Brink Palle
Equine ATG Clinic, Jägersro, Sweden.
Vet Surg. 2006 Oct;35(7):596-600. doi: 10.1111/j.1532-950X.2006.00196.x.
To describe surgical transposition of the levator labii superioris muscle to treat oromaxillary sinus fistula in horses.
Clinical study.
Three horses with chronic oromaxillary sinus fistula.
After severing its tendinous insertion, the muscle belly of the levator labii superioris muscle was retracted and transposed through the oromaxillary sinus fistula. The tendon exited the oral cavity through a full-thickness buccal incision created adjacent to the oral end of the fistula and was then tunneled subcutaneously in a ventral direction before being anchored by sutures to the cheek tissues.
Fistulae healed with few complications and with good cosmetic and functional results.
Oromaxillary sinus fistula associated with molariform tooth loss in horses can be treated successfully by transposition of the levator labii superioris muscle.
Transposition of the levator labii superioris muscle should be considered for resolution of chronic oromaxillary sinus fistula in horses.
描述提上唇肌手术移位治疗马口腔上颌窦瘘。
临床研究。
3匹患有慢性口腔上颌窦瘘的马。
切断提上唇肌的肌腱附着点后，将肌腹牵开并通过口腔上颌窦瘘移位。肌腱通过在瘘口口腔端附近制作的全层颊部切口穿出口腔，然后在皮下向腹侧潜行，最后通过缝合固定于颊部组织。
瘘口愈合，并发症少，美容和功能效果良好。
与马磨牙缺失相关的口腔上颌窦瘘可通过提上唇肌移位成功治疗。
对于马慢性口腔上颌窦瘘的解决，应考虑提上唇肌移位。
