Abstract
Reconstructive plastic surgery in companion animals is increasing in surgical blocks. Pedicle skin flaps on the face of dogs and cats are of difficult execution, making it challenging for the surgeon. The objective of this work is to report a skin reconstruction of a dog's face after trauma. A male dog of unknown breed, presenting trauma of unknown cause with total loss of snout and part of incisive bone, was attended at the Veterinary Hospital of the Federal University of Para, Brazil. Emergency care was performed and the animal was referred for surgical debridement of the lesion and posterior plastic correction. A subcutaneous facial advancement flap was used to cover the wound, demonstrating that this is a good option in this region due to the low elasticity of the skin. There were no intercurrences in the postoperative period and the animal presented good functional and cosmetic results.
Highlights
Chaves et al Acta Veterinaria Brasilica September 13 (2019) 110-113Application of subcutaneous pedicle flaps is one of the most commonly used reconstructive surgical techniques in veterinary medicine, in which the skin adjacent to the site of lesser stress of the defect is divulsed, becoming a sufficient loose elastic cut to cover the wound
Seroma is commonly observed as an intercurrence in the postoperative period, besides dehiscence, ede-ma, infection, and necrosis (PAVLETIC, 2018)
Skin lesions in the head and neck regions in small animals are more related to the excision of neoplasia; avulsion traumas can occur, especially in animals with free access to streets (LANNA NETA; SILVEIRA, 2015), as in the case of the present report
Summary
Application of subcutaneous pedicle flaps is one of the most commonly used reconstructive surgical techniques in veterinary medicine, in which the skin adjacent to the site of lesser stress of the defect is divulsed, becoming a sufficient loose elastic cut to cover the wound. Skin lesions on the face are difficult to reconstruct due to the lack of cutaneous elasticity in this region; usually the doctor opts for a palliative treatment with dressings and follow-up of wound healing by second intention (HUPPES et al, 2016) In these cases, when treating surgical wound closure, there are basically advancement flap techniques, mainly in the snout area, which requires more delicate care due to the lack of skin mobility in this region (MOTA et al, 2012). A male, uncastrated dog of unknown breed and unknown age was attended at the Veterinary Hospital of the Federal University of Pará, Brazil It presented a facial trauma and complete skin and bone losses in the muzzle region for 22 days (Figure 1). The flaps were positioned and skin sutures were made with 2-0 nylon strands in a single, separate pattern (Figure 3)
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