Coronofrontal rhytidectomy: A new approach for the treatment of severe pseudoptosis and superior entropion in dogs

IF 1.7 4区 农林科学 Q2 VETERINARY SCIENCES
Rita Vilao Cardoso, Marta Leiva, Cristina Seruca, Rodrigo P. Lacerda, Fernando Laguna, M. Teresa Peña
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Abstract

PurposeTo describe the use of coronofrontal rhytidectomy (CFR) for the treatment of severe pseudoptosis and superior entropion in dogs, and to provide guidelines for the selection of surgical technique depending on presentation.MethodsA review of medical records of dogs that underwent rhytidectomy from 2002 to 2023 was carried out, including signalment, clinical signs, type of rhytidectomy, concurrent surgical techniques, re‐interventions, post‐operative complications, follow‐up time, and outcome.ResultsTwenty dogs with a median age of 5.1 years were included in this study. English Cocker Spaniel was the most common breed (8 dogs:40%) and males were overrepresented (13 dogs: 65%). Besides pseudoptosis and visual impairment (100%), the other most common clinical signs were entropion and/or ectropion (19 dogs: 95%), conjunctivitis (17 dogs: 85%), euryblepharon (12 dogs: 60%) and non‐ulcerative keratitis (10 dogs: 50%). CFR was performed in 12 dogs (60%), frontal rhytidectomy in 5 (25%), coronal in 2 (10%), and modified shared in 1 (5%). Concurrent surgical techniques were performed in 17 dogs (85%), being lateral canthoplasty (13 dogs; 65%), and Celsus–Hotz (10 dogs; 50%) the most common. The median follow‐up time was 115 days with no complications and good outcomes reported in all dogs. At last re‐recheck, complete correction of the eyelid positioning was obtained in 92% (11/12) and 87.5% (7/8) of the cases that underwent CFR and other rhytidectomy techniques, respectively.ConclusionCFR is an effective surgical treatment for severe pseudoptosis and superior entropion in dogs. The provided guidelines will assist in the selection of the most appropriate eyelid lifting technique.
冠状额节律切除术:治疗犬严重假性角膜外翻和上眼睑内翻的新方法
目的描述冠状额叶节律切除术(CFR)用于治疗犬的严重假性视网膜病变和上眼睑内翻,并为根据表现选择手术技术提供指导。方法回顾2002年至2023年期间接受额叶节膜切除术的犬只的医疗记录,包括信号、临床症状、额叶节膜切除术类型、同期手术技术、再次干预、术后并发症、随访时间和结果。英国可卡犬是最常见的犬种(8 只:40%),雄性犬占多数(13 只:65%)。除了假性视网膜炎和视力损害(100%)外,其他最常见的临床症状包括内翻和(或)外翻(19 只狗:95%)、结膜炎(17 只狗:85%)、眼睑外翻(12 只狗:60%)和非溃疡性角膜炎(10 只狗:50%)。对 12 只狗(60%)进行了 CFR,对 5 只狗(25%)进行了额部皱襞切除术,对 2 只狗(10%)进行了冠状切除术,对 1 只狗(5%)进行了改良共享切除术。有 17 只狗(85%)接受了并发手术,其中最常见的是外侧犬趾成形术(13 只,65%)和 Celsus-Hotz 手术(10 只,50%)。中位随访时间为 115 天,所有犬均未出现并发症,疗效良好。在最后一次复查中,接受 CFR 和其他眼睑皱褶切除术的病例中,分别有 92% (11/12 只)和 87.5% (7/8 只)的眼睑位置得到了完全矫正。所提供的指南将有助于选择最合适的眼睑上提技术。
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来源期刊
Veterinary ophthalmology
Veterinary ophthalmology 农林科学-兽医学
CiteScore
2.70
自引率
37.50%
发文量
82
审稿时长
12-24 weeks
期刊介绍: Veterinary Ophthalmology is a peer-reviewed, international journal that welcomes submission of manuscripts directed towards academic researchers of veterinary ophthalmology, specialists and general practitioners with a strong ophthalmology interest. Articles include those relating to all aspects of: Clinical and investigational veterinary and comparative ophthalmology; Prospective and retrospective studies or reviews of naturally occurring ocular disease in veterinary species; Experimental models of both animal and human ocular disease in veterinary species; Anatomic studies of the animal eye; Physiological studies of the animal eye; Pharmacological studies of the animal eye.
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