Complications between ventral and lateral approach for mandibular and sublingual sialoadenectomy in dogs with sialocele
| Autor: | Matteo Gobbetti, Guido Pisani, M. Cantatore, Diego Rossetti, Rosario Vallefuoco, Matteo Rossanese, Federico Massari, Filippo Cinti, Paolo Buracco, Vincenzo Montinaro |
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| Rok vydání: | 2021 |
| Předmět: |
Male
medicine.medical_specialty 040301 veterinary sciences Mucocele Sialocele Lower risk 0403 veterinary science 03 medical and health sciences Dogs Postoperative Complications 0302 clinical medicine Submandibular Gland Diseases medicine Animals Clinical significance Dog Diseases Retrospective Studies General Veterinary Cysts business.industry Retrospective cohort study 04 agricultural and veterinary sciences medicine.disease Surgery Multicenter study 030220 oncology & carcinogenesis Female Complication business Bandage Lateral approach |
| Zdroj: | Veterinary Surgery. 50:579-587 |
| ISSN: | 1532-950X 0161-3499 |
| DOI: | 10.1111/vsu.13601 |
| Popis: | Objective To compare complications of dogs treated with mandibular and sublingual sialoadenectomy for sialocele using a lateral (LAT) or ventral paramedian (VPM) approach. Study design Retrospective multicenter study. Animals Dogs (140) with mandibular and sublingual sialocele. Methods Medical records of dogs that underwent mandibular and sublingual sialoadenectomy through a LAT or VPM approach from 2004 to 2020 were reviewed. Clinical and histopathological findings were analyzed to compare the groups. Results Seventy dogs were included in each group. The most represented breed was crossbreed (26%), and males (99/140 [71%], intact/neutered) were overrepresented. Dogs in the VPM approach group were more likely to undergo digastricus tunnelization and placement of a drain or a bandage. Dogs in the LAT approach group were heavier and more likely to undergo excision of an inflammatory pseudocapsule. No difference was detected in complication rates between groups (LAT [20%], VPM [31%], P = .116). Recurrences were more likely after LAT approach (5/70 vs 0/70, respectively; P = .029), whereas wound-related complications were more likely after VPM approach (20/70 vs 9/70, respectively; P = .018). Prolonged duration of surgery was associated with an increased risk of recurrence, and none of the other variables affected the complication rate. Conclusion Ventral paramedian approach for mandibular and sublingual sialoadenectomy was associated with a lower risk of recurrence but a higher risk of wound-related complications compared with LAT approach. Clinical significance Ventral paramedian approach for mandibular and sublingual sialoadenectomy may be preferred to reduce recurrence in dogs with sialoceles, but wound-related complications are common. |
| Databáze: | OpenAIRE |
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