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口轮匝肌轴型皮瓣作为一种可靠且多功能的猫科动物头面部重建选择。

Angularis oris axial pattern flap as a reliable and versatile option for rostral facial reconstruction in cats.

机构信息

School of Veterinary Medicine and Animal Science, São Paulo State University, Botucatu, Brazil.

Department of Clinical Studies, Ontario Veterinary College, University of Guelph, Guelph, Ontario, Canada.

出版信息

Vet Surg. 2021 Nov;50(8):1688-1695. doi: 10.1111/vsu.13686. Epub 2021 Jul 22.

Abstract

OBJECTIVE

To evaluate outcomes associated with the use of an angularis oris axial pattern flap (AOAPF) for rostral facial reconstruction in cats.

ANIMALS

Nine adult client-owned cats.

STUDY DESIGN

Short case series.

METHODS

Ten AOAPF were performed in nine cats after resection of a tumor. Wounds were located at the nose, infraorbital, supraorbital, frontal, eye, and ear canal region. Orbital exenteration (n = 3), pinnectomy (n = 2), nasal planum resection, total ear canal ablation (n = 2), and partial eyelid reconstruction (n = 3) were performed.

RESULTS

Short-term postoperative complications included flap edema (n = 10), suture dehiscence (n = 3), and distal tip necrosis (n = 3). All wounds resulting from minor complications healed by second intention in 5-15 days. Long-term complications included epiphora (n = 2), frequent grooming around the eyes (n = 2), and enucleation due to corneal ulcer secondary to impaired postoperative eyelid function (n = 1). Tumor recurrence occurred in 3 cases.

CONCLUSION

The AOAPF was a versatile and reliable option for rostral facial reconstruction in cats with acceptable long-term outcomes.

摘要

目的

评估在猫的头面部重建中使用口角轴向皮瓣(AOAPF)的结果。

动物

9 只成年患宠猫。

研究设计

短篇病例系列。

方法

10 只 AOAPF 在 9 只猫中用于切除肿瘤后进行。伤口位于鼻子、眶下、眶上、额部、眼部和耳道区域。进行了眼眶切除术(n=3)、翼切除术(n=2)、鼻平面切除术、全耳道消融术(n=2)和部分眼睑重建术(n=3)。

结果

短期术后并发症包括皮瓣水肿(n=10)、缝线裂开(n=3)和远端尖端坏死(n=3)。所有由小并发症引起的伤口均在 5-15 天内通过二期愈合。长期并发症包括溢泪(n=2)、眼睛周围频繁梳理(n=2)和因术后眼睑功能障碍导致角膜溃疡而进行的眼球摘除(n=1)。3 例肿瘤复发。

结论

AOAPF 是一种用于猫头面部重建的多功能且可靠的选择,具有可接受的长期结果。

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