Evaluation of the superior and inferior labial musculomucosal flaps in cats: An angiographic study and case series.

Laura E Canever, D. Degner
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Abstract

OBJECTIVE To evaluate the angiosomes of the superior and inferior labial arteries in the cat and describe the use of a musculomucosal axial pattern flap incorporating each artery for reconstruction of palatal defects in cats. STUDY DESIGN Cadaveric study and a series of two clinical cases. SAMPLE POPULATION Five feline cadavers and two client-owned cats. METHODS The common carotid arteries of five feline cadavers were injected with barium sulfate. Radiographs of excised tissue specimens were examined to map the location of the superior and inferior labial arteries and to visualize each angiosome available for an axial pattern flap. Labial musculomucosal flaps were utilized to reconstruct palatal defects in two live cats. RESULTS The superior and inferior labia were predominantly perfused by the superior and inferior labial arteries, respectively, and the angiosome of each artery encompassed the majority of its respective labium. Comparative positive contrast angiograms revealed the vascular supply was located within the musculomucosal layer. Reconstruction of recurrent palatal defects utilizing musculomucosal flaps based on these angiosomes in two clinical cases was successful with complete survival of the flaps. CONCLUSION The upper and lower lips were found to have robust vascular supplies within the musculomucosal layer which can support musculomucosal axial pattern flaps. CLINICAL SIGNIFICANCE This information provides the veterinary surgeon with additional surgical options for reconstruction of central and caudal palatal defects in the cat.
猫上下唇肌粘膜瓣的评价:血管造影研究和病例系列。
目的评价猫唇部上、下动脉血管体的形态,描述结合各动脉的肌粘膜轴型皮瓣在猫腭部缺损重建中的应用。研究设计:尸体研究和一系列的两个临床病例。5具猫的尸体和2只客户养的猫。方法对5具猫尸体颈总动脉注射硫酸钡。检查切除组织标本的x线片,以绘制上唇和下唇动脉的位置,并可视化每个可用于轴型皮瓣的血管体。用唇肌粘膜瓣重建两只活猫的腭缺损。结果上阴唇和下阴唇分别以上、下阴唇动脉灌注为主,各动脉的血管体包住了各自的大部分阴唇。对比阳性对比血管造影显示血管供应位于肌肉粘膜层。以血管小体为基础的肌粘膜瓣重建复发性腭缺损,两例均成功,皮瓣完全存活。结论上、下唇肌粘膜层血管供应旺盛,可支持肌粘膜轴型皮瓣的形成。临床意义这一信息为兽医提供了重建猫中央和尾部腭部缺陷的额外手术选择。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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