SUPERFICIAL CERVICAL AXIAL PATTERN PEDICLED FLAP FOR RECONSTRUCTION OF SURGICAL DEFECT IN SQUAMOUS CELL CARCINOMA EXERESIS IN A CAT'S PINNA.

Autor: Cardoso Garcia, Daniel, Ferreira Lisboa, Nathalia, Martins dos Santos, Amanda, Bezerra Souza, Stephanie Caroline, Cavalcanti de Sá, Marcelo Jorge
Předmět:
Zdroj: Journal of Research & Development / Revista de Investigación & Desarrollo; Nov2021, Vol. 11 Issue 11, p51446-51450, 5p
Abstrakt: Squamous Cell Carcinoma (SCC) is a neoplasm that most frequently affects animals with light skin and fur, with access to the street and that are exposed to chronic UV radiation, which leads to chronic inflammatory lesions. It is characterized as a locally aggressive neoplasm, but there are few reports of distant metastasis. Reconstructive surgeries are extremely important, as they allow a significant injured area of skin to be removed, and at the same time, this site is covered by skin from other regions, obtaining primary and faster healing compared to secondary healing. The objective of this study is to report the effectiveness of the superficial cervical artery flap to cover a skin defect after removal of SCC in a cat's pinna. The patient was seen at the Veterinary Hospital of the Federal University of Campina Grande (UFCG), Patos, Paraíba, Brazil, and had a history of a bloody wound in the left pinna region. According to the cat's owner, the patient had previously been treated with Terracortril, Ivermectin and Meloxicam, but the case was not resolved. Clinical examination revealed an ulcerative, bloody lesion with crust formation on the left ear. After cytology, the patient was diagnosed with SCC in the pinna. Before surgery, the patient was treated with Amoxicillin + Potassium Clavulanate in a dose of 20 mg/kg, every 12 hours, for 10 days, orally; Meloxicam 0.03 mg/kg, every 24 hours, for 3 days, orally; and Dipyrone drops 1 drop/kg, every 24 hours, for 4 days, orally. Cleaning of the wound with saline solution, every 12 hours, associated with collagenase ointment every 12 hours until the infected tissue was eliminated and use of Elizabethan collar were indicated. During surgery, the affected pina was removed, plus 3 cm of skin to ensure surgical margins. The wound was closed with the aid of a flap from the superficial cervical artery and the stitches removed after 10 days. The technique proved to be extremely useful to repair the tissue defect, without causing tension to the defect, generating a good esthetic result and helping in the healing process of lesions in the temporal region. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index