Staged double-layer closure of palatal defects in 6 dogs.

OBJECTIVE To report a staged approach that includes selective dental extractions before definitive double-layer hard palate defect closure in dogs. STUDY DESIGN Retrospective case series. ANIMALS Dogs (n = 6) with a palatal defect. METHODS Dogs had selective maxillary teeth extractions 4-8 weeks before definitive hard palate defect repair by double-layer local full-thickness mucosal flaps. RESULTS All palatal defects were considered complex. Complete hard palate closure was achieved after initial attempt in 3 dogs; 2 dogs had revision surgery before complete closure, and in 1 dog, closure failed and further treatment was declined. No complications or long-term consequences were associated with selective dental extractions. CONCLUSIONS Selective dental extractions before definitive surgical repair using mucosal flaps in a double-layer approach is an effective alternative when treating complex hard palate defects in dogs.

[1]  S. Marretta,et al.  Oral and maxillofacial surgery in dogs and cats. , 2019, The Veterinary clinics of North America. Small animal practice.

[2]  K. Almas,et al.  Tissue Reactions to Various Suture Materials Used in Oral Surgical Interventions , 2012, ISRN dentistry.

[3]  Shigehiko Suzuki,et al.  Collagen-gelatin scaffold impregnated with bFGF accelerates palatal wound healing of palatal mucosa in dogs. , 2011, The Journal of surgical research.

[4]  R. Milner,et al.  Oronasal fistula repair utilizing a temporalis muscle flap in a dog with severe trismus. , 2011, Journal of the American Animal Hospital Association.

[5]  S. Boston,et al.  The use of an angularis oris axial pattern flap in a dog after resection of a multilobular osteochondroma of the hard palate. , 2010, The Canadian veterinary journal = La revue veterinaire canadienne.

[6]  R. Sivacolundhu.  Use of local and axial pattern flaps for reconstruction of the hard and soft palate. , 2007, Clinical techniques in small animal practice.

[7]  G. Hunt,et al.  Repair of oronasal fistulae using auricular cartilage grafts in five cats. , 2007, Veterinary surgery : VS.

[8]  B. Beckman.  Split Palatal U-Flap for Repair of Caudal Palatal Defects , 2006, Journal of veterinary dentistry.

[9]  R. Kirschner,et al.  Repair of Oronasal Fistulae with Acellular Dermal Matrices , 2006, Plastic and reconstructive surgery.

[10]  Tony M Woodward.  Greater Palatine Island Axial Pattern Flap for Repair of Oronasal Fistula Related to Eosinophilic Granuloma , 2006, Journal of veterinary dentistry.

[11]  U. Bite,et al.  Distraction osteogenesis for cleft palate closure in a canine model. , 2005, Archives of facial plastic surgery.

[12]  C. Shmon,et al.  Modification of the superficial cervical axial pattern skin flap for oral reconstruction. , 2005, Veterinary surgery : VS.

[13]  J. McAnulty,et al.  Angularis oris axial pattern buccal flap for reconstruction of recurrent fistulae of the palate. , 2003, Veterinary surgery : VS.

[14]  M. Sullivan,et al.  Bilateral overlapping mucosal single-pedicle flaps for correction of soft palate defects. , 2001, Journal of the American Animal Hospital Association.

[15]  F. Verstraete,et al.  How to obtain and interpret periodontal radiographs in dogs. , 2000, Clinical techniques in small animal practice.

[16]  I. R. Luskin.  Reconstruction of oral defects using mucogingival pedicle flaps. , 2000, Clinical techniques in small animal practice.

[17]  J. Yagiela.  Anesthesia and pain management. , 2000, Emergency medicine clinics of North America.

[18]  Craig W. Miller,et al.  The use of a Prosthetic Appliance to Manage a Large Palatal Defect in a Dog , 1997, Journal of veterinary dentistry.

[19]  H. Freihofer,et al.  Palatal mucoperiosteal expansion as an adjunct to palatal fistula repair: case report and review of the literature. , 1996, The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association.

[20]  J. Labagnara,et al.  A Review of Absorbable Suture Materials in Head & Neck Surgery and Introduction of Monocryl: A New Absorbable Suture , 1995, Ear, nose, & throat journal.

[21]  Salisbury Sk.  Problems and complications associated with maxillectomy, mandibulectomy, and oronasal fistula repair. , 1991 .

[22]  P. Dean,et al.  Repair of a traumatically induced oronasal fistula in a cat with a rostral tongue flap. , 1987, Veterinary surgery : VS.

[23]  S. Marretta.  Chapter 37 – Repair of acquired palatal defects , 2012 .

[24]  S. Marretta.  Chapter 36 – Cleft palate repair techniques , 2012 .

[25]  M. Lommer.  Chapter 11 – Principles of exodontics , 2012 .

[26]  K. A. al Ruhaimi.  Closure of palatal defects without a surgical flap: an experimental study in rabbits. , 2001, Journal of oral and maxillofacial surgery.

[27]  A. Kuijpers-Jagtman,et al.  The healing process of palatal tissues after operations with and without denudation of bone: an experimental study in dogs. , 1999, Scandinavian journal of plastic and reconstructive surgery and hand surgery.

[28]  S. Salisbury.  Problems and complications associated with maxillectomy, mandibulectomy, and oronasal fistula repair. , 1991, Problems in veterinary medicine.