Scientific Journal

Scientific Journal of the Hellenic Companion Animal Veterinary Society (HCAVS)

 

Lip-to-nose flap for reconstruction of a nasal planum defect following squamous cell carcinoma tumor resection in a cat


Svoronou M. DVM, CSAVP/Soft Tissue Surgery, Plakentia Veterinary Clinic | Dourdas G. DVM, MSc, Plakentia Veterinary Clinic

Introduction

Squamous cell carcinoma represents 15% of feline cutaneous tumors and is the most common malignancy of the feline nasal planum. It is a locally invasive neoplasia that rarely metastasizes, and wide surgical excision is usually the treatment of choice. The cosmetic outcome after partial nasal planectomy is a major concern for cat owners. The aim of the study was to describe the surgical technique of the reconstruction of a nasal planum defect with the use of a lip-to-nose flap following a squamous cell carcinoma (SCC) resection in a cat and to report the functional and cosmetic outcome.

Clinical case

An 8-year-old male neutered domestic shorthair cat presented with an extensive ulcerative lesion on the dorsal nasal planum. Following wide excision of the tumor, a mucocutaneous lip-to-nose flap was harvested from the upper lip and transposed via a bridging incision to the nasal planum to cover the defect.

Results

Surgery and the healing process proceeded without any complications. 9 months postoperatively the cat remains clinically healthy, and the owners satisfied with the cosmetic outcome.

Conclusions

The lip-to-nose flap can be successfully used to cover nasal planum defects following SCC resection in cats, offering an improved cosmetic outcome compared to traditional techniques.

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