Пластика местными тканями. Пластика лоскутом на ножке. Пластика стебельчатым ло скутами
# 590
*!A man of 40 years, when addressing to the maxillofacial surgeon makes complaints about ingestion of food from the oral cavity to the nose. These phenomena appeared after the removal of benign education - the chondroma of the hard palate, 3 months ago. On examination, a defect of a solid sky measuring 2 cm in diameter is determined.
Which of the following methods of plastic is MOST shown?
*+ duplicated flap on the feeding leg from the sky
*bridge graft from the sky
*single-layer flap on the feeding stem from the cheek
*single-layer flap on feeding leg with mucous lips
*Arterial islet flap on feeding stem from the palate
# 591
*!A woman of 42 years, complains of a cosmetic defect. Six months ago I received a thermal burn of the face. When viewed on the right side there are scars, post-burn eversion of the lower eyelid of the 1st degree. It is planned to eliminate scarring in several stages. The first surgery is planned for the elimination of post-burn cicatricial inversion of the lower eyelid.
Which of the following is the most appropriate?
*free skin grafting
*Plastic Filatov's stem
*plastic free skin graft
*+plastic counter triangular rags
*plastic flap by Dieffenbach
# 592
*!A 42-year-old man complains of a cosmetic defect in the tip of the nose. Objectively visualized the formation of a rounded form, brownish-blue in size 0.8x0.6x0.5 cm. After the clinical and laboratory and instrumental studies, the diagnosis of "Basalioma in the tip of the nose" was made.
Which of the following is the most appropriate?
*+plastic flap with a labia-buccal fold
*Plastic Filatov's stem
*plastic free skin graft
*Plastic counter triangular rags
*Plastic triangular flap by Dieffenbach
# 593
*!A man of 30 years, complains about a facial skin defect. 3 years ago, the primary surgical treatment of an injured-bruised face wound was performed. At examination, cicatricial deformity of the arterial region was diagnosed.
What functional impairments are most expected?
*Hearing impairment
*breathing disorder
*impaired swallowing
*+mouth opening restriction
*habitual dislocation of the lower jaw
# 594
*!A man of 40 years, complained of a facial cosmetic defect. 8 months ago I was injured at the factory. With an objective examination, a total defect in the nasal region was found.
Which method of plastic from the below listed is MOST suitable?
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*operation by the Abbe method
*free tissue transplantation
*myoplasty with a patch of temporal muscle
*+plastic with philatite stalk
*Plastic with triangular rags of Limberg
# 595
*!A 46-year-old man, complained of a facial cosmetic defect. In the history of industrial injury 6 months ago, wounding the orbital region to the right. On examination, the edge of the right eyelid lags behind the eye and is turned down, the mucous membrane is turned outward, the eye gap does not close. The clinical diagnosis "Cicatricial turn of the right eyelid" is exposed.
Which method of plastic from the above is MOST appropriate?
*mobilizing the edges of the wound
*flap on feeder leg
*free skin graft
*+triangular rags over Limberg
*duplicated flap of the lower eyelid
# 596
*!A 46-year-old woman, complained of a fistula on her face, from an anamnesis a year ago, a traffic accident, surgical treatment for a bruised-torn wound of the parotid-chewing area on the left. Objectively, in the parotid-chewing area on the left, a fistula is found, from which transparent saliva is secreted.
Which method of plastic is listed the MOST shown?
*mobilization of the edges of the wound
*free skin graft
*triangular flaps along the Limberg angle of 90 degrees
*triangular flaps along the Limberg angle of 50 degrees
*+triangular flaps along the Limberg angle of 30 degrees
# 597
*!A man of 40 years, complained of a facial cosmetic defect. 8 months ago received a personal injury. Upon examination, paralysis of the facial muscles on the right was detected.
Which method of plastic from the following is MOST suitable?
*Plastic stalks of Filatov
*free tissue transplantation
*flap on feeding leg from forehead
*Plastic triangular rags by Limberg
*+myoplasty with a patch of temporal muscle
# 598
*!Women 40 years old, complained about the passage of air from the mouth into the maxillary sinus. From an anamnesis 2 days ago removal of a 1.6 tooth in a private dentistry. On examination, perforation of the maxillary sinus through the socket of the 1.6 tooth was diagnosed.
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Which method of plastic is listed the MOST shown?
*bridge graft from the sky
*single-layer flap on the feeding stem from the sky
*+single-layer flap on the feeder leg from the cheek
*a single-layer flap on the feeding stem with mucous lips
*an arterial islet flap on the feeding stem from the palate
# 599
*!A man of 40 years, complained of a facial cosmetic defect. 6 months ago I suffered an injury area. The examination revealed a lack of soft tissues of the upper lip of a triangular shape with a base more than 2 cm, the alveolar process and the central incisors of the upper jaw are exposed, the skin of the lower lip is macerated.
Which method of plastic from the following is MOST suitable?
