European Board of Oro-Maxillo-Facial Surgery
THE UEMS ASSESSEMENT IN ORAL AND MAXILLO-FACIAL SURGERY
LIST OF QUESTIONS APPROVED BY THE SCIENTIFIC COMMITTEE
A. DENTO-ALVEOLAR AND ORAL SURGERY
B. GENERAL ORAL AND MAXILLO-FACIAL PATHOLOGY
C. MANAGEMENT OF PAIN AND ANXIETY
D. SURGERY OF PERIPHERAL NERVES
E. EMERGENCY CARE
F. BASAL SKULL SURGERY
G. DIAGNOSTIC PROCEDURE RADIOLOGY H. ONCOLOGY
J. PRE-PROSTETIC SURGERY
L. RECONSTRUCTIVE SURGERY
M. CONGENITAL/DEVELOPMENTAL INCLUDING CRANIOFACIAL SURGERY
N. ORTHOGNATHIC SURGERY
0. AESTHETIC SURGERY
P. SALIVARY GLANDS
Q. DISCUSSION OF CASE REPORT
A/ DENTO-ALVEOLAR AND ORAL SURGERY
A.1. What are the criteria for an extra-oral incision for dento-alveolar abcess in the mandible?
A.2. Injuries to the inferior alveolar nerve in oral and maxillo-facial surgery. Incidence and examination of the patient
A.3. Discuss the management of a patient with impending loss of the airway due to Inflammatory swelling
A.4. How common is lingual nerve damage after third molar surgery?
A.5. How would you manage lingual nerve anesthesia after third molar surgery?
A.6. Sinus surgery, methods and complications.
A.7. Replantation of teeth, principles and prognosis
A.8. Cassifications of cysts, prognosis and treatment
A.9. What conditions has bone substitution material to fulfill?
A.10. What is the difference between a manifest and potential focus and how do you manage These in case of risk of endocarditis?
A.11. What is your management to deal with chronic pain located in the maxillary sinus? Differential diagnosis
A.12. Give the indications for tooth germ transplantation and give some examples
A.13. What is your approach to prepare the oral and dental situation for radiotherapy
A.14. Clinical features, diagnosis and treatment of keratocysts
A.15. Discuss the investigation and management of a patient with a swelling in the sublingual Area
A.16. Treatment of dento-alveolar infection
A.17. Which steps and factors are important in transplantation of a tooth germ?
A.18. What are the symptoms indicating a keratocyst? What is the treatment?
B/ GENERAL, ORAL AND MAXILLO-FACIAL PATHOLOGY
B.1. What is a Frey syndrom?
B.2. What is fibrous dysplasia and under what kind of pathology would you classify it?
B.3. What is the Nikolski-test and for which disease is it specific when the test is positive?
B.4. What are the diagnostic values of osteomyelitis and how do you treat it ?
B.5. List all the different possible causes for reduction of the maximal mouth opening
B.6. List the etiological possibilities of gingival overgrowth and how do you treat it?
B.7. Eosinophilic granuloma of the jaw: symptoms, radiological signs, all diagnosic examinations, therapy
B.8. How do you treat an ipsilateral parapharyngeal and submandibular abcess?
B.9. What do you know about actinomycosis in the face and the neck?
B.10. Antibiotic prophylactics/therapy when? How long? Antibiotic agent?
B.11. Classifications of leukoplakia, treatment and prognosis
B.12. Etiology and treatment of lichen rubber
B.13. Reasons for dryness of the mouth (Xerostomia)
B.14. Odontogenic tumors, classifications, prognosis, treatment
B.15. Discuss the differential diagnosis of swelling of the neck
B.16. How would you manage acute Ludwig's angina?
B.17. How would you investigate and treat an extensive arterio-venous malformation of the Oro-facial region?
