Use of an axial pattern flap and nictitans to reconstruct medial eyelids and canthus in a dog

A 10‐year‐old male neutered Boxer presented with recurrence of a mast cell tumor at the right medial canthal area. Following excision including 2 cm margins, the medial one‐half of the upper and lower eyelids and the medial canthus were reconstructed using an axial pattern flap based on the cutaneou...

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Bibliographic Details
Published in:Veterinary ophthalmology 2008-11, Vol.11 (6), p.395-400
Main Authors: Jacobi, Susan, Stanley, Bryden J., Petersen‐Jones, Simon, Dervisis, Nikolaos, Dominguez, Pedro A.
Format: Article
Language:English
Subjects:
Animals
axial pattern flap
Conjunctiva - surgery
Dog Diseases - surgery
Dogs
Eyelid Neoplasms - surgery
Eyelid Neoplasms - veterinary
eyelid reconstruction
Eyelids - surgery
Male
mast cell tumor
Mast-Cell Sarcoma - surgery
Mast-Cell Sarcoma - veterinary
medial canthus reconstruction
nictitans
Nictitating Membrane - surgery
Reconstructive Surgical Procedures - methods
Reconstructive Surgical Procedures - veterinary
Surgical Flaps - veterinary
Treatment Outcome
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Summary:A 10‐year‐old male neutered Boxer presented with recurrence of a mast cell tumor at the right medial canthal area. Following excision including 2 cm margins, the medial one‐half of the upper and lower eyelids and the medial canthus were reconstructed using an axial pattern flap based on the cutaneous branch of the superficial temporal artery. The bulbar conjunctiva of the nictitans was preserved and sutured to the medial flap edge, thus creating a conjunctival lining to the deep aspect of the flap, protecting corneal epithelium. This is a valuable surgical technique for closing a large skin defect and reconstructing the medial eyelids, thus preserving the globe.
ISSN:1463-5216
1463-5224
DOI:10.1111/j.1463-5224.2008.00664.x