*+Abbe method operation
*free tissue transplantation
*plastic by local tissues
*Operation by the method of Khitrova
*Plastic Filatov's stem
# 600
*!A man of 30 years, complains about a facial skin defect. 3 years ago, the primary surgical treatment of an injured-bruised face wound was performed. At examination, cicatricial deformity of the arterial region was diagnosed.
Which functional violations of the listed MOST are expected?
*Hearing impairment
*breathing disorder
*impaired swallowing
*+difficulty opening the mouth
*habitual dislocation of the lower jaw
# 601
*!The man of 40 years has addressed with complaints to a cosmetic lack of the face. In an anamnesis 4 months ago was injured, not treated. Upon examination, a cicatricial reversal of the eyelid on the right is detected. Mucous conjunctiva of the lower eyelid is exposed, the skin under the eye is macerated.
Which method of plastic from the above is MOST appropriate?
*mobilization of the edges of the wound
*flap on the feeder leg
*free skin graft
*+triangular flap over Limberg
*duplicated flap of the lower eyelid
# 602
*!A 46-year-old man complained of a facial cosmetic defect. In an anamnesis 4 months ago was injured, not treated. On examination, a scar was found in the parotid-chewing area on the right 4 cm long, soft, pink in color.
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Which method of plastic is listed the MOST shown?
*+scar excision and mobilization of wound edges
*plastic free skin graft
*triangular rags over Limberg
*flap on the feeder leg
*duplicated graft
# 603
*!A man of 40 years, complained of a facial cosmetic defect. 6 months ago was injured in an accident. When examined, an extensive through total defect in the tissues of the cheek, lower lip, chin on the right was found. The alveolar process and the teeth of the corresponding half are bare.
Which method of plastic from the following is MOST shown?
*plastic by local tissues
*+plastic stalk of Filatov
*free tissue transplantation
*Plastic flap on feeding leg from forehead
*Plastic triangles of Limberg
# 604
*!A woman of 40 years, when referring to the maxillofacial surgeon makes complaints about ingestion of food from the oral cavity to the nose. Linked this with a difficult removal of 1.7 teeth. When examining the oral cavity, a message is determined with the maxillary sinus through the socket of the 1.7 tooth.
Which of the following methods of plastic is MOST useful?
*Philatian stalk
*a flap on the feeding leg with a soft palate mucosa
*flap on feeding leg with mucous lips
*+a flap on the feeding stem from the cheek
*a flap on the feeding stem from the mucosa of the alveolar process
# 605
*!A man of 29 years, entered the reception room after a domestic trauma. Injury received 8 hours ago. Objectively, the examination revealed a defect in the region of the right eyebrow.
Which of the following flaps is the MOST shown?
*Bridge
*+on a hidden vascular pedicle
*Counter triangular by Limberg
*the visor by Lexer
*dual for the Rauer
# 606
*!A woman 40 years after the burn with acid is determined by multiple scars of the mucous membrane of the buccal region on the right, leading to the restriction of opening the mouth. The diagnosis is "Scarring contracture of the lower jaw on the right." Operative treatment is shown - dissection of scars with defect plastic.
Which of the following complications is MOST Pending during the operation?
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*ischemia
*necrosis
*infection
*+bleeding
*paresthesia
# 607
*!A woman 40 years after the burn with acid is determined by multiple scars of the mucous membrane of the buccal region on the right, leading to the restriction of opening the mouth. The diagnosis "Scarring contracture of the lower jaw on the right" is established. Surgical treatment is shown - dissection of scars with plastic defect.
Which of the following complications is MOST expected in a remote period?
*+cicatricial deformity
*ischemia
*infection
*bleeding
*paresthesia
# 608
*!A 42-year-old man, entered the hospital routinely with complaints about a defect in the face. From an anamnesis it is known, that 3 months ago has received an industrial trauma. Objectively, the examination revealed a through defect of the cheek on the right.
Using which flap of the listed MOST shown?
*Bridge
*overturning
*on the feeder leg
*counter triangles
*+doubled by Rauer
# 609
*!A 38-year-old woman, entered an emergency after a domestic trauma with complaints of bleeding, a defect in the tip of the nose. Objectively, the examination revealed a partial defect in the end part of the nose.
Which method of plastic is the MOST shown?
*on the Rauer
*according to Suslov
*a patch on a microanastomosis
*+a flap on the leg with a labia-buccal fold
*Arterial flap from the temporal region
# 610
*!A woman of 42 years, entered the planned order with a benign education in the tip of the nose with dimensions of 1.5x1.0x0.6 cm. It is planned to carry out surgical treatment - removal of education with plastic defect.
Which method of plastic is the MOST shown?
*on the Rauer
*according to Suslov
*a patch on a microanastomosis
*+a flap on the leg with a labia-buccal fold
*Arterial flap from the temporal region
# 611
*!A 32-year-old man, has acted urgently with complaints about a facial cosmetic defect. From an anamnesis 12 hours ago has received a personal trauma. Objectively, the examination revealed a defect of the cutaneous part of the septum of the nose.