B.18. Make a list of the most common and important sequelae of radiotherapy in the area Of the head and neck
B.19. classification, symptoms and treatment of dentoalveolar infections (abscess), Complications
B.20. Management of osteomyelitis of the mandible
B.21. Other types of infection of the mouth and jaws (e.g. actinomycosis, Vincent's angina)
B.22. Angiodysplasia of maxillary bones
B.23. Odontogenic tumors of maxillary bones
B.24. Treatment of recurrent ameloblastoma of the mandibular body
B.25. The use of antibiotics in elective oral and maxillo-facial surgery
B.26. Discuss prevention of deep venous thrombosis in maxillo-facial surgery
B.27. Outline the advantages and the disadvantages of the different surgical approaches to the orbital floor
B.28. Discuss the implications for the surgeon of the HIV or HEP-B positive "high risk" Patients
B.29. Infections of lateral pharyngeal space. Clinical picture, complications, treatment
B.30. Etiology and treatment of infections of deep cervical spaces
B.31. Pathogenesis and radiographic findings of osteomyelitis of the jaws
B.32. Classification of osteomyelitis of the jaws
B.33. Surgical management of osteomyelitic jaw
B.34. Thyroglossal duct cyst. Pathogenesis and treatment
B.35. Keratocysts. Diagnostic criteria, treatment
B.36. Acute maxillary sinusitis of dental origin. Clinical picture, diagnosis, treatment
B.37. Indications for Caldwell-Luc radical sinus operation
B.38. What can be a reason for restricted opening of the mouth with extra-articular cause (malignant tumors, trauma, infections excluded)
B.39. What is the differential diagnosis of a burning sensation in the tongue?
B.40. What are the cause of xerostomy?
B.41. Enumerate prophylactic measures for patients which will get radiotherapy in the Oro-facial region
B.42. Enumerate prophylactic measures for patients which will get chemotherapy in the Oro-facial area
B.43. What are oral manifestations of AIDS?
B.44. How do you differentiate between a pterygo-mandibular and a parapharyngeal abscess?
B.45. Discuss neurofibromatosis
MANAGEMENT OF PAIN AND ANXIETY
C.1. Differential diagnosis of the so called facial neuralgia and therapy concepts
SURGERY OF PERIPHERAL NERVES
D.1. Nerve injuries in dental surgery, ethiology, diagnostic possibilities, prognosis and Therapy
D.2. Paresis of the facial nerve, etiology, symptoms, therapy
D.3. What are the primary and secondary reconstruction possibilities in case of rupture Of the facial nerve?
D.4. When and how should an iatrogenic lingual nerve injury be repaired?
D.5. When and how should an iatrogenic inferior alveolar nerve injury be repaired?
D.6. latrogenic injuries of the facial nerve in OMS. Incidence and treatment
D.7. Discuss and detail the technics of facial nerve dissection
E/ EMERGENCY CARE
E.1. Swallowed foreign objects: how to manage the aspiration of foreign objects?
E.2. How to perform emergency cricothyrotomy?
E.3. Physiology of hemostasis, reasons and treatment of hemorrhagic disorders, Modification of surgical methods and emergency therapy
E.4. Management of allergic emergencies
E.5. Which initial treatment steps are essential for the acute treatment of head and neck Region
E.6. Which indication for tracheotomies and types of tracheotomies do you know?
E.7 What do you know about the acute treatment of inflammations or bleedings of the Head and neck region?
F/ BASAL SKULL SURGERY
F.1. Surgical approaches to the basal skull
F.2. Epidemiology and nosological aspects of basal skull tumors
F.3. Complication in basal skull surgery
G/ DIAGNOSTIC PROCEDURE RADIOLOGY
G.1. When to use CT,MRI,Sonografy. What can you use? What can't you see?
G.2. What are the radiological features of a central hemangioma?
G.3. What are the radiological signs of a fracture of the zygomatic complex?
G.4. List the radiological signs of neurofibromatosis involving the inferior alveolar nerve.
G.5. What are the advantages and disadvantages of CT-scanning and magnetic resonanceScanning for the staging of oral cancer?
G.6. What is the differential diagnosis of a radiological bone density in the lower jaw?
H.1. Which superficial changes of the oral mucosa and which combination of pathology Have to be classified as precancerous lesions?
H.2. Explain the difference between the different modalities of neck dissection, and which are Their indications in function of the primary tumour and the lymph node staging
H.3. Which are the possible visualisation techniques to investigate primary tumors of the Maxillo-facial area? What are their respective advantages, disadvantages and Indications?
H.4. How do you treat a patient with a adenoid cystic carcinoma? What do you know about Metastasis of these tumors? Over which period of time do you perform follow-up Controls?
H.5. How does the lymph node status according to CT-scan examination of the neck Influence the surgical therapy of oral carcinomas?
