Scalp & Calvarial Reconstruction

Chapter 28 of Volume 2, Head, Neck & Craniofacial. Revision notes and examiner-style viva questions with model answers for the FRCS (Plast).

15 viva questions in this chapter

1. Describe the photograph.
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2. How would you reconstruct this?
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3. You’ve chosen a free flap. Talk me through it.
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4. You are shown a photograph of a scalp. How do you proceed?
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5. What determines whether you expand at all?
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6. How does tissue expansion actually work?
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7. What happens to the tissues histologically?
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8. Take me through your planning and the first operation.
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9. How do you know what size expander you need?
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10. How do you run the expansion phase?
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11. You have finished expanding. Take me through the second operation.
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12. The expander is exposed at week six. What do you do?
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13. Consent this patient. What complication rate do you quote?
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14. A two-year-old with a giant congenital naevus of the scalp. The parents want it gone. What do you say?
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15. How does expansion differ in a child?
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