Which method of plastic is the MOST shown?
*+on the Rauer
*according to Suslov
*a patch on a microanastomosis
*a flap on the leg with nasolabial folds
*according to Hitrov
# 612
*!A woman 40 years after the burn with acid is determined by multiple scars of the mucous membrane of the buccal region on the right, leading to the restriction of opening the mouth. The diagnosis is "Scarring contracture of the lower jaw on the right."
Which treatment is the MOST shown?
*+dissection of scars with defect plastic
*excision of scars and tissue stitching
*dermabrasion in the scar area
*microperforation of scar tissue
*dissection of tissues in the area of scars
# 613
*!At the patient of 55 years, there is a defect of soft fabrics of a frontal area after a burn of III degree. The upper boundary of the defect begins from the beginning of the scalp, the lateral boundaries - at the site of the transition of the frontal region to the temporal, the lower boundary - in the region of the superciliary. Depth of defect at the level of the skin and subcutaneous fat.
What kind of surgical treatment of the listed MOST shows?
*Plastic with triangular flaps across Limberg
*+closure by a free skin graft from the shoulder
*Plastic flap on feeder leg
*plastic by local tissues
*Plastic visceral graft on Lexer
# 614
*!A man of 48 years, acted urgently in the waiting room. From an anamnesis of the disease: he suffered an industrial injury about an hour ago. Visually, when examined, the total defect of the lower lip is determined. Radiographically, there were no lesions of the bones of the facial and brain sections of the skull.
Which method of plastic is listed the MOST shown?
*Abbe
*Rauer
*Cedillo
*Evdokimova
*+Dieffenbach
# 615
*!A man of 44 years, entered in a planned order with a benign education of the buccal region to the right. It is recommended to carry out surgical treatment for the removal of education with a one-stage plastic with the formation of Filatov's stem.
Which way to close the wound surface on the mother plate MOST shown?
*free foot
*suturing yourself
*a patch on a microanastomosis
*+triangular rags
*free flap
# 616
*!A woman of 24 years old, complained of a cosmetic defect in the face area. In the history of domestic trauma 3 months ago. The end-to-end defect of the upper lip, triangular in shape with a base more than 1.5-2 cm, is objectively determined.
What kind of operation are listed the MOST?
*+by the method of Abbe
*by the method of Khitrov
*Plastic Filatov's stem
*free tissue transplantation
*plastic by local tissues
# 617
*!The girl of 19 years, has acted or arrived in an emergency order with complaints on a cosmetic defect in the field of the face. In the history of domestic trauma 2 months ago. Objectively, the examination revealed a partial defect of the nose wing on the left.
Which method of plastic is listed the MOST shown?
*on the Rauer
*+according to Suslov
*according to Kocher
*a patch on a microanastomosis
*an arterial patch of the temporal region
# 618
*!At the man of 54 years, during operation in occasion of removal of a basiomy of an infraorbital area to the left the defect of soft tissues 2,0х2,0 see was formed.
Which method of plastic is listed the MOST shown?
*+a flap on the leg
*convergence of edges
*triangular rags
*free tissue transplantation
*Relaxing incisions
# 619
*!At the man of 34 years, after a thermal burn the granulating wound of the left half of the face in the size 8,0х8,0 sm was formed.
What kind of plastic is the MOST shown?
*thick cutaneous autograft
*+split skin autograft
*xenograft
*thin allograft
*thin skin autograft by Tirsch
# 620
*!As a result of a gunshot wound to a man of 43 years, a total defect of the nose was formed.
What kind of recovery operation of the listed MOST shows?
*+Rhinoplasty according to Khitrov
*Rhinoplasty according to Suslov
*a flap on the leg of the labia-buccal fold
*an arterial flap of the temporal region
*plastic by local tissues
# 621
*!The man is 28 years old, as a result of a gunshot wound a true defect of the hard palate with opening of the maxillary sinuses and the nasal cavity was formed.
What kind of plastic is the MOST shown?
*A double flap on the Rauer
*+Filatov's stem
*according to Suslov
*by Dieffenbach
*by Abbe
# 622
*!A man of 55 years, entered the clinic with a defect in the lower lip. Objectively, there is completely red border and tissue of the lip to the transitional fold. The defect occurred after surgery for the cancer of the lower lip. Radiation therapy was carried out on the primary focus after which 3 months passed.
What kind of plastic is the MOST shown?
*+by Dieffenbach
*by Abbe
*on the Rauer
*according to Suslov
*for Bruns
# 623
*!A 24-year-old man, entered the clinic for left-sided paralysis of facial muscles. Five months before admission, during a radical surgery for acute mastoiditis, the facial nerve was damaged and persistent paralysis of the facial muscles developed. Despite the treatment, paralysis remained persistent. Electroexcitability: the muscles of the cheek respond to stimulation only by galvanic current.
