Gwan-Yong Kim, Ho-Hyun Kwak, Jun-Hyung Kim, Heung-Myong Woo
Department of Veterinary Surgery, College of Veterinary Medicine, Institute of Veterinary Science, Kangwon National University, Chuncheon, Republic of Korea.
Department of Companion Animal Industry, College of Natural and Life Sciences, Daegu University, Gyeongsan, Republic of Korea.
Front Vet Sci. 2025 Aug 12;12:1594631. doi: 10.3389/fvets.2025.1594631. eCollection 2025.
A 3-year-old Shiba Inu was presented to the hospital with a large skin defect (15 cm × 25 cm, oval shape) on the head and neck, involving the left auricle, caused by a traffic accident. Necrotic tissue caused by inflammation was observed in the area of the skin defect. To address this condition, a sugar dressing was applied for 17 days to promote granulation tissue formation before performing a superficial cervical axial pattern flap. The flap was rotated by 120°, ensuring that the right superficial cervical artery remained undisturbed. The distal aspect of the flap was temporarily fixed to the forehead defect using a towel clamp before suturing. A 1 cm-long Penrose drain was pexied parallel to the vascular direction to reduce dead space. The grafted flap was adhered successfully without any significant complications. This case describes the successful treatment of a large head and neck skin defect, involving a sensory organ, using a contralateral axial pattern flap and Penrose drain pexy. This approach reduces the complications of axial-pattern flaps related to vascular twisting. Therefore, the use of contralateral superficial cervical axial pattern flap and Penrose drain pexy may be an effective solution for large head and neck skin defects, including auricular defects.
一只3岁的柴犬因交通事故导致头颈部出现大面积皮肤缺损（15厘米×25厘米，椭圆形），累及左耳廓。在皮肤缺损区域观察到由炎症引起的坏死组织。为了处理这种情况，在进行颈浅轴型皮瓣手术前，应用糖敷料17天以促进肉芽组织形成。皮瓣旋转120°，确保右颈浅动脉不受干扰。在缝合前，用巾钳将皮瓣远端临时固定在前额缺损处。将一根1厘米长的橡皮引流管沿血管方向固定，以减少死腔。移植的皮瓣成功粘连，无任何明显并发症。本病例描述了使用对侧轴型皮瓣和橡皮引流管固定术成功治疗累及感觉器官的大面积头颈部皮肤缺损。这种方法减少了与血管扭曲相关的轴型皮瓣并发症。因此，使用对侧颈浅轴型皮瓣和橡皮引流管固定术可能是治疗包括耳廓缺损在内的大面积头颈部皮肤缺损的有效方法。