H.6. What is essential in primary treatment of basalioma?
H.7. What are the different approaches to remove a tumor located in the maxillary sinus?
H.8. Present and discuss the survival rate for oral squamous cell carcinomas.
H.9. Epidemiology and nosological aspects of facial skin tumors.
H.10. Epidemiology and nosological aspects of bone tumours in facial skeleton
H.11. Indications of neck dissection for lymphatic areas treatment in carcinomas of oral Cavity according to the sites, staging and grading
H.12. Indications of neck dissection for lymphatic areas treatment in carcinomas of facial Skin according to the sites, staging and grading
H.13. Indications of neck dissection for lymphatic areas treatment in case of melanoma of Head and neck regions, according to the sites, staging and grading
H.14. Indications of neck dissection for lymphatic areas treatment in cases of bone sarcomas In facial skeleton according to the sites, staging and grading
H.15. Diagnostic procedures for TNM staging in cases of tumors of head and neck regions
H.16. Epidemiology and nosological aspects of pre-cancerous lesions of the oral cavity
H.17. Etiology of oral cancer
H.18. Treatment of oral cancer, basic surgery principles, chemotherapy, radiation therapy, Prognosis and outcome.
H.19. Premalignant lesions, classification, prognosis, treatment
H.20. Benign non odontogenic tumors of maxillary bones.
H.21. Surgical treatment of central giant cell tumor of the mandible, prognosis
H.22. Etiology and treatment of fibrous dysplasia
H.23. Principles of surgery of lymph nodes in cancer patient
H.24. Discuss the management of a T2N0 carcinoma of the tongue.
H.25. Which relevant prognostic factors in tumors of the head and neck do you know?
H.26. Prescribe the surgical principals of the resection of tumors of the head and neck
H.27. What do you know about the role of radiotherapy in tumors of the head and neck?
H.28. What investigation would you undertake prior to treatment for a patient with a clinically Large squamous cell carcinoma of the floor of the mouth?
H.29. What factors are the best indicators of prognosis in squamous cell carcinoma of the Floor of the mouth?
H.30. Why is it difficult to predict prognosis of the squamous cell carcinoma of the floor of The mouth?
H.31. What factors suggest that radiotherapy is not the most appropriate primary Treatment modality of the squamous cell carcinoma of the floor of the mouth?
H.32. What are the indications for post-surgical radiotherapy of the squamous cell carcinoma Of the floor of the mouth?
H.33. What is the role of the "functional" neck dissection?
H.34. What methods do you know of evaluating tumor spread into the bone of the mandible?
H.35. Discuss skin incisions and osteotomies for access to the infratemporal fossa.
H.36. What factors affect the post-operative nutrition and route of feeding after extensive Cancer resections?
H.37. Grading of oral cancer, therapeutic consequences, prognosis.
H.38. Squamous carcinoma of the lip?
H.39. Squamous carcinoma of the floor of the mouth?
H.40. Rhinosinusal carcinoma?
HA 1. Most frequent soft tissue malignant tumors of head and neck in children?
H.42. Clarck's classification of facial melanoma
H.43. Primary lymphomas in the maxillo-facial region
H.44. Treatment of sarcomas arising from cartilage and bone origin in the facial skeleton.
H.45. Explain the TNM classification of the UICC.
H.46. Discuss treatment of ameloblastoma.
I.1. What are the problems of the severely traumatized face, as after an Unrestrained RTA (road traffic accident)?
I.2. How can you stabilize a malar fracture?
1,3, Which eyelid incisions would you use? What advances are there in this field?
1,4, In severe naso-ethmoidal trauma, what are the principles of treatment?
1,5, What soft tissue complications may arise?
1,6, What would be your initial management of simple nasal trauma?
1,7, What do you know about the results of the treatment of nasal fractures?
1,8, What are the important ocular injuries associated with mid-face trauma?
1,9, What methods would you use to identify ocular injury?
1, 10, What are the long term complications of mandibular condylar trauma in the Young? How could these be prevented?
1,11, What are the benefits and risks of open reduction of the condylar neck Fractures?
1,12, Discuss post-traumatic orbital volume changes.
1, 13, Describe the management of orbital blowout fractures.
1, 14, Describe the methods of internal fixation used for mandibular fractures.
1,15, Classification of the fractures of the neck and head of the mandibular condyle and their treatment.
