Reconstruction of a Bilateral Hypoplastic Soft Palate in a Cat

Headrick, Jason; McAnulty, Jonathan F.

doi:10.5326/0400086

Cited by 12 publications

(5 citation statements)

References 6 publications

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“…Single layer closure was performed in all but two cases in this study, and the cases that failed were in the former category. Previous case series studies and current literature have advocated double-layer closure where possible or staged procedures of tooth extractions followed by double-layer closure after healing of extraction sites ( 3 , 4 , 46 , 50 – 54 ). A small case series evaluated outcomes of double-layer closure for hard palate defects.…”

Section: Discussionmentioning

confidence: 99%

Risk Factors for Failure of Hard Palate Mucoperiosteal Flap Repair of Acquired Oronasal Communication in Dogs: A Pilot Study

Taney

Smith

Cummings³

et al. 2021

Front. Vet. Sci.

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The objective of this retrospective pilot study was to describe potential risk factors for failure of hard palate mucoperiosteal flaps (HPF) transposed for closure of oronasal communication. Dogs (n = 28) with acquired oronasal communication defects were included in the study population. Functional success of an HPF was determined by visual inspection at the last examination and lack of clinical signs. Risk factors for HPF failure including age, sex, body weight, presence of neoplasia at the time of surgery, presence of neoplasia after surgery due to incomplete or narrow margins, use of CO2 laser, previous surgeries in the same location, HPF blood supply, size of the HPF as a percentage of the total area of the hard palate mucoperiosteum, and distance traveled by the apex of the HPF were evaluated using descriptive statistics and unadjusted logistic regression modeling. Seven out of 28 (25%) hard palate flap procedures resulted in persistent oronasal communication and were considered failures. Body weight (Median: 17 vs. 25 kg, OR = 0.94, 80% CI = 0.90, 0.99), presence of neoplasia at the time of surgery (86 vs. 57%, OR = 4.50, 80% CI = 1.01, 20.06), HPF area (Median: 0.49 vs. 0.41, OR = 84.40, 80% CI = 1.66, 4,298) and apex travel distance (Median: 2.06 vs. 0.67, OR = 5.15, 80% CI = 2.14, 12.38) were associated with flap failure. Within this sample, the presence of neoplasia at the time of initial surgery, increasing the area of the HPF, and distance traveled by the HPF apex were associated with a greater odds of HPF failure. Further studies with larger sample sizes are needed to confirm repeatability of these results. HPFs remain a viable surgical option for closure of oronasal communication. Careful surgical planning, strict adherence to surgical principles, and awareness of anatomical limitations can increase the likelihood of success.

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Section: Discussionmentioning

confidence: 99%

Risk Factors for Failure of Hard Palate Mucoperiosteal Flap Repair of Acquired Oronasal Communication in Dogs: A Pilot Study

Taney

Smith

Cummings³

et al. 2021

Front. Vet. Sci.

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“…Entretanto, a tutora e médica veterinária do paciente optou por não proceder com a cirurgia reconstrutiva, pois há poucos relatos de técnicas cirúrgicas com sucesso para a correção de defeitos de grande extensão envolvendo os palatos duro e mole em felinos. Dentre as principais complicações estão a necrose do retalho, deiscência, a necessidade de segunda intervenção cirúrgica e contração do leito de granulação, levando à aderência e obstrução da nasofaringe (Headrick & McAnulty, 2004). Optou-se, então, por avaliar a adaptação do animal à ração de grandes formatos uma vez que o animal demonstrava interesse por ração seca.…”

Section: Discussionunclassified

Fístula oronasal congénita secundaria en un neonato felino de Maine Coon: Terapia clínica y soporte nutricional asistido

