Gustafsson K, Tatz A J, Dahan R, Kelmer G
Department of Large Animal Medicine and Surgery, Koret School of Veterinary Medicine, The Robert H. Smith Faculty of Agriculture, Food and Environment, The Hebrew University of Jerusalem, Rehovot, Israel.
N Z Vet J. 2020 Mar;68(2):119-125. doi: 10.1080/00480169.2019.1675555. Epub 2019 Oct 24.
Medical records were reviewed of horses (n = 7) undergoing surgery for fracture of one or more facial bones extending into the paranasal sinuses that was repaired primarily within 24 hours of the time of injury using a rotational periosteal flap, between April 2009 and May 2017. A kick from another horse was the cause of the injury of three horses, and one horse was injured when it collided with a tree. The cause of the injury of three horses was unknown. Fractures were of the right maxillary bone in two horses, the left maxillary bone in two horses, the left frontal and left nasal bones in two horses, and the right frontal bones in one horse. The fracture of all but one horse was accompanied by an open wound. The fracture of all seven horses was reduced, stabilised, and covered with a rotational, periosteal flap. Surgery was carried out while standing in six horses, and while anesthetised in one horse. All horses had a deficit in the fractured facial bones after the fracture was reduced. Four horses had complications following surgery, but all horses were reported to have excellent cosmetic outcomes and had retuned to their previous level of activity, as reported by their owners. Covering a primarily repaired sinofacial fracture of a horse with a rotational periosteal flap resulted in good cosmetic outcomes, and may be especially beneficial if the fracture is accompanied by loss of bone.
回顾了2009年4月至2017年5月期间7匹马的病历，这些马因一处或多处延伸至鼻旁窦的面骨骨折而接受手术，受伤后24小时内主要采用旋转骨膜瓣进行修复。3匹马的受伤原因是被另一匹马踢伤，1匹马是与树碰撞受伤，3匹马的受伤原因不明。骨折情况为：2匹马右侧上颌骨骨折，2匹马左侧上颌骨骨折，2匹马左侧额骨和左侧鼻骨骨折，1匹马右侧额骨骨折。除1匹马外，其余所有马的骨折都伴有开放性伤口。所有7匹马的骨折均进行了复位、固定，并覆盖旋转骨膜瓣。6匹马在站立状态下进行手术，1匹马在麻醉状态下进行手术。骨折复位后，所有马的面骨均有缺损。4匹马术后出现并发症，但据其主人报告，所有马的美容效果均极佳，且已恢复到受伤前的活动水平。用旋转骨膜瓣覆盖马的一期修复鼻窦面部骨折可获得良好的美容效果，如果骨折伴有骨质缺损，可能尤其有益。