What kind of surgical treatment of the above is MOST appropriate?
*static hanging of the muscles by the fascia of the thigh
*excision of excess skin on the left side
*myotomy on the healthy side
*+stitching of the facial nerve with diaphragmatic
*Neurotomy of the right side of the face
# 624
*!A 32-year-old man, entered with a clinical picture of left-sided paralysis of facial musculature. Has been sick since the age of 5, the cause is not clear.
What kind of surgical treatment of the listed MOST shows?
*+static suspension of muscles
*facial nerve neurolisis
*Stitching of the facial nerve with an additional
*Stitching of the facial nerve with diaphragmatic
*decompression of the facial nerve
# 625
*!A woman of 29 years, entered the clinic about the left side paralysis of the facial muscles. 2 years before admission during diphtheria, neuritis of the facial nerve occurred. Conservative treatment had no effect. Electroexcitability: some muscles of the left side of the face respond with sluggish contractions on high galvanic current figures.
What kind of surgical treatment of the listed MOST shows?
*static hanging of the muscles by the fascia of the thigh
*excision of excess skin on the left side
*myotomy on the healthy side
*static suspension of muscles with lavsan
*+stitching of the facial nerve with diaphragmatic
# 626
*!A man of 34 years, entered the clinic immediately after 6 hours from the moment of receiving a domestic trauma. From an anamnesis received a knife blow. Objectively, in the behind-the-ear area on the right, a cut wound about 6 cm long, right-sided paralysis of the facial muscles. Intraoperatively, when the wound is wounded, the wound channel is directed to the mastoid process, the intersection of the facial nerve with a defect of 2 mm is visualized.
What tactic of surgical treatment is MOST suitable?
*plastic facial nerve graft
*+stitching of the damaged facial nerve
*dynamic suspension of muscles
*facial nerve neurolisis
*Stitching of the facial nerve with an additional
# 627
*!A 32-year-old man entered the clinic urgently after 8 hours from the moment of receiving a domestic trauma. From an anamnesis received a blow with a bottle. Objectively, in the behind-the-ear area on the right, a wound wound about 5 cm long, right-sided paralysis of the facial muscles. Intraoperatively, when the wound is wounded, the wound channel is directed to the mastoid process, the intersection of the facial nerve with a defect of 3 cm is visualized.
What tactic of surgical treatment is MOST suitable?
*+facial nerve plastic graft
*Stitching of the damaged facial nerve
*dynamic suspension of muscles
*facial nerve neurolisis
*static suspension of muscles
# 628
*!A 28-year-old man, entered the clinic for left-sided paralysis of facial muscles. Six months before admission, during surgery for acute mastoiditis, the facial nerve was damaged and persistent paralysis of the facial muscles developed. Despite the treatment, paralysis remained persistent. A neuroplastic operation was performed - stitching of the facial nerve with diaphragmatic.
Which of the following is the MOST priority in the postoperative period?
*+curative gymnastics
*adequate anesthesia
*antiproliferative treatment
*heparin therapy
*detoxification therapy
# 629
*!A 32-year-old man complained of a facial cosmetic defect. 2 years ago, primary surgical treatment of an injured-bruised face wound was performed. At inspection the microstomy as a result of cicatricial replacement of tissues is diagnosed.
Which of the following methods of plastic is MOST shown?
*Brunsa;
*Suslov's;
*Karapetyan;
*Dieffenbach;
*+Lukomsky.
# 630
*!A 46-year-old man, complained of a facial cosmetic defect. In an anamnesis 4 months ago was injured, not treated. Upon examination, a scar was found in the infraorbital area to the right. Mucous conjunctiva of the lower eyelid is exposed, the skin under the eye is macerated.
Which of the following methods of plastic is MOST shown?
*+Limberg
*Brunsa
*flap on the feeder leg
*Dieffenbach
*Rauer
# 631
*!A woman of 32 years, complained of a facial cosmetic defect. In the anamnesis 8 months ago it was operated in occasion of a neoplasm in the field of a cheek on the right. End-to-end defect of the cheek is objectively determined.
Which of the following flaps is the best?
*+dual for the Rauer
*overturning
*Bridge
*counter triangles
*visor by Lexer
# 632
*!A woman of 46 years, complained of a defect in the face area. A year before admission she was hospitalized for a tumor of the buccal region to the right, an operation was performed to remove the formation. The examination revealed an extensive defect of all soft tissues of the buccal region to the right, penetrating into the oral cavity.
What kind of plastic is MOST acceptable?
*plastic by local tissues
*Plastic flap with nasolabial area
*flap on the leg with the latissimus muscle of the back
*+Filatov's stem
*tissues from the infraorbital area
# 633
*!A man of 40 years, entered the hospital with complaints about a defect in the face. From anamnesis it is known that 4 months ago he suffered an industrial trauma. Objectively, the examination revealed a through defect of the cheek on the left.
What is the flap of the listed MOST shows removal of the inner part of the defect?