1,16, Diagnosis and therapy of the fractures of the mandibule.
1,17, Symptomatology, diagnosis and therapy of fractures of the zygoma and the Orbit.
1,18, Therapy concept for panfacial fractures (for multiple fractures of the midface And the jaws) with and without fractures of the neck of the mandible.
1,19, Classification and fracture area frequency of fractures of the mandible and Maxilla/zygomatic bone.
1,20, Treatment of mandibular fractures, subcondylar fractures, etc.
1,21, Management of mandibular fractures of edentulous, older patients.
1,22, Definition, clinical signs and treatment of blowout fractures of the orbital floor.
1,23, Complications of mandibular fractures.
1,24, Symptoms, diagnosis and treatment of cheekbone fractures.
1,25, General principles of surgical treatment of soft tissue injuries.
1,26, Treatment of condylar fractures in children patients.
1,27, Timing and surgical procedures of mandibular fractures.
1,28, Timing and surgical procedures of Lefort 1,11,111 fractures.
1,29, Complications of orbito-zygomatic fractures.
1,30, Indications and descriptions of different types of internal and external fixation In fractured patients.
1,31, How do you treat unilateral dislocated fracture of the collum mandibulae in a Child and why?
1,32, Which mechanisms are responsible for post-traumatic enophtalmus? What Are the therapeutic possibilities?
1,33, Which are the main steps during surgical treatment of a naso-ethmoidal Fracture?
1,34, What are the complications of plate osteosynthesis?
1,35, Which are the treatment possibilities for treatment of fractures of edentulous Upper and lower jaws?
1,36, What is your management concerning teeth or roots in a fracture line?
1,37, How do you proceed in case of panfacial fracture?
1,38, Orbital trauma: ocular complications.
1,39, Management of TMJ -fractures (collumfrakturen), surgical technique.
1,40, Compare different surgical treatment modalities for condylar fractures of the Mandible.
1,41, Negative effects of osteosynthesis materials
1,42, Early complications related to orbital fractures.
1,43, Compare different mandibular osteosynthesis methods relating to indication, Techniques and treatment results.
1,44, The classification of condylar fractures of the mandible. How does it affect the Choice of treatment?
1,45, The classification of zygomatic fractures. How does it affect the choice of Treatment?
1,46, Resorbable osteosynthesis materials in oral and maxillo-facial surgery.
1,47, Diagnosis and treatment of NOB-fractures.
1,48, Late complication of nasal fractures.
1,49, Outline the advantages and disadvantages of the different methods of bone Fixation employed in maxillo-facial surgery. Discuss in detail the use of bone Plates.
1,50, Indications for open reduction of mandibular fractures.
I, 51, Skeletal fixation by the use of mini and macro plates. Where and how are they Applied? What are their advantages?
1,52, Condylar fracture of the mandible, closed or open treatment? Explain why.
1,53, Complications in treated zygomatic fractures.
1,54, Treatment of naso-ethmoid fracture alone or in combination with severe Lefort III.
1,55, Treatment of the lateral orbital wall fracture.
1,56, Injury to the orbital floor. Clinical picture, evaluation, treatment.
1,57, Presurgical planing in a case of enophtalmos as a result of an orbitoZygomatic fracture.
1,58, What are the treatment options in fractures of the frontal sinus?
1,59, What is a strong indication for repositioning and retention of condylar Fracture?
1,60, Which techniques are available and which treatment recommendations can Be made for fresh traumatic telecanthus?
1,61, What are the difficulties in treatment of a fracture of the lower alveolar Process?
1,62, Discuss primary and secondary healing of fractures.
L/ PRE PROSTHETIC SURGERY
L,1, Surgical procedures in severe mandibular athrophy for prosthetic rehabilitation.
L,2, Surgical procedures in severe upper maxillary atrophy for prosthetic rehabilitation.
L,3, Which are the different surgical possibilities you can propose to a patient with a severely
resorbed edentulous upper jaw?
L,4, The Lefort 1 osteotomy with simultaneous autologuous bone interposition and Insertion of implants is an established therapy for extremely atrophic edentulous Upper jaws. Which are the indications, the main surgical steps and the main difficulties Of this methods?
L,5, What do you think about the use of implants in irradiated bone?
L,6, What are the main conditions to obtain osseointegration?
