Craniofacial Microsomia & the Atrophy–Hypoplasia Group

Chapter 13 of Volume 2, Head, Neck & Craniofacial. Revision notes and examiner-style viva questions with model answers for the FRCS (Plast).

9 viva questions in this chapter

1. Take it away.
   Model answer for subscribers
2. “My friend’s little girl had her ear made at five, at a private clinic. They used some kind of implant, not ribs. Why are you making him wait until he’s nine? He’s going to be teased.”
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3. Audiology — moderate conductive loss on the right, normal left. “Does he need anything doing? He hears fine with the good ear.”
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4. The paediatrician’s letter says his mother thinks he “snores and stops breathing” at night.
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5. Sleep study — AHI 4, mild. Tonsils small. “So does he need the jaw operation or not?”
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6. You’re asked to review. Go.
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7. Echo normal. Still NPA-dependent at two weeks, NG fed, not gaining weight. Nasendoscopy — tongue base obstruction, no laryngomalacia. Options?
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8. CT shows Pruzansky IIB bilaterally. Talk me through it — which device, and what’s your protocol?
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9. Go.
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