*Bridge
*+overturning
*doubled by Rauer
*counter triangular
*round stalked
# 634
*!A 22-year-old woman complained of a cosmetic defect in the lower half of her face, difficulty with eating a bite, speech disturbance. During the examination, the upper jaw protrudes forward with respect to the normally developed lower jaw. It is recommended to perform an osteotomy of the lower jaw to eliminate the lower retrognathy.
What kind of plastic is the MOST shown?
*+Bone plastic surgery
*transplantation of the fascia
*engraftment of muscle
*skin flap replanting
*contour plastic
# 635
*!A 27-year-old woman, complained of a cosmetic defect in the face, a difficult meal. In anamnesis a year ago she was injured in the lower part of her face. Objective narrowing of the oral slit is determined, scars are visualized in the regions of the corners of the mouth, cheeks and on the oral mucosa
What kind of plastic is the MOST shown?
*+according to Lukomsky
*according to Hitrov
*by Abbe
*for Bruns
*by Dieffenbach
# 636
*!A 32-year-old woman, complained of a cosmetic defect in the face, difficulty eating. In an anamnesis 2 years ago it was treated for a third degree burn of the lower part of the face. Objective narrowing of the mouth gap is determined, scars are visualized in the corners of the mouth, cheeks on both sides.
What kind of plastic is the MOST shown?
*+according to Evdokimov
*according to Suslov
*for Karapetyan
*by Weisbilt
*by Adams
# 637
*!A 42-year-old man, entered the hospital routinely with complaints about a defect in the face. From anamnesis it is known that 4 months ago he suffered an industrial trauma. Objectively, the examination revealed a partial defect of the cheek on the right. A free skin transplant was performed to close the defect in the cheek area after trauma.
Which of the following complications is MOST expected in the late postoperative period?
*hematoma
*parasthesia
*necrosis of the flap
*+cicatricial transformation
*bleeding from the flap
# 638
*!A man of 44 years, complained of a facial cosmetic defect. 8 months ago was injured in an accident. Upon examination, an extensive through total defect of the lower lip, the chin on the left, was found. The alveolar process and the teeth of the corresponding half are bare. The plastic of the defect in the region of the chin was made with a Filatov stalk.
What kind of sensitivity is the MOST RECONSTRUCTIVE recovery in the first place?
*painful
*+tactile
*temperature
*flavoring
*vibration
# 639
*!A 38-year-old woman, complained of a facial cosmetic defect. In the anamnesis the transferred operation in occasion of removal of a neoplasm in the field of a bottom lip on the right. The surgeon performed a defect plastic.
Which of the listed local complications is MOST expected in the early postoperative period?
*+necrosis of grafts
*hyperpigmentation
*paresis of the facial nerve
*cicatricial deformity
*keloid scars
# 640
*!A 31-year-old woman, complained of a cosmetic defect in the face area. From an anamnesis it is found out, that 2 years ago it was treated concerning a basiomy in the field of an upper lip on the left, removal of formation is spent. Maxillofacial surgeon recommended plastic upper lip with a flap.
Which of the following methods of fixing the MOST shown?
*+nodal seam
*continuous seam
*plaster bandage
*unloading seams
*collodion bandage
# 641
*!A woman of 42 years, complains of a cosmetic defect. A year ago I received a thermal burn of my face. When viewed on the right side there are scars, post-burn eversion of the lower eyelid. The doctor performed the plastic with symmetrical counter triangular flaps with angles of 30 °.
What increase in tissue with respect to the length of the median incision DO YOU LATEST?
*by 15%
*+by 25%
*by 50%
*by 75%
*100%
# 642
*!A 22-year-old woman complained of a cosmetic defect in the lower half of her face, difficulty with eating a bite, speech disturbance. During the examination, the upper jaw protrudes forward with respect to the normally developed lower jaw. It is recommended to perform an osteotomy of the lower jaw to eliminate the lower retrognathy.
What is the intraoperative complication of the MOST MOST expected?
*salivary fistula
*secondary deformation
*tissue ischemia of the operating area
*neuritis of the marginal branch of the facial nerve
*+lower alveolar artery injury
# 643
*!A 46-year-old man, complained of a facial cosmetic defect. In the history of industrial injury 6 months ago, wounding the orbital region to the right. On examination, the edge of the right eyelid lags behind the eye and is turned down, the mucous membrane is turned outward, the eye gap does not close. The clinical diagnosis "Cicatricial turn of the right eyelid" is exposed. The doctor conducts the plastic symmetrical counter triangular rags with angles of 45 °.
What increase in tissue with respect to the length of the median incision DO YOU LATEST?
*by 15%
*by 25%
*+by 50%
*by 75%
*100%
# 644
*!A man of 48 years old, complained about the presence of skin formation in the buccal region to the right. The tumor was removed by dimensions 1.5x1.5 cm. To close the defect, the doctor performed a tissue with counterbalanced triangular flaps with angles of 60 °.
