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犬颅骨多叶骨软骨肉瘤行颅骨切除术应用美敦力骨刀:尸体评估和回顾性病例系列研究。

Craniectomies for Dogs With Skull Multilobular Osteochondrosarcoma Using the Misonix Bone Scalpel: Cadaveric Evaluation and Retrospective Case Series.

机构信息

Department of surgical sciences, School of veterinary medicine, University of Wisconsin-Madison, Madison WI.

Department of surgical sciences, School of veterinary medicine, University of Wisconsin-Madison, Madison WI.

出版信息

Top Companion Anim Med. 2023 Mar-Jun;53-54:100772. doi: 10.1016/j.tcam.2023.100772. Epub 2023 Mar 28.

Abstract

To evaluate the Misonix bone scalpel (MBS) for craniotomies in dogs and describe clinical findings and surgical experience in 3 dogs with large multilobular osteochondrosarcoma (MLO) of the skull. Cadaver evaluation and retrospective case series. One canine cadaver; 3 client-owned dogs. Craniotomies of different sizes and at different locations were performed with MBS. Dural tear and bone discoloration were recorded. Clinical, imaging, and surgical findings of dogs diagnosed with MLO and where MBS was used for craniectomies were retrospectively included. Cadaveric evaluation identified MBS as an efficient tool for rapid craniectomies (>5minutes) albeit dural tears and some small foci of bone discoloration were observed. Craniectomies could be performed without complications in 3 dogs with MLO without dural tear or bone discoloration. .Excision was in complete in all cases. The short-term outcome was good, and the long-term outcome was fair to good. Piezoelectric bone surgery with the Misonix bone scalpel is an alternative technology to perform craniectomies in dogs. It was not associated with complications in 3 dogs diagnosed and surgically treated for MLO. Dural tears and suspected bone necrosis can occur. Great care should be taken when using CT to establish disease free surgical osteotomy.

摘要

评估 Misonix 骨刀(MBS)在犬颅骨切开术中的应用,并描述 3 例患有大型多叶性骨肉瘤(MLO)的犬的临床发现和手术经验。尸体评估和回顾性病例系列。一只犬尸体;3 只客户所有的狗。用 MBS 进行不同大小和位置的颅骨切开术。记录硬脑膜撕裂和骨变色。回顾性纳入诊断为 MLO 并使用 MBS 进行颅骨切开术的犬的临床、影像和手术发现。尸体评估确定 MBS 是一种用于快速颅骨切开术(>5 分钟)的有效工具,尽管观察到硬脑膜撕裂和一些小的骨变色灶。3 例 MLO 犬的颅骨切开术可无并发症进行,无硬脑膜撕裂或骨变色。切除在所有病例中均完整。短期结果良好,长期结果为良好至一般。Misonix 骨刀的压电骨手术是一种替代技术,可在犬中进行颅骨切开术。在 3 例诊断为 MLO 并接受手术治疗的犬中,该技术未引起并发症。硬脑膜撕裂和疑似骨坏死可能发生。使用 CT 进行无疾病的手术截骨时应格外小心。

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