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Lip-to-nose flap for nasal plane reconstruction in dogs: a cadaveric and in vivo feasibility study.


Chiti, Lavinia E; Montinaro, Vincenzo; Lisi, Marta L P; Asta, Andrea G; Marches, Silvia; Sommaruga, Paolo; Massari, Federico (2018). Lip-to-nose flap for nasal plane reconstruction in dogs: a cadaveric and in vivo feasibility study. Veterinary Surgery, 47(8):1101-1105.

Abstract

OBJECTIVE: To describe a local interpolation flap based on the upper lip for the reconstruction of the dorsal aspect of the nasal plane in dogs.
STUDY DESIGN: Ex vivo and in vivo case report.
ANIMALS: A 2-year-old medium-sized spayed female mixed-breed dog and a canine cadaver of a medium-sized mixed-breed dog.
METHODS: A dorsal defect of the nasal plane of uncertain origin in a dog was reconstructed with a unilateral interpolation flap obtained from the caudal upper lip skin and mucosa (lip-to-nose flap). The procedure was first performed in a cadaveric model to assess its feasibility.
RESULTS: The lip-to-nose flap allowed the reconstruction of a dorsal nasal plane defect with a satisfactory cosmetic outcome. The incorporation of the labial mucosa guaranteed a complete and uncomplicated wound healing of the flap; a small area of necrosis occurred at the donor site, which resolved in a few days.
CONCLUSION: The use of a lip-to-nose flap was feasible in these 2 medium-sized dogs and led to satisfactory cosmetic outcome.
CLINICAL SIGNIFICANCE: A lip-to-nose flap may be considered to reconstruct dorsal nasal plane defects in dogs and allows for a cosmetic outcome.

Abstract

OBJECTIVE: To describe a local interpolation flap based on the upper lip for the reconstruction of the dorsal aspect of the nasal plane in dogs.
STUDY DESIGN: Ex vivo and in vivo case report.
ANIMALS: A 2-year-old medium-sized spayed female mixed-breed dog and a canine cadaver of a medium-sized mixed-breed dog.
METHODS: A dorsal defect of the nasal plane of uncertain origin in a dog was reconstructed with a unilateral interpolation flap obtained from the caudal upper lip skin and mucosa (lip-to-nose flap). The procedure was first performed in a cadaveric model to assess its feasibility.
RESULTS: The lip-to-nose flap allowed the reconstruction of a dorsal nasal plane defect with a satisfactory cosmetic outcome. The incorporation of the labial mucosa guaranteed a complete and uncomplicated wound healing of the flap; a small area of necrosis occurred at the donor site, which resolved in a few days.
CONCLUSION: The use of a lip-to-nose flap was feasible in these 2 medium-sized dogs and led to satisfactory cosmetic outcome.
CLINICAL SIGNIFICANCE: A lip-to-nose flap may be considered to reconstruct dorsal nasal plane defects in dogs and allows for a cosmetic outcome.

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Additional indexing

Item Type:Journal Article, refereed, original work
Communities & Collections:05 Vetsuisse Faculty > Veterinary Clinic > Department of Small Animals
Dewey Decimal Classification:570 Life sciences; biology
630 Agriculture
Scopus Subject Areas:Health Sciences > General Veterinary
Language:English
Date:10 October 2018
Deposited On:21 Mar 2019 09:00
Last Modified:29 Jul 2020 10:29
Publisher:Wiley-Blackwell Publishing, Inc.
ISSN:0161-3499
Additional Information:For accepted manuscripts: This is the peer reviewed version of the following article: Chiti, LE, Montinaro, V, Lisi, MLP, et al. Lip‐to‐nose flap for nasal plane reconstruction in dogs: A cadaveric and in vivo feasibility study. Veterinary Surgery. 2018; 47: 1101– 1105., which has been published in final form at https://doi.org/10.1111/vsu.12965. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Use of Self-Archived Versions. (http://www.wileyauthors.com/self-archiving)
OA Status:Green
Publisher DOI:https://doi.org/10.1111/vsu.12965
PubMed ID:30302778

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