L,7, What is guided tissue regeneration?
L,8, Types of oral pre-prosthetic surgical procedures.
L,9, Technique for deepening the mandibular/maxillary sulcus.
L,10, Technique for reduction of fibromatosis.
L,11, Augmentation techniques, indications, contraindications.
L,12, Methods and materials for dental implantology, success rates, complications and therapy. L,13, Biology/pathology of osseointegration.
L,14, Bone transplants: how? Where from? Bone splitting, sinus lifts. L,15, Vestibuloplasty
L,16, Alveolar ridge augmentation.
L,17, Endo-osseal dental implants. Indications for surgery, limitations.
L,18, Discuss the treatment of the severely atrophic edentulous mandible.
L,19, What are the surgical principles concerning implants for facial prostheses?
L,20, The use of implants for increasing alveolar height in preprosthetic surgery.
L,21, Discuss absolute mandibular augmentation with grafts.
L,22, Discuss relative augmentation of the mandible with sulcusplasties against implants.
L,23, Describe different techniques of vestibuloplasty in the upper jaw and the limitations Of indications.
L,24, Discuss absolute augmentation of the upper jaw with grafts.
M,1, Diagnostic procedures in TMJ pathology
M,2, Functional rehabilitation in TMJ disorders.
M,3, Surgical repair of TMJ disorders.
M,4, Complications of TMJ surgery
M,5, Indications and therapeutic aspects in TMJ arthroscopy.
M,6, Which diagnostic and therapeutic measurements are to be taken in case of an acute Closed lock?
M,7, What is the myofascial pain syndrome? Therapeutic possibilities.
M,8, Indications, advantages and disadvantages of therapeutic arthroscopy?
M,9, Indications for disentomb.
M,10, What is in your opinion the ideal visualization technique for diagnosis of internal Derangement of the TMJ ?
M,11, Discuss the causes and management of ankylosis of the TMJ
M,12, Discuss the management of "end-stage" degenerative joint disease of the TMJ M,13, Splint therapy in temporomandibular disorder. M,14, Arthroscopy scope of therapeutical procedures. M,15, Surgery of internal derangement and condylar luxation
M,16, Surgical correction of ankylosis of the TMJ, incidence, causation, operative procedure. M,17, Surgical technique towards the TMJ.
M,18, Luxation of the TMJ, classification and treatment.
M,19, Functional therapy, indications and principles
M,20, What methods should be used to make a diagnosis of TMJ dysfunction?
M,21, TMJ disorders.
M,22, Arthroscopy of the TMJ. Explain different findings and therapeutic results for The commonest entities.
M,23, Rheumatoid arthritis of the TMJ.
M,24, Habitual luxation of the TMJ. Examination of the patient and different treatment methods.
M,25, Discuss the diagnosis and treatment modalities of temporomandibular disc luxation.
M,26, Discuss the diagnosis and treatment modalities of mandibular condyle luxation.
M,27, Clinical findings of the painfull TMJ.
M,28, Indication for surgery in cases with internal derangement of TMJ.
M,29, Which aids and which options do you have for diagnosing and treating perforations of the disk of the TMJ?
N/ RECONSTRUCTIVE SURGERY
N,1, Which local flaps would you use for small defects of the nose, the cheek and lips?
N,2, What pedicled musculocutaneous flaps do you know especially for the head and Neck region?
N,3, Some indications for free bone and chondral grafts, theoretical basis of free bone And chondral grafting.
N,4, Which donor site are mainly used for microvascular reconstruction of maxillo-facial Defects? Anatomy, advantages and disvantages?
N,5, Indications and techniques for lips defects repair.
N,6, Indications and techniques for eyelids defects repair.
N,7, Indications and techniques for mandibular defects repair.
N,8, Indications and techniques for cheek defects repair.
N,9, Advantages en disadvantages of different types of free bone defects repair.
N,10, Basic principles of tissue and organ grafting, immunologic concepts, storages of Tissues.
N,11, Classifications of flaps/grafts, surgical techniques, indications.
N,12, Indications and principles of microsurgical tissue grafts.
N;13, What is a rhomboid flap?
N,14, Describe the local flaps used for oral reconstruction following tumor surgery.
N,15, Describe the distant flaps used for oral reconstruction following tumor surgery.
