FREE SHIPPING over $40
OVER 9000 FIVE-STAR REVIEWS
5% OFF ALL SUBSCRIPTIONS
100% HAPPINESS GUARANTEE
Analyze Diet
0
Home / Equine Research Bank / Clin Case Rep / The use of a combined sliding skin graft and a free labial m...
Clinical case reports2019; 7(3); 419-425; doi: 10.1002/ccr3.1992

The use of a combined sliding skin graft and a free labial mucocutaneous graft for reconstruction of the equine upper eyelid after full-thickness excision of a melanoma.

Abstract: A melanoma of the upper eyelid was resected in a gray warmblood gelding. A full functional eyelid could be obtained by completion a sliding skin graft with a free labial mucocutaneous graft transplantation to restore the mucocutaneous junction and to decrease the risk of postoperative trichiasis.
Get Full Text
Publication Date: 2019-01-17 PubMed ID: 30899463PubMed Central: PMC6406139DOI: 10.1002/ccr3.1992Google Scholar: Lookup
The Equine Research Bank provides access to a large database of publicly available scientific literature. Inclusion in the Research Bank does not imply endorsement of study methods or findings by Mad Barn.
LinkedInCopy
  • Case Reports

Summary

This research summary has been generated with artificial intelligence and may contain errors and omissions. Refer to the original study to confirm details provided. Submit correction.

This study details a surgical procedure for reconstructing the upper eyelid of a horse after removal of a tumor. The procedure involved using a sliding skin graft alongside a free labial mucocutaneous graft to replicate the appearance and functionality of the natural eyelid.

Objective of the Research

  • The main objective of this research was to treat a case of eyelid melanoma in a gray warmblood gelding horse. The melanoma necessitated a full-thickness excision that left the upper eyelid severely damaged.
  • The researchers aimed to reconstruct the upper eyelid to restore its full functionality and to minimize the risk of postoperative complications, particularly trichiasis – a condition where the eyelashes grow inward and can irritate the eye.

The Approach

  • To tackle the problem, the researchers used a combination of a sliding skin graft and a free labial mucocutaneous graft.
  • The sliding skin graft involved cutting a nearby piece of the horse’s skin and stretching it to cover the eyelid deficiency. This type of graft is advantageous because it preserves blood supply during the process which boosts its chances of success.
  • The free labial mucocutaneous graft involved cutting a piece of skin from the horse’s lip and using it to construct the region of the eyelid where the skin and mucous membrane meet. This graft is beneficial as it closely mimics the natural structure of the eyelid and is less likely to cause irritation or abnormal lash growth after surgery.

Outcome of the Research

  • By using both grafts, the researchers were successful in restoring the eyelid to its full functionality.
  • This study shows promise for future instances where a horse may suffer from an upper eyelid melanoma and need extensive reconstruction post-excision. The developed technique could increase the odds of successful healing and reduce the chances of postsurgical complications.

Cite This Article

APA
Steinmetz A, Gittel C, Böttcher D, Lapko L, Offhaus J. (2019). The use of a combined sliding skin graft and a free labial mucocutaneous graft for reconstruction of the equine upper eyelid after full-thickness excision of a melanoma. Clin Case Rep, 7(3), 419-425. https://doi.org/10.1002/ccr3.1992

Publication

Clinical case reports
ISSN: 2050-0904
NlmUniqueID: 101620385
Country: England
Language: English
Volume: 7
Issue: 3
Pages: 419-425

Researcher Affiliations

Steinmetz, Andrea
  • Department of Small Animals Leipzig University Leipzig Germany.
Gittel, Claudia
  • University Equine Hospital Leipzig University Leipzig Germany.
Böttcher, Denny
  • Institute of Pathology Leipzig University Leipzig Germany.
Lapko, Liv
  • Institute of Pathology Leipzig University Leipzig Germany.
Offhaus, Julia
  • University Equine Hospital Leipzig University Leipzig Germany.

Conflict of Interest Statement

There is no conflict of interest.

