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用于治疗 34 只短头犬狭窄鼻孔的背侧移位鼻整形术。

Dorsal offset rhinoplasty for treatment of stenotic nares in 34 brachycephalic dogs.

机构信息

Department of Small Animal Medicine and Surgery, College of Veterinary Medicine, University of Georgia, Athens, Georgia.

Department of Surgical Sciences, School of Veterinary Medicine, University of Wisconsin, Madison, Wisconsin.

出版信息

Vet Surg. 2020 Dec;49(8):1497-1502. doi: 10.1111/vsu.13504. Epub 2020 Aug 27.

Abstract

OBJECTIVE

To describe the technique, outcome, and owner satisfaction associated with dorsal offset rhinoplasty (DOR) to treat stenotic nares in brachycephalic dogs.

STUDY DESIGN

Retrospective case series.

ANIMALS

Thirty-four client-owned dogs.

METHODS

Medical records of dogs treated with DOR at a veterinary teaching hospital over a 6-year period were identified. Dorsal offset rhinoplasty was defined as removal of a dorsal wedge of nasal planum from each naris with apposition of the rostral abaxial tissue to the caudal axial tissue, resulting in translocation of the alar cartilage in both median and dorsal planes. Immediate and postoperative complications were recorded. Owners were asked to report any complications with healing of the nares and to score their satisfaction with the appearance of the nares.

RESULTS

Thirty-four dogs met the inclusion criteria. Twenty-nine (85%) dogs were examined a median of 402.5 days (range, 23-2042) postoperatively, with no major complications related to the rhinoplasty recorded. Eighteen owners responded a median of 701 days (range, 37-1622) postoperatively. One owner reported that self-trauma led to collapse of one naris. One owner reported collapse of both nares within 4 years; timing and cause were unknown. Sixteen of 17 responding owners reported that they were very satisfied with the outcome of the rhinoplasty. The owner of the dog with the collapsed naris was very unsatisfied. One owner did not provide a satisfaction score.

CONCLUSION

Owners were generally highly satisfied with DOR, and complications were uncommon.

CLINICAL SIGNIFICANCE

This report describes an alternate technique to treat stenotic nares.

摘要

目的

描述治疗短头畸形犬狭窄鼻孔的背侧偏移鼻成形术(DOR)的技术、结果和主人满意度。

研究设计

回顾性病例系列。

动物

34 只客户拥有的狗。

方法

在兽医教学医院的 6 年期间,确定了接受 DOR 治疗的犬的医疗记录。背侧偏移鼻成形术定义为从每个鼻孔去除背侧楔形的鼻板,并将近侧远轴组织与远侧近轴组织对合,导致鼻翼软骨在正中面和背侧面都发生移位。记录即刻和术后并发症。要求主人报告鼻孔愈合过程中的任何并发症,并对鼻孔的外观评分。

结果

34 只狗符合纳入标准。29 只(85%)狗在术后中位数 402.5 天(范围,23-2042)进行了检查,没有与鼻整形术相关的重大并发症。18 位主人在术后中位数 701 天(范围,37-1622)做出了回应。一位主人报告说,自我创伤导致一个鼻孔塌陷。一位主人报告说,两只鼻孔在 4 年内都塌陷;时间和原因未知。17 位有回应的主人中有 16 位报告对鼻整形术的结果非常满意。有塌陷鼻孔的狗的主人非常不满意。一位主人没有提供满意度评分。

结论

主人通常对 DOR 非常满意,且并发症罕见。

临床意义

本报告描述了一种治疗狭窄鼻孔的替代技术。

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