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...

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Main Authors: Amy E. Thomson, Jason W. Soukup
Format: Article
Language:English
Published: Frontiers Media S.A. 2018-03-01
Series:Frontiers in Veterinary Science
Subjects:
dog
Online Access:http://journal.frontiersin.org/article/10.3389/fvets.2018.00054/full
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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
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AT jasonwsoukup compositeresectionoftumorsoftherostralmaxillaanddorsolateralmuzzleutilizinganupperlipsparingcombinedapproachindogs
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