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1. Tell us about the midline forehead flap to reconstruct nasal defects. Review the blood supply of this flap. How dependable is it?
2. Review the Converse scalping flap for nasal deformities. How is this done?
3. Describe the design and execution of the Washio flap for nasal reconstruction.
4. Describe the aesthetic subunits of the nose. If you have a lesion which is smaller than the subunit, do you enlarge it? Do you include the entire subunit?
5. You need lining for a flap. Review Burget's bi-pedicle mucosal advancement flap and the hinge septal flap.
6. You have a patient who has a recurrent nasal basal cell carcinoma. Should you excise it or sent it to a dematologist for Moh's? What are the advantages and disadvantages of Moh's? How correct is a Moh's excision?
7. The chief of plastic surgery in your department has a 1 x 1 cm defect in the middle of his distal nose. Discuss five techniques to close this. Which will get the better cosmetic result? What would you use if cartilage was exposed?
8. President Clinton lost his columella after being bitten by an irate doctor. What should you do? How will you reconstruct it?
9. Barba ra Streisand has a through-and-through 1-cm defect of her right alar rim. How will you reconstruct her?
10. Discuss a Reiger dorsal nasal flap and Marchacs’s frontonasal flap.
11. What free tissue transfers are best for a nasal flap?
12. Do composite grafts work? Should you cool them? HBO them? What is the upper limit of size that you can expect to live?
13. Discuss providing support with a bone graft vs. cartilage graft.
14. What are the characteristics of the cocaine nose and how do you fix it?