Ter Haar Gert, Hampel Rachel
Department of Veterinary Clinical Sciences, The Royal Veterinary College, University of London, Hawkshead Lane, North Mymms, United Kingdom.
Vet Surg. 2015 Oct;44(7):843-51. doi: 10.1111/vsu.12359. Epub 2015 Jul 24.
To report a surgical technique for combined rostrolateral rhinotomy (vestibulotomy) and long-term outcome for treatment of squamous cell carcinoma (SCC) of the rostral nasal septum in dogs.
Retrospective case series.
Medium sized, mixed breed dogs (n = 10), aged 7-12.5 years, with SCC of the rostral nasal septum that did not invade the superficial nasal planum.
Disease extent was assessed with computed tomography and tumor resection achieved solely with central nasal planum elevation and lateral rhinotomy. Owners were interviewed 60-2,555 days (median, 548 days) postoperatively to determine outcome and survival time.
Vestibulotomy facilitated full-thickness resection of the nasal septum and tumor mass in 10 dogs and nasal floor resection in 4 dogs. There were no major intraoperative complications and all dogs had an excellent cosmetic outcome. Tumor removal was complete in 8 dogs and incomplete in 2 dogs. There was no recurrence in 6 dogs. Of the 4 dogs with recurrence, 3 had required nasal floor resection at initial surgery.
A combined rostrolateral rhinotomy technique may be used to achieve complete resection of SCC limited to the nasal septum with acceptable cosmetic results. This technique may not be suitable for tumors extending into the nasal floor.
报告一种用于犬鼻背外侧联合鼻切开术（前庭切开术）治疗鼻背鼻中隔鳞状细胞癌（SCC）的手术技术及长期疗效。
回顾性病例系列。
10只7至12.5岁的中型杂种犬，患有鼻背鼻中隔鳞状细胞癌，未侵犯鼻平面浅层。
通过计算机断层扫描评估疾病范围，仅通过鼻中央平面抬高和鼻外侧切开术进行肿瘤切除。术后60至2555天（中位数为548天）对犬主进行访谈，以确定预后和生存时间。
前庭切开术有助于10只犬完整切除鼻中隔和肿瘤块，4只犬切除鼻底。术中无重大并发症，所有犬的美容效果均极佳。8只犬的肿瘤切除完全，2只犬不完全。6只犬无复发。在4只复发的犬中，3只在初次手术时需要切除鼻底。
鼻背外侧联合鼻切开术可用于完整切除局限于鼻中隔的鳞状细胞癌，美容效果可接受。该技术可能不适用于延伸至鼻底的肿瘤。