N,16, What are the perceived advantages of free vascularised flaps over myocutaneaous flaps?
N,17, What do you think about primary bone and soft tissue reconstruction in a patient with a Gunshot would causing enormous tissue loss?
N,18, Myocutaneous flap of the pectoralis major.
N,19, The free flap of the iliac crest.
N,20, Homologous tissue transfers in maxillo-facial surgery
N,21, Discuss the indications for free flaps in the treatment of oral cancer.
N,22, Discuss the management of an oncological hemi tongue defect.
N,23, Discuss the management of an oncological total tongue defect.
N,24, Discuss the management of an oncological anterior mandibular defect.
N,25, Discuss the management of an oncological lateral mandibular defect.
N,26, Discuss the management of a maxillectomy defect.
N,27, Describe how to elevate a temporoparietal pedicled flap.
N,28, Describe how to elevate a pectoralis major pedicled flap.
N,29, criteria used in bone graft evaluation
N,30, Bone grafting in oro-maxillo-facial surgery. Where is it used?
N,31, Uses of particulare autogenous marrow cancellous bone grafting?
N,32, immediate treatment of gunshot wounds of soft tissues.
N,33, Mandibular resection and replacement after surgery for treatment of oral Carcinoma.
N,34, Uses of forehead and naso-labial flaps in patients treated for oral carcinoma.
N,35, Pectoralis major island myocutaneous flap. Describe the surgical steps and Refer its own use.
N,36, Tongue flaps. Surgery and uses
N,37, Discuss the application of free osteo-cutaneous flaps. N,38, Discuss aspects of bone substitution and regeneration.
0/ CONGENITAL/DEVELOPMENTAL INCLUDING CRANIOFACIAL SURGERY
0.1. Describe current protocols for the management of cleft lip and palate.
0,2, Describe protocols for the management of craniofacial microsomia.
0,3, Discuss the management of condylar hyperplasia.
0,4, Arteriovenous malformations of the head and neck classifications, diagnosis And treatment principles.
0,5, Describe the normal embryonic development of the orofacial region and the Pathogenesis of clefts of the lip and palate.
0,6, Classification of the clefts of the lip and palate including rare facial clefts.
0,7, Development of lateral and median cysts of the neck
0,8, Reasons for dystopic orbits and classification of teleorbitism.
0,9, Surgical techniques for repair of the cleft (lip/palate), objectives of cleft surgery, Timing the cleft surgery.
0,10, Procedures secondary to cleft palate surgery, e.g. velopharyngeal incompetence.
0,11, Principles of rehabilitation on the patient with a congenital orofacial cleft together With other specialists.
0,12, Classification, surgical technique( and timing) of craniosynostosis.
0,13, Timing of surgical procedures in lip-palate clefts.
0,14, Emergencies in surgical complications inpatients with cranio-maxillo-facial malformation
0,15, Surgical indications inpatients with Treacher-Collins syndrome.
0,16, What influence has the closure of the soft palate on the middle ear?
0,17, Which are the different disciplines to be presented in cleft palate team withan optimal structure?
0,18, Which treatment and timing protocol do you prefer for primary treatment of cleft lip and palate and why?
0,19, What do you know about bone grafting in cleft lip and palate patients?
0,20, Hypertelorismus: definition
0,21, Which are the treatment possibilities in case of anophtalmia?
0,22, What is callus distraction? What are the possible indications in maxillo-facial surgery?
0,23, Surgical treatment of hemifacial microsomia
0,24, Vascular malformations of the oral and maxillo-facial region
0,25, Surgical goals in treatment of cleft lip and palate.
0,26, Timing of surgery for bone grafting in cleft patients;
0,27, Describe the main skeletal features of a Treacher Collins patient
0,28, What are classical signs of cleidocranial dysostosis in the head and neck area?
0,29, What is the optimal timing for closure of an alveolar cleft and which transplant materials are recommended?
0,30, What are the possible treatments of clefts before closure of the lip? Advantages? Disadvantages?
0,3 1, What are important aspects when considering a high midface osteotomy in a cleft patient?
0,32, What are therapeutical options in velo-pharyngeal incompetence? Explain your personal choice.
P/ ORTHOGNATHIC SURGERY
P.1. List all the possible examinations and techniques necessary to have complete Diagnostic and prognostic information in order to treat a dysgnathia with a sever Hyperplasia of the mandible, and explain why.
