RESUMO
The nasal cavity and sinuses may be exposed primarily via a dorsal or ventral surgical approach. Surgical planning involves the use of advanced imaging, such as computed tomography or MRI. Surgical treatment of lesions of the nasal cavity usually is limited to benign lesions or can also be used in combination with adjunctive therapy, such as radiation therapy. Extreme caution must be exercised with a dorsal approach to the nasal cavity to avoid complications of inadvertent penetration into the brain case. Gentle tissue handling and careful closure of the mucoperiosteum must be exercised following a ventral approach to minimize the risk of oronasal fistula formation.
Assuntos
Doenças do Gato/cirurgia , Doenças do Cão/cirurgia , Neoplasias dos Seios Paranasais/veterinária , Animais , Doenças do Gato/diagnóstico por imagem , Gatos , Doenças do Cão/diagnóstico por imagem , Cães , Cavidade Nasal/cirurgia , Procedimentos Cirúrgicos Bucais/veterinária , Neoplasias dos Seios Paranasais/cirurgia , Seios Paranasais/cirurgia , Tomografia Computadorizada por Raios X/veterináriaRESUMO
Reconstruction of facial defects can be very challenging, even in the hands of an experienced surgeon. Most defects can be repaired using local available tissues. Lip defects can be reconstructed using geometric closure techniques and advancement of local tissues. Forehead defects can be reconstructed using skin grafts, caudal auricular flaps, or rotational or transposition flaps. Care must be taken to minimize tension on eyelids and maintain the integrity of the facial nerve. Cheek defects can be reconstructed using local advancement, superficial temporal, omocervical, and caudal auricular flaps. The bridge of the nose can be very difficult to reconstruct due to a paucity of local tissues; however, skin grafts, indirect pedicle flaps, and superficial temporal flaps can be considered. .
Assuntos
Doenças do Gato/cirurgia , Doenças do Cão/cirurgia , Neoplasias Cutâneas/veterinária , Animais , Doenças do Gato/patologia , Gatos , Doenças do Cão/patologia , Cães , Face/cirurgia , Procedimentos de Cirurgia Plástica/veterinária , Neoplasias Cutâneas/cirurgia , Retalhos Cirúrgicos/veterináriaRESUMO
Surgery of the nasal cavity may be exposed primarily via a dorsal or ventral approach. Surgical treatment of lesions of the nasal cavity usually is limited to benign lesions or in combination with adjunctive therapy such as radiation therapy. Caution must be exercised with a dorsal approach to the nasal cavity to avoid complications of inadvertent penetration of the brain case. Gentle tissue handling and careful closure of the mucoperiosteum must be exercised following a ventral approach to minimize the risk of oronasal fistula formation.
