Differences

This shows you the differences between two versions of the page.

--- resident:pimp_questions [2021/04/05 10:44] – [Dr. Chong] vincent
+++ resident:pimp_questions [2022/12/14 10:09] (current) – [Dr. Kaoutzanis] jerry
@@ Line 6: / Line 6: @@
 | What is the incidence of Tissue Expander infections? | 7-10% |
 | What is the blood supply to the pectoralis major muscle? | Type V Mathes and Nahai flap. Dominant supply pectoral branch of thoracoacromial trunk. Segmental supply of IMA perforators. |
-| What is pitanguys line? |  |
+| What is Pitanguy's line? | {{ https://www.theplasticsfella.com/content/images/2021/03/Facial-Nerve-Branching-Patterns-1.png?200 }} |
-| What is pitanguys point? |  |
+| What is Pitanguy's point? | FIXME |
 | Why is this patient going to bleed? | Patients with uremia have platelet dysfunction. |
 | Why smooth expanders? | Because smooth implants have been associated with ALCL and the only link is previous textured tissue expanders? |
-| What are the aesthetic units of the breast? |  |
+| What are the aesthetic units of the breast? | FIXME |
 | Primary venous drainage system of abdomen? | superficial system |
 | What is blood supply to pectoralis major? | pectoral branch from thoracoacromial trunk, IMA perforators |
-| What is dual plane for breast implants? |  |
+| What is dual plane for breast implants? | FIXME |
 | Source of hematoma? | Hematoma could be from surrounding tissue or from a vein clot and now leaking from flap |
 | Larger angle of diversion increases the amount of coning or projection of the breast. ||
@@ Line 44: / Line 44: @@
   - Go into previous flap pedicle
+----
 ==== Dr. Mathes ====
@@ Line 70: / Line 72: @@
 **What is the (Mathes and Nahai) Reconstructive Triangle?**\\
 This is the idea that rather than a ladder or an elevator, you can apply different principles to treat different wounds as well as combinations of these principles. The triangle consists of (Local) Flaps - Microsurgery - Tissue Expansion. Really this is meant to instill in the young plastic surgeon a sense of choices. Dr. Janis published a paper called [[http://www.drjeffreyjanis.com/wp-content/uploads/2014/04/The-New-Reconstructive-Ladder-PMID21200292.pdf|The New Reconstructive Ladder]] which further expands this idea. He adds some of the new concepts such as use of negative pressure wound vac therapy and dermal matrices. Others have suggested adding distraction osteogenesis. (While first introduced by Dr. Ilizarov, this technique was adopted by the plastic surgeon Dr. McCarthy for Craniofacial Surgery.)\\
+----
 ==== Dr. Iorio ====
@@ Line 76: / Line 80: @@
 | A favorite question is the dorsal extensor compartments. Will ask you "what's this" in the OR. ||
+----
 ==== Dr. Malliaris ====
 ^ Question ^ Pearl ^
@@ Line 88: / Line 92: @@
 | Lumbrical innervation? | Radial two from median off common digital nerve. Ulnar two off ulnar common digital nerve. |
 | How does the median nerve arborize in the hand? | Variable but usually splits into into radial and ulnar components before forming the common digital nerves. |
-| What is a Stenner lesion? |  |
+| What is a Stenner lesion? | FIXME |
 | What does FPL lay in hand? | Between adductor and abductor policis brevis. |
 | What is order of intrinsic muscles in hand from volar to dorsal for thenar and hypothenar eminence? | AFO |
-==== Kaoutzanis ====
+----
+==== Dr. Kaoutzanis ====
 ^ Question ^ Pearl ^
 | For thigh lifts or mass excisions, how do you prevent labial spreading? | Suture advanced dermis to Colle’s fascia. |
+| For mandibular contouring, what structure on buccal mucosa near the first molar must avoid |Stenson/parotid duct |
+----
+==== Dr. French ====
+^ Question ^ Pearl ^
+| Approaching the end of cleft lip surgery, the patient begins to bleed while final sutures are placed. Why? | The cleft palate is a highly vascular region, and blood pressure rises as anesthesia becomes less deep. |
+| At what age does the sphenoid sinus complete pneumatization? | 7-8 years; MRI after this age will show complete pneumatization. |
+| How to differentiate deformational plagiocephaly from mechanical forces vs craniostosis? | - Parallelogram vs Trapezoidal vertex shape\\ - Position of ears relative to flattening\\ {{ https://obgynkey.com/wp-content/uploads/2016/07/B9780323079327000235_f022-005ab-9780323079327.jpg }} |
+| On which side is cleft lip/palate more common? | Left. It is thought that the right side fuses first in development. |
+----
+==== Dr. Khechoyan ====
+^ Question ^ Pearl ^
+| What are the layers of the scalp? | **S** Skin\\ **C** Connective Tissue\\ **A** Aponeurosis of Galea \\ **L** Loose Areolar Tissue\\ **P** Periosteum/Pericranium |
+| When reflecting the scalp for calvarial procedures, what layer is separated? | Separate at layer of loose areolar tissue, reflect the scalp, then elevate the pericranium. |