Kim Jury, Kim Daesik, Kim Janghwan, Seo Daeyun, Hwang Hyejin, Kim Yuna, Chung Taekyu, Lim Seongsoo, Lee Hansol, Kim Min Su
Bundang Bright-Eye Animal Hospital, Seongnam, South Korea.
Veterinary Emergency Medicine, Department of Veterinary Clinical Science, College of Veterinary Medicine and Research Institute for Veterinary Science, Seoul National University, Seoul, South Korea.
Front Vet Sci. 2020 Dec 18;7:548279. doi: 10.3389/fvets.2020.548279. eCollection 2020.
Although facial wounds caused by traffic accidents in dogs are common, the surgical management of severe facial injuries involving the soft tissue, bone, dentition, nose and orbit are challenging. A 2 year-old Korean Jindo dog was diagnosed with severe skin defects of the face and proptosis caused by a vehicular accident. Along the left lateral maxilla, severe injury involving the overlying skin and platysma muscle occurred, to the extent that the middle part of the sphincter colli profundus pars intermedia muscle was exposed. Repair surgeries of the skin defects and globe displacement were performed using a local subdermal plexus rotation flap and a partial transposition of the dorsal rectus muscle combined with small intestinal submucosa (SIS) instead of enucleation as the first attempt. SIS was used to sustain the torn medial region. In this case, the surgery resulted in good cosmetic and functional outcome in the dog, despite the atypical complexities upon presentation.
虽然犬类因交通事故导致的面部伤口很常见,但涉及软组织、骨骼、牙列、鼻子和眼眶的严重面部损伤的手术治疗具有挑战性。一只2岁的韩国珍岛犬被诊断为因车祸导致面部严重皮肤缺损和眼球突出。沿左侧上颌骨,发生了累及上方皮肤和颈阔肌的严重损伤,以至于颈深部括约肌中间部肌肉的中部暴露。首次尝试采用局部皮下丛旋转皮瓣和部分直肌转位联合小肠黏膜下层(SIS)修复皮肤缺损和眼球移位,而不是眼球摘除术。使用SIS来维持撕裂的内侧区域。在这种情况下,尽管该犬在就诊时存在非典型的复杂性,但手术仍取得了良好的美容和功能效果。