Trento¹,

Sperotto²,

Wajczyk³

et al. 2021

Pubvet

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As malformações congênitas estão relacionadas à fatores hereditários ou promovidas por agentes ambientais, à citar: tóxicos, infecciosos, nutricionais, químicos e físicos. Em felinos, a casuística de neonatos com malformação situa-se entre 1% e 2%. Dentre as patologias mais observadas destacam-se a fissura palatina (mais frequente), hidrocefalia e agenesia do tubo digestivo. Na fissura palatina secundária o fechamento do palato é incompleto, o paciente apresenta escoamento de leite pelas narinas, tosse, engasgos e/ou espirros na alimentação e infecções do trato respiratório, sendo o diagnóstico confirmado através da inspeção da cavidade oral. O artigo trata-se do manejo clínico e nutrição assistida, sem correção cirúrgica. Um felino, macho, da raça Maine Coon, neonato foi recebido em uma clínica sob queixa de rejeição da progenitora. No exame físico, observou-se a presença de uma fissura palatina secundária congênita. A tutora e médica veterinária, optou pelo manejo clínico considerando a escassez de literatura referente ao tratamento cirúrgico em neonatos portadores desta patologia. O paciente foi alimentado por sonda orogástrica até a sua completa adaptação à alimentação seca de grandes formatos aos cinco meses de idade. Durante esse processo de adaptação à sua condição congênita, o felino desenvolveu dois quadros de pneumonia aspirativa por Klebsiella pneumoniae e a ingestão de corpo estranho (parte da sonda orogástrica), avaliado por radiografia e removido por endoscopia na porção descendente do duodeno. No acompanhamento do paciente até a idade de um ano e nove meses, o felino não apresentou recidivas quanto à pneumonia aspirativa. O animal encontrava-se saudável até a data de submissão deste trabalho. O presente relato tem por objetivo discorrer a respeito do manejo clínico do paciente nessa condição e as dietas oferecidas para a manutenção vital, bem como seu crescimento.

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“…Congenital cleft palate can be seen with acroteriasis syndrome in Holstein, chondrodysplasia in Dexter, arthrogryposis and spinal anomalies in Charolais, hydrocephalus, diaphragmatic hernia and freemartins in Simmental cattle (8,14). In this case, necropsy could not be performed because the owner did not give permission.…”

Section: Olgumentioning

confidence: 99%

Simental Irkı Bir Buzağıda Şilognatopalatoşizi Olgusu: Nadir Bir Olgu

Durmuş

Polat

2022

Ankara Üniversitesi Veteriner Fakültesi Dergisi

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The subject of this study was a 7-day-old female Simmental calf brought to Firat University Veterinary Faculty Animal Hospital Surgery Clinic with the complaint of cleft in the upper lip and palate. In the clinical examination, it was determined that the calf had respiratory difficulties and the nostrils were not formed normally. The calf was diagnosed with cheilognathopalatoschisis. Palatoplasty and reconstructive surgery were performed on the calf for the treatment of the rarely encountered case. The mucosa of the cleft hard palate was freed by dissecting from the os palatinum on both sides. Then, the hard palate was repaired by suturing the mucosal 2 edges mutually. Palatal and alveolar clefts were repaired using Veau's technique. During the post-operative interview with the patient's owner, it was learned that the calf had difficulty in swallowing during feeding. It was determined that the calf died on the 8th postoperative day due to aspiration pneumonia that developed due to the absence of probable swallowing reflex.

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Reconstruction of a Bilateral Hypoplastic Soft Palate in a Cat

Cited by 12 publications

References 6 publications

Risk Factors for Failure of Hard Palate Mucoperiosteal Flap Repair of Acquired Oronasal Communication in Dogs: A Pilot Study

Risk Factors for Failure of Hard Palate Mucoperiosteal Flap Repair of Acquired Oronasal Communication in Dogs: A Pilot Study

Fístula oronasal congénita secundaria en un neonato felino de Maine Coon: Terapia clínica y soporte nutricional asistido

Simental Irkı Bir Buzağıda Şilognatopalatoşizi Olgusu: Nadir Bir Olgu

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