Mouth face and oesophagus Flashcards

1
Q

Chambers vet surg 2021
Staged mandibular lip flap for closure of a large palatal defect after maxillectomy in a dog

-what additional procedures were required to facilitate flap placement?
-what surgery was involved in the second stage?
-what vessel was the flap based on?

A

-additional caudal maxillectomy, removal of caudal mandibular teeth
-flap transected at base, epidermis and dermis separated and haired skin removed.
-inferior labial artery

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2
Q

Boston, vet surg 2020
Outcomes of eight cats with oral neoplasia treated with radical mandibulectomy

cats underwent 75-90% mandible removed.
-what percentage of cats ate immediately post-operatively
-what was the most common tumour

A

-75% ate immediately post-operativel.
-SCC

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3
Q

Carroll JSAP 2023
Random mucosal rotating flaps for rostral to mid maxillary defect reconstruction: 26 dogs (2000-2019)

-which defects were suggested to be more likely to have a complication?
-what was the complication rate?

A

mid-maxilla defects
23% complications - dehiscence and flap necrosis

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4
Q

Cray, JAVMA 2021
Analysis of risk factors associated with complications following mandibulectomy and maxillectomy in dogs

-what was the overall complication rate? (of those complications how many were minor)
-what factor increased the odds of one complication?
-what factors increased the odds of incisional dehiscence or oral fistula formation?

A

-37% overall complications (of which 62% minor)
-surgical time (odds incrteased by 36% per hour)
-pre-op chemo/ radiation and undergoing maxillectomy (as opposed to mandibulectomy) increased odds of incisional dehiscence/ oral fistula

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5
Q

Sharma, Vet surg 2021
Survival time of juvenile dogs with oral squamous cell carcinoma treated with surgery alone: A Veterinary Society of Surgical Oncology retrospective study

-what was the rate of recurrence?

A

0% - followed cases for median 5 years, 24/25 had complete margins. Prognosis for SCC in dogs < 2 years is excellent

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6
Q

Carroll, JAVMA 2020
Tumour size as a predictor of lymphatic invasion in oral melanomas of dogs

  • with what size tumour can lymphatic invasion be ruled out?
    -with what size can lymphatic invasion be ruled in?
A

-<6.5mm no cases had lymphatic invasion
->24.5mm all cases had lymphatic invasion

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7
Q

Morgado Laureano, JFMS 2024
Feline minor salivary gland adenocarcinoma: retrospective case series and literature review

-what was the MST?
-what was the location of the masses?
-what treatment was proposed?

A

787 days
caudal labial masses
early curative intent sx with wide margins

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8
Q

Boot JSAP 2024
Clinical manifestations, endoscopic findings and outcomes of tonsillar fossa foreign bodies in dogs: seven cases (2020-2023)

-what was the most common clinical sign?
-what were the intra-oral examination findings?

A

-acute onset throat clearing
-tonsil was enlarged and protruding in 4/7

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9
Q

Castejon Gonzalez JAVMA 2023
Use of a barrier membrane to repair congenital hard palate defects and to close oronasal fistulae remaining after cleft palate repair: seven dogs (2019–2022)

-what was used as a barrier membrane?
-what palate flaps were used?

A
  • autologous auricular cartilage or allogeneous fascia lata under the mucosal flaps.
  • bipedicle flaps (von langenbeck) or two single pedicle flaps
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10
Q

Warshaw, JAVMA 2023
Piezosurgical bone-cutting technology reduces risk of maxillectomy and mandibulectomy complications in dogs

-what percentage of cases had extensive surgical bleeding?

A

1% extensive bleeding

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11
Q

Bush, vet surg 2023
Outcomes and clinical features associated with surgically excised canine salivary gland carcinoma: A multi-institutional, retrospective, Veterinary Society of Surgical Oncology study

-what was the overall survival time?
312d, 635d, 894d, 1345d, 1886d
-local recurrence rate? with what disease free interval?
-metastatic rate?
-what factor was a negative prognostic factor?