What is the MOST desirable?
*by 15%
*by 25%
*by 50%
*+by 75%
*100%
# 645
*!A man of 50 years, complained about the presence of skin formation in the parotid-chewing area on the right. The tumor was removed in dimensions of 2.0x2.0 cm. To close the defect, the doctor performed a plastic soft tissue with counterbalanced triangular flaps with angles of 75 °.
What is the MOST desirable?
*by 15%
*by 25%
*by 50%
*by 75%
*+100%
# 646
*!A 36-year-old woman, complained about the presence of an increasing education in the area of the nose wing on the right. Objectively, the pigmented formation of a rounded shape measuring 1.5x1.5 cm is painless for palpation. The diagnosis "Basal fossa of the nose on the right" is made. Removal of the tumor is indicated.
Which method of plastic from the above is MOST appropriate?
*on the Rauer
*+according to Suslov
*according to Kocher
*local tissues
*a patch of the temporal region
# 647
*!A 27-year-old man complains of a scar in the lower eyelid area on the right. From an anamnesis after a sports injury, a vertical scar of the lower eyelid of the right eye, 1.5 cm in length, appeared, which led to a reversal of the lower eyelid.
Which method of plastic is MOST suitable?
*according to Suslov
*by Abbe
*on the Rauer
*+Limberg
*for Vasiliev
# 648
*!A man of 30 years, entered the clinic immediately after 6 hours from the receipt of a domestic trauma. From an anamnesis received a blow with a bottle. Objectively, in the behind-the-ear area on the right, a cut wound about 4 cm long, right-sided paralysis of the facial muscles. Intraoperatively, when the wound is wounded, the wound channel is directed to the mastoid process, the intersection of the facial nerve with a defect of 3 cm is visualized.
What tactic of surgical treatment is MOST suitable?
*facial nerve neurolisis
*Stitching of the damaged facial nerve
*dynamic suspension of muscles
*static suspension of muscles
*+nerve plastic autograft
# 649
*!A man of 48 years, entered the clinic because of a defect in the soft and hard tissues of his chin. Six months ago I received a personal injury.
Which method of plastic is MOST suitable?
*triangular rags over Limberg
*+Filatov's stalk with bone plastic
*for Alexandrov
*according to Kruchinsky
*for Bruns
# 650
*!A 56-year-old man, entered with a defect in the middle section of his face after an accidental gunshot wound on a hunt. After the injury, a year passed. There are no nose, infraorbital and partly zygomatic area, anterior part of the sky. The upper lip is preserved. Concomitant disease is not revealed.
Which method of plastic is the MOST shown?
*plastic by local tissues
*+plastic stalk of Filatov
*free tissue transplantation
*Plastic flap on feeding leg from forehead
*Plastic triangles of Limberg
#651
*!Мужчина 38 лет, жалуется на дискомфорт при открывании рта, жевании, разговоре. В анамнезе год назад получил ожог нижней половины лица. Объективно определяется мелкое преддверие полости, наличие рубцов. С целью углубления преддверия полости рта выбран метод свободной пересадки кожного лоскута.
Какой вид лоскута НАИБОЛЕЕ показан?
*расщепленный кожный лоскут по Брауну
*полнослойный кожный лоскут
*расщепленный кожный лоскут по Педжету
*толстый кожный лоскут.
*+тонкий эпидермальный лоскут по Тиршу
# 651
*!A man of 38 years, complains of discomfort when opening his mouth, chewing, talking. In anamnesis a year ago he received a burn of the lower half of the face. Objectively defined shallow threshold of the cavity, the presence of scars. With the purpose of deepening the vestibule of the oral cavity the method of free grafting of the skin graft is chosen.
What kind of flap is the MOST shown?
*split skin flap according to Brown
*full-thickness skin flap
*split skin graft according to Peget
*thick skin flap.
*+Thirsh thin epidermal flap
# 652
*!A woman of 24 years, entered the clinic with complaints about deformity of the face due to a sharp protrusion of the lower jaw forward, lack of closure of the front teeth, inability to bite off food. The jaw enlargement has been observed since the age of 11 and has progressed with age. The diagnosis of "Lower macrognathia" was made. Sagittal retromolar osteotomy of the lower jaw was performed. During surgery, the edge branch of the facial nerve was damaged on the left.
What is the worst violation expected?
*+left corner of mouth left
*lagophthalmos
*lacrimation
*salivation
*Chest musculature trisme
# 653
*!A 46-year-old man complained of a defect in the nose. In the anamnesis it is operated in occasion of a cancer of a skin in the field of a back of a nose. Objectively determined total nasal defect.
What kind of plastic is the MOST shown?
*plastic by local tissues
*Rhinoplasty according to Suslov
*a flap on the leg of the labia-buccal fold
*an arterial flap of the temporal region
*+Rhinoplasty according to Khitrov
# 654
*!A man of 38 years, entered the clinic for left paralysis of the facial muscles. 8 months before admission, during surgery for acute mastoiditis, the facial nerve was damaged and persistent paralysis of the facial muscles developed. A neuroplastic operation was performed - stitching of the facial nerve with diaphragmatic. In the postoperative period, he began to observe a breathing disorder.