P,2, What do you know about the incidence of condylysis following orthognathic surgery?
P,3, Give a short overvieuw of different fixation and osteosynthesis possibilities.
What is their statistic stability/relapse prognosis? What are their respective advantages And disadvantages?
P,4, Causes of surgical relapse in progenic patients treated with bimaxillary osteotomies?
P,5, Modern tendencies in treatment of progenic patients: maxilla osteotomy, mandibular Osteotomy, bimaxillary osteotomies: indications
P,6, Indications and descriptions of the different type of mandibular osteotomies
P,7, Complications of bilateral mandibular sagittal osteotomy (BSSO)
P,8, Complications of Lefort 1 osteotomy
P,9, Indications and descriptions of the different types of osteotomies in cases of patients with Hypoplasia of the medium third of the face.
P,10, The asymmetric face. Describe developmental and acquiered reasons.
P,11, The techniques of facial bone oseotomy an methods of osteosynthesis.
P,12, What factors affect stability?
P,13, Discuss the principles of planning osteotomies.
P,14, How and why has the sagittal split osteotomy been modified?
P,15, Discuss the timing of corrective maxillo-facial surgery for Crouzon's syndrome.
P,16, Hemi-facial (cranio-facial) microsomia can present with a wide spectrum of defects. What factors are central to determining therapy?
P,17, What are the nasal changes following Lefort I osteotomy?
P,18, Determination of the preoperative position of the condyle in orthognatic surgery.
P,19, Contraindications for SSO in the mandible.
P,20, Which factors affect the relapse in mandibular orthognatic surgery?
P,21, Outline the preoperative complications of a sagittal split osteotomy and discuss the Management of their treatment.
P,22, Outline the preoperative complications of a Lefort I osteotomy and discuss the Management of their treatment.
P,23, Discuss the pre and post operative management of the mandibular condyle positioning in Bimaxillary osteotomies
P,24, Indications for sagittal split osteotomy of the mandible.
P,25, What are the important points, lines and angle on the standard lateral cephalogram of The patient with orthognatic abnormality? What is the role they play in final surgical Planning?
P,26, Surgical correction of the facial microsomia?
P,27, Treatment of bimaxillary alveolar protrusion;
P,28, Indications and surgical technique of the Lefort III osteotomy. Describe the technical Stages.
P,29, What are the profile changes in the Lefort I maxillary advancement?
P,30, What are promising respectively unfavourable techniques for closure of open bite? P,31, What are (up to now) problems in bone distraction in our field work?
P,32, What are (can be) logopedic consequences of a Lefort I advancement?
P,33, What are complications of the advancement of the mandible by sagittal splitting?
P,34, What are the risks of the movement of an anterior upper segment?
Q/ AESTHETIC SURGERY
Q,1, Treatment of pure aesthetical nasal anomalies.
Q,2, Treatment of nasal deformities in lip-palate clefts patients
Q,3, Treatment of nasal deformities in post-traumatic patients.
Q,4, Treatment of aesthetical eyelids anomalies (blepharoplasty)
Q,5,Treatment of eyelids ptosis
Q,6,Treatment of facial nerve palsy
Q,7, What is best way to cover an 1 cm defect of the skin in the face?
Q,8, how long after initial treatment of an facial wound should you wait before commencing with correction of the scar and what is to be done during the meantime?
Q,9, Therapeutic possibilities of the skin of the elderly?
Q,10 What is an "aesthetic unit". Make a drawing.
Q,11 Give some indications for the use of a Z-plasty
Q,12 What are the advantages and disadvantages of an open and of a closed approach for Rhinoplasty? What are the indications for each of these approaches,
Q,13 Describe the course of the branches of the facial nerve in its surgical relevance.
Q,14 What material would you use for onlay procedures and why?
R/ SALIVARY GLANDS
R,1, Epidemiology and nosological aspects of minor salivary glands tumours.
R,2, Epidemiology and nosological aspects of major salivary glands tumors.
R,3, Indications of neck dissection for lymphatic areas treatment in salivary glands Tumors according to the sites, staging and grading.
R,4, Surgical procedures in parotid gland tumors.
R,5, Diagnostic procedures in salivary glands swelling.
R,6, Discuss the investigation of salivary tumors.
