Chi-Hsin Liu1, Lih-Seng Yeh1. 1. Institute of Veterinary Clinical Sciences, School of Veterinary Medicine and Veterinary Teaching Hospital, National Taiwan University, Taipei, Taiwan, ROC.
Abstract
OBJECTIVE: To describe the clinical application of a vascularized preputial free flap in the reconstruction of a large facial-labial defect. STUDY DESIGN: Case report. ANIMALS: An adult neutered male mongrel dog with a large left facial-labial defect. METHODS: A preputial free flap was created by elevating the cranial part of the prepuce, using the ipsilateral caudal superficial epigastric vessels as a vascular pedicle. The flap was transferred to the facial-labial defect and the donor vessels anastomosed to the sublingual artery and vein, using standard microvascular technique. RESULTS: The free flap survived, leading to good cosmetic and functional outcomes. No major complications were encountered at either the donor or recipient sites after 2 years of follow-up. CONCLUSION: Vascularized preputial free flaps can be used to manage composite facial and oral cavity defects involving large areas of skin and mucosa.
OBJECTIVE: To describe the clinical application of a vascularized preputial free flap in the reconstruction of a large facial-labial defect. STUDY DESIGN: Case report. ANIMALS: An adult neutered male mongrel dog with a large left facial-labial defect. METHODS: A preputial free flap was created by elevating the cranial part of the prepuce, using the ipsilateral caudal superficial epigastric vessels as a vascular pedicle. The flap was transferred to the facial-labial defect and the donor vessels anastomosed to the sublingual artery and vein, using standard microvascular technique. RESULTS: The free flap survived, leading to good cosmetic and functional outcomes. No major complications were encountered at either the donor or recipient sites after 2 years of follow-up. CONCLUSION: Vascularized preputial free flaps can be used to manage composite facial and oral cavity defects involving large areas of skin and mucosa.