Which of the following survey methods is the MOST informative?
*+diaphragm radiography
*electromyography of facial muscles
*Chest X-ray
*CT scan
*Magnetic resonance imaging
# 655
*!A 21-year-old woman, entered the clinic about the right side paralysis of mimic muscles. At the age of 8, there were signs of paralysis, the cause of which was chronic otitis media. Muscle plastic was flapped from the temporal muscle. In the postoperative period, she began to notice the appearance of a rapidly enlarging swelling of the temporal region on the right.
Which of the following complications is MOST likely?
*inflammatory swelling
*+hematoma of the temporal region
*ischemia of the temporal region
*cicatricial contracture
*myositis of the temporalis muscle
# 656
*!A 21-year-old woman, entered the clinic about the right side paralysis of mimic muscles. At the age of 8, there were signs of paralysis, the cause of which was chronic otitis media. Muscle plastic was flapped from the temporal muscle. In the postoperative period, she began to notice the appearance of a rapidly enlarging swelling of the temporal region on the right.
Which of the following tactics is the MOST priority?
*carrying out physiotherapy
*carrying out of massage
*prescription of decongestants
*+removal of hematoma
*application of a pressure bandage
# 657
*!A 46-year-old man entered the clinic about a defect in the lower jaw and paralysis of the facial musculature to the right of gunshot origin. Radiographically, a defect of the lower jaw from 4.3 teeth to the right branch is determined.
What surgical treatment of the listed MOST shown?
*static suspension of the muscles with a wide fascia of the thigh
*Stitching of the facial nerve with an additional
*Stitching of the facial nerve with diaphragmatic
*static suspension of muscles with lavsan
*+myoplastic and plastic bone graft
# 658
*!A 44-year-old man, complained of a defect in the area of the tongue. From an anamnesis 2 years ago has transferred the operation directed on excision of a neoplasm in the field of language. Objectively, the presence of a subtotal defect in the tip and body of the tongue is noted in the oral cavity.
Which method of plastic is MOST suitable?
*+the stalk of Filatov
*triangular rags over Limberg
*free soft tissue transplantation
*local tissues
*a patch from the temporal region
# 659
*!A woman of 52 years, complained of a soft tissue defect in the face area after the operation. In an anamnesis 2 years ago, a tumor of the bottom of the oral cavity was removed as a bilateral operation of Banach.
Which operation is MOST shown?
*plastic by local tissues
*allotransplantation
*Plastic triangular rags
*free muscle and skin transplant
*+plastic Filatov's stem
# 660
*!A 34-year-old man, complained of a facial cosmetic defect. A year ago, he was hospitalized for a bite wound in the chin. Objectively, at the time of admission, an extensive defect in the chin area is determined.
Which method of plastic is MOST suitable?
*according to Suslov
*by Abbe
*triangular rags over Limberg
*+the stalk of Filatov
*by Dieffenbach
# 661
*!A 48-year-old woman, complained of a facial cosmetic defect. 8 months ago was injured as a result of a traffic accident. Objectively, an extensive defect is determined in the cheek, upper and lower lip on the right. For the plasticity of the defect on the anterolateral surface of the abdomen, Filatov's stem was formed by the method of Bernadsky.
What tactic of prevention of squeezing the flap is MOST suitable?
*+padding wipes from iodine gauze
*ice covering of the stalk
*application of physiotherapy procedures
*Bandaging of the stem with solutions of antiseptics
*periodic stalk massage
# 662
*!A man of 50 years, complained of a facial cosmetic defect. From anamnesis it is known, that 6 months ago has received an industrial trauma. Objectively, the examination revealed an extensive defect in the chin, the buccal region, the total defect of the lower lip and the subtotal defect of the upper on the left side. The plastic is carried by Filatov's stalk, on the fifth day the surgeon conducts a flap training.
Which method of training from the following is MOST appropriate?
*+intestinal clamp application
*ice covering of the stalk
*Tight bandaging of the stem
*placing under the stem napkins
*ointment bandages in the stalk region
# 663
*!A woman of 52 years, complained of a defect in the face. In a history a year ago resection of the upper jaw to the right for malignant neoplasm was carried out, while the lower edge of the bottom of the orbit was removed. Objectively expressed facial asymmetry is due to chewing of cheek tissues, the lower eyelid is edematous, the eyeball is omitted.
What characteristic functional violation of the listed MOST is expected?
*+impairment of binocular vision, chewing, swallowing
*violation of chewing, swallowing
*impaired speech, swallowing
*violation of taste, breathing
*impaired breathing, swallowing, speech
# 664
*!A 43-year-old man, complained of a defect in the nose. The defect is formed as a result of an industrial trauma. One-sided defect of the cartilaginous part of the nose is objectively determined with preservation of its bones.
