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鼻平面和前颌骨切除术后的美容性鼻前部重建:两只犬的技术与结果

Cosmetic rostral nasal reconstruction after nasal planum and premaxilla resection: technique and results in two dogs.

作者信息

Gallegos Javier, Schmiedt Chad W, McAnulty Jonathan F

机构信息

Department of Surgical Sciences, School of Veterinary Medicine, University of Wisconsin-Madison, Madison, WI 53706, USA.

出版信息

Vet Surg. 2007 Oct;36(7):669-74. doi: 10.1111/j.1532-950X.2007.00319.x.

Abstract

OBJECTIVE

To describe a novel reconstructive technique after nasal planum and premaxilla resection.

STUDY DESIGN

Case report.

ANIMALS

Dogs (n=2) with squamous cell carcinoma (SCC) of the nasal planum.

METHODS

A 9-year-old neutered female Labrador retriever (dog 1) and an 11-year-old neutered male Golden retriever (dog 2) had resection of the nasal planum and premaxilla for treatment of locally invasive SCC. Reconstruction of a nasal planum facsimile was based on use of the nonhaired pigmented margins of bilateral labial mucocutaneous rotation-advancement flaps.

RESULTS

Reconstruction of the premaxilla by construction of a nasal planum facsimile resulted in uncomplicated wound healing and improved cosmesis. There was no tumor recurrence at 1290 (dog 1) and 210 (dog 2) days after surgery.

CONCLUSION

Reconstruction of a nasal planum facsimile was successfully performed without complications in 2 dogs with high owner satisfaction with cosmetic appearance.

CLINICAL RELEVANCE

This technique represents a significant advancement in surgical cosmetic outcome, may potentially reduce postoperative complications, and should be considered for dogs requiring nasal reconstruction after nasal planum resection with premaxillectomy.

摘要

目的

描述一种鼻平面和前颌骨切除术后的新型重建技术。

研究设计

病例报告。

动物

患有鼻平面鳞状细胞癌(SCC)的犬(n = 2)。

方法

一只9岁绝育雌性拉布拉多寻回犬(犬1)和一只11岁绝育雄性金毛寻回犬(犬2)因治疗局部浸润性SCC接受了鼻平面和前颌骨切除术。鼻平面复制品的重建基于双侧唇黏膜皮肤旋转推进皮瓣无毛色素边缘的使用。

结果

通过构建鼻平面复制品重建前颌骨,伤口愈合顺利,美容效果改善。术后1290天(犬1)和210天(犬2)均无肿瘤复发。

结论

2只犬成功进行了鼻平面复制品重建,无并发症,主人对美容外观满意度高。

临床意义

该技术代表了手术美容效果的重大进步,可能会减少术后并发症,对于需要在鼻平面切除并进行前颌骨切除术后进行鼻重建的犬应予以考虑。

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