Reconstruction of a large nasal–facial defect using an augmented temporal myocutaneous tube flap in a dog
Abstract The muzzle region of dogs contains various composite tissues, which are challenging to recreate during reconstruction. Small or moderate facial/nasal defects can be closed primarily or left for second‐intention healing. However, larger defects require the application of composite tissue or...
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| Format: | Article |
| Language: | English |
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Wiley
2021-09-01
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| Series: | Veterinary Medicine and Science |
| Subjects: | |
| Online Access: | https://doi.org/10.1002/vms3.548 |
| _version_ | 1818600425071312896 |
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| author | Mei‐Jyun Ciou Lih‐Seng Yeh |
| author_facet | Mei‐Jyun Ciou Lih‐Seng Yeh |
| author_sort | Mei‐Jyun Ciou |
| collection | DOAJ |
| description | Abstract The muzzle region of dogs contains various composite tissues, which are challenging to recreate during reconstruction. Small or moderate facial/nasal defects can be closed primarily or left for second‐intention healing. However, larger defects require the application of composite tissue or labial advancement flaps. Axial pattern flaps based on the caudal auricular artery, superficial temporal artery (STA), angularis oris artery, and other cutaneous arteries have been reported. In our case, we aim to report the reconstruction of a large composite defect of the rostral and dorsal nasal regions in a dog using an augmented, axial myocutaneous flap based on bilateral STAs. This is a clinical report on a spayed female mixed‐breed dog (age, 7 years; weight, 15 kg), in which a large‐scale nasal–facial composite tissue defect was surgically reconstructed using an axial myocutaneous flap based on bilateral STA branches. A delay technique was applied to prefabricate the flap to enrich the blood supply. New nostrils were created on a folded, rostral hard palate. As a result, the axial tube rotational flap was successfully transferred. The use of delay technique for prefabricating the tube flap optimized its size and survival. In addition to the folded rostral hard palate, the flap fully closed the defects on the face and nose. Functional and cosmetic outcomes were satisfactory, with minimal donor‐site morbidity. In, conclusion, a large‐scale nasal–facial defect in a dog was successfully reconstructed using an augmented tube pedicle flap based on the bilateral STAs, which may, thus, be used to repair very large facial‐nasal defects in dogs. |
| first_indexed | 2024-12-16T12:35:17Z |
| format | Article |
| id | doaj.art-5a38a21ad6ec44578311b133e57bdd4a |
| institution | Directory Open Access Journal |
| issn | 2053-1095 |
| language | English |
| last_indexed | 2024-12-16T12:35:17Z |
| publishDate | 2021-09-01 |
| publisher | Wiley |
| record_format | Article |
| series | Veterinary Medicine and Science |
| spelling | doaj.art-5a38a21ad6ec44578311b133e57bdd4a2022-12-21T22:31:36ZengWileyVeterinary Medicine and Science2053-10952021-09-01751524152910.1002/vms3.548Reconstruction of a large nasal–facial defect using an augmented temporal myocutaneous tube flap in a dogMei‐Jyun Ciou0Lih‐Seng Yeh1Veterinary Teaching Hospital National Taiwan University Taipei TaiwanVeterinary Teaching Hospital National Taiwan University Taipei TaiwanAbstract The muzzle region of dogs contains various composite tissues, which are challenging to recreate during reconstruction. Small or moderate facial/nasal defects can be closed primarily or left for second‐intention healing. However, larger defects require the application of composite tissue or labial advancement flaps. Axial pattern flaps based on the caudal auricular artery, superficial temporal artery (STA), angularis oris artery, and other cutaneous arteries have been reported. In our case, we aim to report the reconstruction of a large composite defect of the rostral and dorsal nasal regions in a dog using an augmented, axial myocutaneous flap based on bilateral STAs. This is a clinical report on a spayed female mixed‐breed dog (age, 7 years; weight, 15 kg), in which a large‐scale nasal–facial composite tissue defect was surgically reconstructed using an axial myocutaneous flap based on bilateral STA branches. A delay technique was applied to prefabricate the flap to enrich the blood supply. New nostrils were created on a folded, rostral hard palate. As a result, the axial tube rotational flap was successfully transferred. The use of delay technique for prefabricating the tube flap optimized its size and survival. In addition to the folded rostral hard palate, the flap fully closed the defects on the face and nose. Functional and cosmetic outcomes were satisfactory, with minimal donor‐site morbidity. In, conclusion, a large‐scale nasal–facial defect in a dog was successfully reconstructed using an augmented tube pedicle flap based on the bilateral STAs, which may, thus, be used to repair very large facial‐nasal defects in dogs.https://doi.org/10.1002/vms3.548dogmuzzlenasal–facial defectpedicle flap |
| spellingShingle | Mei‐Jyun Ciou Lih‐Seng Yeh Reconstruction of a large nasal–facial defect using an augmented temporal myocutaneous tube flap in a dog Veterinary Medicine and Science dog muzzle nasal–facial defect pedicle flap |
| title | Reconstruction of a large nasal–facial defect using an augmented temporal myocutaneous tube flap in a dog |
| title_full | Reconstruction of a large nasal–facial defect using an augmented temporal myocutaneous tube flap in a dog |
| title_fullStr | Reconstruction of a large nasal–facial defect using an augmented temporal myocutaneous tube flap in a dog |
| title_full_unstemmed | Reconstruction of a large nasal–facial defect using an augmented temporal myocutaneous tube flap in a dog |
| title_short | Reconstruction of a large nasal–facial defect using an augmented temporal myocutaneous tube flap in a dog |
| title_sort | reconstruction of a large nasal facial defect using an augmented temporal myocutaneous tube flap in a dog |
| topic | dog muzzle nasal–facial defect pedicle flap |
| url | https://doi.org/10.1002/vms3.548 |
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