Page 52 - BSAVA Manual of Canine and Feline Head, Neck and Thoracic Surgery, 2nd Edition

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

OPERATIVE TECHNIQUE 3.5
VetBooks.ir ronasal stula repair

PATIENT POSITIONING
Lateral recumbency.

ASSISTANT
Not required.

ADDITIONAL INSTRUMENTS
Iris forceps; curved iris scissors; periosteal elevator.

SURGICAL TECHNIQUE

Approach
The alveolar and buccal mucosa is incised using a No. 15 scalpel blade.
Surgical manipulations
1 Elevate a full-thickness buccal flap using a periosteal elevator.
2 Incise the periosteal attachment at the base of the flap with a scalpel blade.

3 Use blunt submucosal dissection with small scissors to mobilize the flap.
4 Advance the flap to cover the defect.

PRACTICAL TIP
The flap should cover the defect without tension before suturing. The primary reason for dehiscence is excess
tension due to insufficient flap mobilization prior to closure

Chronic oronasal fistula in the area of a missing ppearance of the oronasal fistula once the labial mucosal flap has been sutured to the
right ma illary canine tooth in a dog. debris and hair have been removed. hard palate mucosa.

Closure
The flap is sutured to hard palate mucosa and adjoining alveolar and buccal mucosa using an absorbable suture
material in a simple interrupted pattern.
POSTOPERATIVE CARE

Soft food for 2 weeks.

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