Thursday, September 23, 2010

Reconstructive

309) A patient has a partial thickness defect of approximately 12 mm in the right nasal ala after using Mohs' microsurgery for a squamous cell carcinoma. Which of the following reconstructive techniques is the BEST in this particular case?

A. Secondary intention
B. Full thickness skin grafting
C. Full thickness skin grafting after granulation tissue is formed in the surgical bed
D. Nasolabial flap
E. Bilobed Flap




REFERENCES & ANSWER


Leach J.: Reconstruction of Nasal Tissue Deficits, A Self-Instructional Package, American Academy of Otolaryngology-Head and Neck Surgery Foundation, Inc., 1998, pp.45-47

Baker Shan: Major Nasal Reconstruction, Chapter 49 in Facial Plastic and Reconstructive Surgery, (Papel, editor) Thieme, Second Edition, p.p. 601-602, 2002

Baker Shan: Major Nasal Reconstruction, Chapter 59 in Facial Plastic and Reconstructive Surgery, (Papel, editor) Thieme, Third Edition, p.p. 807-820, 2009



309) D        Nasolabial flap

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