References

This article includes 19 references
  1. Giuliano EA. Equine periocular neoplasia: current concepts in aetiopathogenesis and emerging treatment modalities.. Equine Vet J Suppl 2010 Mar;(37):9-18.
    pubmed: 20939161doi: 10.1111/j.2042-3306.2010.tb05629.xgoogle scholar: lookup
  2. Fleury C, Bérard F, Balme B, Thomas L. The study of cutaneous melanomas in Camargue-type gray-skinned horses (1): clinical-pathological characterization.. Pigment Cell Res 2000 Feb;13(1):39-46.
    pubmed: 10761995doi: 10.1034/j.1600-0749.2000.130108.xgoogle scholar: lookup
  3. Wang AL, Kern T. Melanocytic Ophthalmic Neoplasms of the Domestic Veterinary Species: A Review.. Top Companion Anim Med 2015 Dec;30(4):148-57.
    pubmed: 27154598doi: 10.1053/j.tcam.2015.06.001google scholar: lookup
  4. Giuliano EA, Ota J, Klauss G, Johnson PJ. Equine eyelid melanoma treated with surgical resection and local photodynamic therapy. ECVO/ESVO Conference 2005; Porto.
  5. Gelatt KN. Blepharoplastic procedures in horses.. J Am Vet Med Assoc 1967 Jul 1;151(1):27-44.
    pubmed: 6068211
  6. Fahie M. Skin and reconstruction. Veterinary Surgery Small Animal 2. St. Louis, MO: Elsevier Saunders; 2012:1197‐1340.
  7. MacGillivray KC, Sweeney RW, Del Piero F. Metastatic melanoma in horses.. J Vet Intern Med 2002 Jul-Aug;16(4):452-6.
    pubmed: 12141308doi: 10.1892/0891-6640(2002)016<0452:mmih>2.3.co;2google scholar: lookup
  8. Goetz TE, Ogilvie GK, Keegan KG, Johnson PJ. Cimetidine for treatment of melanomas in three horses.. J Am Vet Med Assoc 1990 Feb 1;196(3):449-52.
    pubmed: 2298676
  9. Rizk A. Lower eyelid reconstructive surgery after melanoma resection in a horse. J Vet Sci Technol 2012;1:514.
  10. Wilkie DA. Repair of superior palpebral defect in a horse by use of silicone subdermal implant.. J Am Vet Med Assoc 1992 Mar 15;200(6):821-4.
    pubmed: 1568931
  11. Gelatt KN, Whitley RD. Surgery of the eyelids. Veterinary Ophthalmic Surgery Gainesville: Saunders Elsevier; 2011:89‐140.
  12. nNeuhaus AW. Augenlidtumor und chirurg. Entfernung. http://www.klinikneuhaus.ch/index.php?ID=43&sub=41. Accessed April 20, 2017.
  13. Hunt GB. Use of the lip-to-lid flap for replacement of the lower eyelid in five cats.. Vet Surg 2006 Apr;35(3):284-6.
    pubmed: 16635009doi: 10.1111/j.1532-950x.2006.00145.xgoogle scholar: lookup
  14. Whittaker CJ, Wilkie DA, Simpson DJ, Deykin A, Smith JS, Robinson CL. Lip commissure to eyelid transposition for repair of feline eyelid agenesis.. Vet Ophthalmol 2010 May;13(3):173-8.
    pubmed: 20500717doi: 10.1111/j.1463-5224.2010.00778.xgoogle scholar: lookup
  15. Poinsard AS, Mathieson I, Balland O. Hübner's eyelid reconstruction using a free tarsomarginal autograft in eight dogs. A retrospective study.. Vet Ophthalmol 2019 Mar;22(2):125-131.
    doi: 10.1111/vop.12568pubmed: 29532988google scholar: lookup
  16. Wilkie DA. Ophthalmic procedures and surgery in the standing horse.. Vet Clin North Am Equine Pract 1991 Dec;7(3):535-47.
    pubmed: 1820225doi: 10.1016/s0749-0739(17)30485-6google scholar: lookup
  17. Sweeney CR, Russell GE. Complications associated with use of a one-hole subpalpebral lavage system in horses: 150 cases (1977-1996).. J Am Vet Med Assoc 1997 Nov 15;211(10):1271-4.
    pubmed: 9373364
  18. Chen T, Ward DA. Tear volume, turnover rate, and flow rate in ophthalmologically normal horses.. Am J Vet Res 2010 Jun;71(6):671-6.
    pubmed: 20513183doi: 10.2460/ajvr.71.6.671google scholar: lookup
  19. Bohling MS, Swaim SF. Skin grafts. Veterinary Surgery Small Animal 2. St. Louis, MO: Elsevir Saunders; 2012:1273‐1274.

Citations

This article has been cited 0 times.
Subscribe to our newsletter
Join 99,344 horse owners like you who receive our email updates on horse health and nutrition.