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采用舌尖皮瓣修复猫外伤性口鼻瘘。

Repair of a traumatically induced oronasal fistula in a cat with a rostral tongue flap.

作者信息

Robertson J J, Dean P W

机构信息

Veterinary Teaching Hospital, University of Missouri, Columbia 65211.

出版信息

Vet Surg. 1987 Mar-Apr;16(2):164-6. doi: 10.1111/j.1532-950x.1987.tb00930.x.

DOI:10.1111/j.1532-950x.1987.tb00930.x
PMID:3507136
Abstract

Repair of an extensive oronasal fistula in a cat was accomplished by the use of a tongue flap. The dorsal surface of the tongue was debrided of mucosa and the edges were trimmed to produce a bleeding surface. Rotation of the tongue 180 degrees upon its long axis allowed the debrided surface to be sutured in apposition with the palatine mucosa. The mouth was wired closed and the cat was fed blenderized canned cat food for 4 weeks through a pharyngostomy tube. The tongue pedicle was amputated in successive stages to stimulate collateral circulation. Complications included a partial dehiscence along one edge of the suture line, which was corrected by resuturing.

摘要

一只猫的广泛性口鼻瘘通过使用舌瓣得以修复。舌背的黏膜被清创,边缘被修剪以形成一个出血面。舌头绕其长轴旋转180度,使清创面与腭黏膜贴合缝合。口腔用金属丝封闭,通过咽造口管给这只猫喂食搅拌成泥状的罐装猫粮,持续4周。舌蒂分阶段切断以刺激侧支循环。并发症包括缝线一侧边缘部分裂开,通过再次缝合得以纠正。

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