Composite Resection of Tumors of the Rostral Maxilla and Dorsolateral Muzzle Utilizing an Upper Lip-Sparing, Combined Approach in Dogs
Tumors of the rostral maxilla that involve both the oral mucosa and the dermis or subdermis of the dorsolateral muzzle provide unique challenges for the oromaxillofacial surgeon. Traditionally described approaches to such lesions may involve an intraoral incision that extends and involves the upper...
Main Authors: | , |
---|---|
Format: | Article |
Language: | English |
Published: |
Frontiers Media S.A.
2018-03-01
|
Series: | Frontiers in Veterinary Science |
Subjects: | |
Online Access: | http://journal.frontiersin.org/article/10.3389/fvets.2018.00054/full |
id |
doaj-9ef3091e653b4160b6a7eaf184a1f509 |
---|---|
record_format |
Article |
spelling |
doaj-9ef3091e653b4160b6a7eaf184a1f5092020-11-25T01:01:49ZengFrontiers Media S.A.Frontiers in Veterinary Science2297-17692018-03-01510.3389/fvets.2018.00054367167Composite Resection of Tumors of the Rostral Maxilla and Dorsolateral Muzzle Utilizing an Upper Lip-Sparing, Combined Approach in DogsAmy E. Thomson0Jason W. Soukup1Dentistry and Oral Surgery, Department of Surgical Sciences, School of Veterinary Medicine, University of Wisconsin-Madison, Madison, WI, United StatesDentistry and Oral Surgery, Department of Surgical Sciences, School of Veterinary Medicine, University of Wisconsin-Madison, Madison, WI, United StatesTumors of the rostral maxilla that involve both the oral mucosa and the dermis or subdermis of the dorsolateral muzzle provide unique challenges for the oromaxillofacial surgeon. Traditionally described approaches to such lesions may involve an intraoral incision that extends and involves the upper lip to envelope the involved dermis of the dorsolateral muzzle. However, such an approach unnecessarily resects upper lip tissue resulting in a large defect that likely requires advanced skin flaps or grafts for reconstruction. Such flaps are technically challenging and introduce potential for significance postoperative complications. In this article, we provide a detailed description a combined intra- and extraoral approach that allows for composite resection of tumors of the rostral maxilla that also involve the dorsolateral muzzle. The described technique allows for excellent intraoperative visualization and provides a superior cosmetic outcome that minimizes postoperative complications. In addition, we describe our experience utilizing the technique in three clinical cases.http://journal.frontiersin.org/article/10.3389/fvets.2018.00054/fulloral tumorsdogcomposite resectioncombined approachlip sparingsurgical oncology |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Amy E. Thomson Jason W. Soukup |
spellingShingle |
Amy E. Thomson Jason W. Soukup Composite Resection of Tumors of the Rostral Maxilla and Dorsolateral Muzzle Utilizing an Upper Lip-Sparing, Combined Approach in Dogs Frontiers in Veterinary Science oral tumors dog composite resection combined approach lip sparing surgical oncology |
author_facet |
Amy E. Thomson Jason W. Soukup |
author_sort |
Amy E. Thomson |
title |
Composite Resection of Tumors of the Rostral Maxilla and Dorsolateral Muzzle Utilizing an Upper Lip-Sparing, Combined Approach in Dogs |
title_short |
Composite Resection of Tumors of the Rostral Maxilla and Dorsolateral Muzzle Utilizing an Upper Lip-Sparing, Combined Approach in Dogs |
title_full |
Composite Resection of Tumors of the Rostral Maxilla and Dorsolateral Muzzle Utilizing an Upper Lip-Sparing, Combined Approach in Dogs |
title_fullStr |
Composite Resection of Tumors of the Rostral Maxilla and Dorsolateral Muzzle Utilizing an Upper Lip-Sparing, Combined Approach in Dogs |
title_full_unstemmed |
Composite Resection of Tumors of the Rostral Maxilla and Dorsolateral Muzzle Utilizing an Upper Lip-Sparing, Combined Approach in Dogs |
title_sort |
composite resection of tumors of the rostral maxilla and dorsolateral muzzle utilizing an upper lip-sparing, combined approach in dogs |
publisher |
Frontiers Media S.A. |
series |
Frontiers in Veterinary Science |
issn |
2297-1769 |
publishDate |
2018-03-01 |
description |
Tumors of the rostral maxilla that involve both the oral mucosa and the dermis or subdermis of the dorsolateral muzzle provide unique challenges for the oromaxillofacial surgeon. Traditionally described approaches to such lesions may involve an intraoral incision that extends and involves the upper lip to envelope the involved dermis of the dorsolateral muzzle. However, such an approach unnecessarily resects upper lip tissue resulting in a large defect that likely requires advanced skin flaps or grafts for reconstruction. Such flaps are technically challenging and introduce potential for significance postoperative complications. In this article, we provide a detailed description a combined intra- and extraoral approach that allows for composite resection of tumors of the rostral maxilla that also involve the dorsolateral muzzle. The described technique allows for excellent intraoperative visualization and provides a superior cosmetic outcome that minimizes postoperative complications. In addition, we describe our experience utilizing the technique in three clinical cases. |
topic |
oral tumors dog composite resection combined approach lip sparing surgical oncology |
url |
http://journal.frontiersin.org/article/10.3389/fvets.2018.00054/full |
work_keys_str_mv |
AT amyethomson compositeresectionoftumorsoftherostralmaxillaanddorsolateralmuzzleutilizinganupperlipsparingcombinedapproachindogs AT jasonwsoukup compositeresectionoftumorsoftherostralmaxillaanddorsolateralmuzzleutilizinganupperlipsparingcombinedapproachindogs |
_version_ |
1725207257027706880 |