A

-1886 days
-42% local recurrence with 191d dz free interval
- 31.9% metatstastes
-LN mets at time of surgery (29%) had shorter DFI (98d) and was a negative prognostic factor

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12
Q

Vitanen, vet surg 2023
Intraoral approach for zygomatic sialoadenectomy in dogs: An anatomical study and three clinical cases
-what was the proposed advantagas te of the intraoral approach?
-describe the approach
-important neurovascular structures to avoid?

A

-faster than modified lateral orbitotomy
-zygomatic papilla identified, 2.5cm incision in oral mucosa and muscle over rostral part of pterygopalatina fossa ending just caudal to zygomatic papilla. stay sutures to retract mucosa. GLand bluntly dissected out.
-branch of infraorbital artery, deep facial vein, auriculotemporal nerve.

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13
Q

Cinti, vet surg 2021
Complications between ventral and lateral approach for mandibular and sublingual sialoadenectomy in dogs with sialocele

-what was the difference in complication rates?
-what complication was most common with lateral approach?
-what complication was most common with ventral approach?
-what factor was associated with increased risk of recurrence?

A

-no significant difference in complication rates
-recurrences most likely in lateral approach
-wound related complications more common with ventral approach
-prolonged duration of surgery was linked to increased risk of recurrence

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14
Q

Bobis-Villagra, JFMS 2022
Feline sialocoele: clinical presentation, treatment and outcome in 19 cases
-which gland was most frequently affected?
-what post-operative complication was seen?

A

-mandibular sublingual complex
-seroma

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15
Q

Swieton, JAVMA 2022
Multi-institutional study of long-term outcomes of a ventral versus lateral approach for mandibular and sublingual sialoadenectomy in dogs with a unilateral sialocele: 46 cases (1999–2019)
- what factor was associated with likelihood of intraoperative complications?
-what was associated with development of post-op complications?

A

-surgical experience associated with intraop complications.
-age and presence of pharyngeal sialocoele asssocaited with postop complications

[no difference between lateral and ventral approach noted]

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16
Q

Ortilles, JAVMA 2020
Intracanalicular injection of N-acetylcysteine as adjunctive treatment for sialoceles in dogs: 25 cases (2000–2017)
-what gland most frequently treated?
-recurrence rate?

A

-zygomatic
-20% recurrence with intracanal injection N-acetylcysteine.

17
Q

Winston vet surg 2023
Management and outcomes of 13 dogs treated with a modified Heller myotomy and Dor fundoplication for lower esophageal sphincter achalasia-like syndrome

-describe heller myotomy technique
-describe dor fundoplication technique
-what proportion had G tube complications?

A

-heller myotomy - ventral midline approach. endoscopy to highlight the LES, then myotomy (serosa and muscularis) made over the top. residual fibres highlighted with transillumination.

  • dor fundoplication - seromuscular layer of fundus sutured to left part of the myotomy incision, incorporating the diaphragm at cranial aspect of incision. right side then sutured. end result - fundus serosa covers the submucosa.

-half had G tube complications

18
Q

Bascunan, vet surg 2020
Vascular ring anomalies in cats: 20 cases (2000-2018)

-what was the most common VRA, what % of cases?
-what concurrent abnormality was present in 20%?
-survival to discharge?
-what % cases had persistence of clinical signs at follow-up?

A
  • 85% had PRAA
  • persistent left subclavian artery
  • 90%
  • 69% cats had persistent clinical signs, 31% had radiographic megaoesophagus
19
Q

Beer, JAVMA 2022
Complications associated with and outcome of surgical intervention for treatment of esophageal foreign bodies in dogs

-what % had a post-operative complication?
-what was % survival to discharge?
-what factors were associated with non-survival?

A

50% post op complication
75% survival to discharge
Presence of esophageal perforation preoperatively, undergoing a thoracotomy, and whether a gastrostomy tube was placed were significantly associated with not surviving to discharge