R,7, Discuss the differential diagnosis and management of deep lobe salivary tumors.
R,8, Describe the prevention and management of Frey's syndrome
R,9, differentiate indications for non-surgical treatment of inflammated salivary glands; R,10, Present some kind of typical malignant tumors of salivary glands and their treatment. R,11, How do you treat various sialolithiasis?
R,12, Which are the systemic diseases involving the salivary glands, R,13, Salivary gland tumors, classification, histology, prognosis 13,14, Make a design of the most important anatomic relationships of the parotid salivary gland. R,15, Mucoepidermoid carcinoma of low grade of the parotid gland.
R,16, Cystic adenocarcinoma of the parotid gland.
R,17, Discuss the management of the parotidectomy defect. R,18, What is Sjogren's syndrome and how is it diagnosed? R,19, Explain the anatomical landmarks when removing a submandibular gland
S/ DISCUSSION OF A CASE REPORT
S,1, carcinoma of oral cavity. (one case will be presented by examiners)
S,2, NOE fracture. (one case will be presented by examiners)
S,3, Carcinoma of salivary gland. ( one case will be presented by examiners)
S,4, Bone sarcoma. ( " "19 "" It
S,5, A 27 year old man, had become aware that he was hemophilliac at the age of 8 At which time he had cut his tonque during a football game. Severe hemorrhage Had resulted, and he was hospitalized for 14 days.
At that time he had experienced his first hemorrhage in the knee joint. This had Resulted in a partial loss of function, which has persisted until this time.
The patient was one of five children. Two of the patient's younger brothers died of Uncontrollable hemorrhage at the age of 2 years and 3 years, respectively.
The elder brother and his were apparently normal.
Information concerning the preceding generation was vague. The patient's father Died of a malignant disease, and the mother was still living.
The patient was send to your hospital for extraction of three teeth. Diagnostic procedure? Diagnosis? Treatment plan?
S,6, A 60 year old lady comes to the outpatients clinic and that she is not able to wear a Total prosthesis in the upper jaw. 20 years ago her teeth in the upper jaw had been Extracted. In the lower jaw she has the teeth 33 to 43, the rest of the teeth are Missing. On investigation you will find in the upper jaw almost no dome of the hard Palate, avery shallow vestibule and a very low alveolar ridge. There is certainly no Way to incorporate a well fitting upper prosthesis.
On panoramic X-ray you will find 2 huge maxillary sinus on both sides.
In the frontal region about 2 mm of bone and beneath the maxillary sinus about 1 mm Of bone.
On the cephalometric X-ray there is a pseudoprogenia with an advancement of the Mandible and a retro-maxilla with almost no bone seen in the upper jaw;
1, Why is the frontal bone vanished?
2, Why does the patient have a pseusoprogenia?
3, Explain the possibilities which treatment you would suggest and which planning have
to be done before you would do an operation?
S,7, In a 50 year old patient a solitary giant cell granuloma has been diagnosed by biopsy In an edentulous region of the mandible. What are the subsequent diagnostic and Therapeutic procedures to be taken?
S,8, A 35 year old woman suffered a blow to her head and was examined radiographically. On Water's view of the maxillary sinus a small radiopaque object was found in the Cloudy antrum. The bony walls of the maxillary sinus were thicker in comparison to the Opposite side. Two premolars on the affected side had been endodontically treated. The patient had been completely asymptomatic and could not remember any sinus disease. What is the most likely diagnosis and what procedure should be recommended,
S,9, A 65 year old man, after conservative treatment of the upper second molar under local Anesthesia, developed an irritating ulceration on the same side of the hard palate; After 3 weeks a biopsy is taken, and the pathology report is not very clear.
" necrotic tissue of a salivary gland, inflammatory infiltrate, and possibily infiltrating squamous epithelium. Squamous cell cancer cannot be ruled out.
What is the most likely diagnosis,
S,10, A 25 year old woman underwent apicoectomy of the upper lateral incisor because of A granuloma. 3 days postoperatively she develops a severe painfull edema of this Side of her face, especially the cheek, the upper lip,and both upper and lower eye lid, Accompanied by fever. What may be the cause and what treatment should be given?
S,11, An older patient presents with what looks like a luxation of the condyle.
You cannot communicate with him, no one knows the exact circumstances how it happened. How do you proceed?