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