Rigby Brittney E, Malott Kevin, Sample Susannah J, Hetzel Scott J, Soukup Jason W
Department of Surgical Sciences, School of Veterinary Medicine, University of Wisconsin, Madison, WI, United States.
Department of Biostatistics and Medical Informatics, University of Wisconsin, Madison, WI, United States.
Front Vet Sci. 2021 Dec 17;8:760642. doi: 10.3389/fvets.2021.760642. eCollection 2021.
Numerous reports describe complication rates associated with oromaxillofacial oncologic surgery in dogs, however, investigation regarding the impact of the surgical environment on the incidence of complications is under reported. The objective of this retrospective cohort study, including 226 dogs surgically treated for oromaxillofacial tumors between January 1, 1997 and December 31, 2018, is to evaluate the impact of the surgical environment on the incidence of complications in oromaxillofacial oncologic surgery in dogs. A secondary objective is to report the incidence of local complications in oromaxillofacial oncologic surgery and characterize the type, timing, and severity of complications encountered. Incidence of complications was identified to be 69.9%. No significant association was identified between the incidence, timing, or severity of complications and the training background of the clinician, physical location of the procedure, or the ostectomy instrument used. These results suggest that the surgical environment has little impact on the incidence, timing, and severity of complications in dogs undergoing oromaxillofacial oncologic surgery. The results also emphasize the importance of preparing the surgical team and the client for a high incidence of complications associated with oromaxillofacial oncologic surgery in dogs and indicate that both short-term and long-term follow up is important in these cases. Oromaxillofacial surgery performed by residents-in-training within a veterinary teaching environment with adequate supervision appears to be safe.
许多报告描述了犬口腔颌面肿瘤手术的并发症发生率，然而，关于手术环境对并发症发生率影响的研究报道较少。这项回顾性队列研究纳入了1997年1月1日至2018年12月31日期间接受口腔颌面肿瘤手术治疗的226只犬，其目的是评估手术环境对犬口腔颌面肿瘤手术并发症发生率的影响。次要目的是报告口腔颌面肿瘤手术局部并发症的发生率，并对所遇到并发症的类型、发生时间和严重程度进行描述。并发症发生率为69.9%。未发现并发症的发生率、发生时间或严重程度与临床医生的培训背景、手术的实际地点或所使用的截骨器械之间存在显著关联。这些结果表明，手术环境对接受口腔颌面肿瘤手术的犬并发症的发生率、发生时间和严重程度影响较小。结果还强调了让手术团队和客户为犬口腔颌面肿瘤手术的高并发症发生率做好准备的重要性，并表明在这些病例中短期和长期随访都很重要。在充分监督下，由兽医教学环境中的实习住院医生进行口腔颌面手术似乎是安全的。
