columellar and rimB. Mid-columellar and marginalC. Mid-columellar and intracartilaginousD. Mid-columellar and intercartilaginous
Open Rhinoplasty Incisions
Closed Rhinoplasty Incisions
Rhinoplasty Maneuvers
• Cephalic trim / cephalic turn-in• Spreader grafts / auto-spreader grafts• Lateral crural steal / Lateral crural overlay• Tongue-in-groove• Domal sutures
Cephalic Trim (Turn-in)
(Auto) Spreader Grafts
Lateral Crural Steal
– Increases tip rotation and projection
Lateral Crural Overlay
– Increases tip rotation, decreases tip projection
Tongue-in-groove
- Introduced to treat hanging columella
- Stabilizes tip, prevents ptosis
- Can be used to set tip projection
Intra/Interdomal Sutures
Dynamic Tip Ptosis
• What causes tip ptosis with smiling?
Tip Ptosis
• Depressor septi muscle can accentuate drooping nasal tip and shorten upper lip on animation
• Dissection and transposition of muscle during rhinoplasty can improve tip-upper lip relationship
What is wrong with this nose?
A. Radix too highB. Over-rotatedC. Tension nose
deformityD. Rhinion too low
What is wrong with this nose?
A. Radix too highB. Over-rotatedC. Tension nose
deformityD. Rhinion too low
Tension Nose
• Overdeveloped quadrangular cartilage
• Tents tip away from nose• Tethers upper lip• Abnormal exposure of
maxillary gingiva• Narrowed nostrils• Increased columellar
show
Nasal Tip Defect
• 7mm defect on nasal tip. Repair with?A. Bilobed flapB. Primary closureC. Secondary intentionD. STSG
Nasal Tip Defect
• 7mm defect on nasal tip. Repair with?A. Bilobed flapB. Primary closureC. Secondary intentionD. STSG
Hair Transplantation
• Most common complication of follicular unit hair transplantation?A. Erythema B. CellulitisC. Hair lossD. Scarring
Hair Transplantation
• Most common complication of follicular unit hair transplantation?A. Erythema B. CellulitisC. Hair lossD. Scarring
Hair Transplantation
Hair Transplantation
Hair Transplantation
• Follicular units (as opposed to “hair plugs”)• Telogen effluvium• Trichophytic closure