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应用耳后轴型皮瓣修复犬的撕脱性耳廓创伤。

The use of a caudal auricular axial pattern flap for repair of a degloving pinna wound in a dog.

机构信息

Cornell University College of Veterinary Medicine, Department of Clinical Sciences, Ithaca, New York, USA.

出版信息

Can Vet J. 2022 Mar;63(3):275-280.

Abstract

A 3-year-old male neutered French bulldog was presented for an anatomical degloving injury of the left pinna following a conflict with a larger dog at a park. Approximately 2/3 of the dorsal skin was removed from the convex surface of the left pinna along with an irregular, full thickness injury on the lateral aspect of the pinna distal to the cutaneous marginal pouch. A caudal auricular axial pattern flap (CAAPF) was used to reconstruct the pinna. The flap healed with no noted necrosis over the long-term. Postoperative cellulitis was noted for approximately 3 mo. The dog was medically managed for bilateral otitis externa multiple times over the course of recovery. Long-term function and cosmesis at 1.5 y after surgery revealed adequate functional movement of the pinna and acceptable cosmesis. It is concluded that, rather than a pinnectomy, a CAAPF can be offered as a surgical option in dogs that have injuries localized to the pinna. Key clinical message: A CAAPF is an alternative to pinnectomy for reconstruction of the pinna after degloving injury and yields a functional and cosmetically acceptable outcome.

摘要

一只 3 岁雄性去势法国斗牛犬在公园与一只更大的狗发生冲突后,左侧耳廓出现解剖性剥脱伤。大约 2/3 的背侧皮肤从左侧耳廓的凸面被移除,耳廓外侧有一个不规则的全层损伤,位于皮缘袋远端。采用耳后轴型皮瓣(CAAPF)重建耳廓。皮瓣在长期内愈合,无明显坏死。术后约 3 个月出现蜂窝织炎。在恢复过程中,这只狗因双侧外耳炎多次接受药物治疗。术后 1.5 年的长期功能和美容效果显示耳廓有足够的功能运动和可接受的美容效果。结论是,对于局限于耳廓的损伤,CAAPF 可以替代耳切除术作为一种手术选择。关键临床信息:CAAPF 是一种替代耳切除术的方法,可用于重建剥脱伤后的耳廓,获得功能和美容效果可接受的结果。

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本文引用的文献

1
Caudal Auricular Axial Pattern Flap for the Reconstruction of the Upper Eyelid in Three Cats.用于三只猫上睑重建的耳后轴型皮瓣
J Am Anim Hosp Assoc. 2020 Jul/Aug;56(4):236-241. doi: 10.5326/JAAHA-MS-6987. Epub 2020 May 15.
4
Axial Pattern Flaps.轴型皮瓣
Vet Clin North Am Small Anim Pract. 2017 Nov;47(6):1237-1247. doi: 10.1016/j.cvsm.2017.06.008. Epub 2017 Aug 7.
6
Use of Hyperbaric Oxygen as Adjunct in Salvage of Near-complete Ear Amputation.高压氧作为辅助手段用于挽救近乎完全离断的耳部截肢
Plast Reconstr Surg Glob Open. 2013 May 7;1(1). doi: 10.1097/GOX.0b013e31828c2416. eCollection 2013 Apr.
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Microvascular ear reconstruction using a free radial forearm flap after dog bite.犬咬伤后使用游离桡侧前臂皮瓣进行耳部微血管重建。
J Plast Reconstr Aesthet Surg. 2009 Apr;62(4):535-8. doi: 10.1016/j.bjps.2007.09.019. Epub 2007 Nov 28.
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Facial reconstructive surgery.面部重建手术。
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10
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J Plast Reconstr Aesthet Surg. 2007;60(3):325-7. doi: 10.1016/j.bjps.2005.11.043. Epub 2006 Jun 22.

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