Page 50 - BSAVA Manual of Canine and Feline Head, Neck and Thoracic Surgery, 2nd Edition

Chapter 3 · Surger y of the oral cavity and orophar ynx
Chapter 3 · Surgery of the oral cavity and oropharynx

➜ OPERATIVE TECHNIQUE 3.3 CONTINUED
VetBooks.ir Closure

Synthetic absorbable sutures are placed in a horizontal mattress pattern. Granulation and epithelialization of exposed
tissues are generally completed in 3–4 weeks.
Surgical manipulations: soft palate repair
1 Make incisions along the medial margins of the defect to the level of the caudal end of the tonsils.

2 Separate the palatal tissue with blunt-ended scissors to form a dorsal and a ventral flap on each side.
3 Suture the two dorsal and two ventral flaps separately in a simple interrupted pattern to the midpoint or caudal
end of the tonsils.

A

B
A A
B B

Incisions are made at the margins orsal and ventral flaps are Both defects closed. ppearance at end of operation.
of the soft palate defect. sutured separately.

SURGICAL TECHNIQUE: MEDIALLY POSITIONED FLAP TECHNIQUE
Approach
Incisions are made at the medial edges of the hard palate defect.
Surgical manipulations

1 Undermine the mucoperiosteum with a periosteal elevator laterally.
2 Slide the flaps together and suture them over the defect with synthetic absorbable material. To avoid tension on
the suture line, relieving incisions about 2 mm away from the gingiva on one or both sides may be necessary so
that the flaps can be moved medially into apposition.
Closure
The exposed bone next to the teeth is left to granulate and epithelialize.
Incisions are ndermining the The flaps are
made at the mucoperiosteum. slid together
medial edges of and sutured
the hard palate over the defect.
defect. elieving
incisions mm
a ay from the
gingiva are often
necessary for
accommodation
of the flaps.

POSTOPERATIVE CARE
Soft food for 2 weeks.

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