Which method of plastic from the above is MOST appropriate?
*+according to Kruchinsky
*according to Suslov
*by Abbe
*on the Rauer
*for Bruns
# 665
*!A 46-year-old man complained of a facial cosmetic defect. In an anamnesis 3 months ago, was injured, the doctors did not apply. On examination, a scar was found in the parotid-chewing area on the right 4 cm long, soft, pink in color.
Which method of plastic is listed the MOST shown?
*+excision of scars and mobilization of the edges of the wound
*free skin graft
*triangular flaps along the Limberg angle of 30 degrees
*triangular flaps along the Limberg angles of 50 degrees
*triangular flaps along the Limberg angle of 90 degrees
# 666
*!A 48-year-old man, complained of a cosmetic defect in the face. From anamnesis it is known that 2 years ago a total resection of the lower lip for cancer was performed. Visually, when examined, the total defect of the lower lip is determined.
Which method of plastic is listed the MOST shown?
*Abbe
*Rauer
*Cedillo
*Evdokimova
*+Dieffenbach
# 667
*!A woman of 32 years, complained of hyperpigmentation of the skin in the area of the transplanted flap. From an anamnesis 5 months ago it was delivered with a bitten wound of the superciliary area to the left. Plastic was carried out with a free flap.
What tactic is MOST useful?
*+grafted dermabrasion
*electrophoresis in the graft region
*UHF-therapy
*mesotherapy
*Excising the flap
# 668
*!A 46 year old woman complains of a defect in the nose. From the anamnesis it is known that the trauma was caused by a bite in the sidewalk. Objectively, the total defect of the nose was determined. An operation was performed to close the defect with the help of the Filatov stalk.
What tactic is the MOST shown for the prevention of cicatricial deformities of the nose?
*application of the collodion bandage
*Apply a pressure-sensitive elastic bandage
*wearing a cap for facial lifting
*application of casts
*+insertion of tubes into nasal passages
# 669
*!A 52-year-old man with a total defect in the nasal area after surgical treatment for malignant education.
Which treatment method is the MOST shown?
*plastic by local tissues
*+indian rhinoplasty
*Plastic triangular rags
*free tissue transplantation
*plastic flap with temporal area
# 670
*!A man of 34 years old, suffered an electric shock. Objectively, an extensive through defect of the lower parts of the cheek on the right is determined. The external surface of the body of the lower jaw is covered with the periosteum. The edges of the cheek defect are dense, scarly altered. Mouth is limited.
Which method of plastic is listed the MOST shown?
*+plastic round stem on Filatov
*Plastic arterialized graft
*Plastic local tissues by Limberg
*plastic free skin graft
*Plastic flap on a hidden vascular pedicle
# 671
*!A 22-year-old man has a defect in the lower jaw as a result of an osteomyelitis. After the examination, the clinic formulated the diagnosis "Deformation of the lower jaw in the chin".
Which method of plastic is MOST suitable?
*+by Converse-Smith
*by Crayer
*for Limberg
*according to Malanchuk
*according to Titov
# 672
*!A 45-year-old man turned to the clinic about an acquired defect of the sky in the frontal department. It is planned to remove the defect of the sky with a flap on the leg taken from the back of the nose.
Which method of surgical treatment is the MOST shown?
*+Kruchinsky
*Kirchner's
*Miroshnichenko
*Panovich
*Limberga
# 673
*!A 22-year-old woman turned to the clinic complaining about the absence of a frontal occlusion, the inability to bite off food, and protrude the lower jaw forward. Deformation of the lower part of the face marks from 11 years of age, which has increased with age. On examination, the chin protrudes sharply forward, the angle of the lower jaw is unfolded, blunt to 140 °. Bite open. It is planned to carry out a gnathic operation concerning the deformation of the jaws.
What X-ray study is most appropriate?
*+teleradiography of the facial part of the skull
*Radiography of jaws in lateral projections
*Obstetric radiography of the bones of the facial skull
*orthopantomography
*CT scan
# 674
*!A 23-year-old man complained of a cosmetic defect-an increase in the lower lip. At an objective inspection the doctor has established or installed presence of a significant thickening of the lower lip. Symptoms of inflammation are absent.
Which method of surgical treatment is the MOST shown?
*+wedge-shaped excision of the tissues of the lip from the corner to the corner of the mouth from the side of the mucosa
*wedge-shaped excision of lip tissue from angle to corner of mouth on the skin side
*Plastic by the method of Rauer
*Plastic by the method of Vasilyev
*implantation of polyamide filaments
# 675
*!A 23-year-old man complained of a slit-like defect in the central part of his lower lip, periodically notes inflammation, pain when talking and eating. The disease lasts about two years.
What treatment tactic is the MOST shown?
*+surgical treatment
*conservative treatment
*physiotherapy
*anti-inflammatory therapy
*antibacterial therapy
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